Author Topic: Mental Health Billing  (Read 1445 times)

krudolph

  • Newbie
  • *
  • Posts: 9
Mental Health Billing
« on: May 27, 2009, 09:34:22 AM »
Does anyone know the correct codes and/or modifiers to bill Medicare Part B for IOP Treatment performed in a Facility setting?  Also, can this be performed by a LISW?  I know Medicare Part B services are to be billed on a CMS 1500.  If you bill a 90853 the reimbursement is only $27.66 and they are seeing the clients 3x week for 3 hours a day so I know this is not the correct code for this service.  Anyone with any knowledge on this your response would be very helpful.  Thank you.

Michele

  • Global Moderator
  • Hero Member
  • *****
  • Posts: 4708
    • Solutions Medical Billing
Re: Mental Health Billing
« Reply #1 on: May 27, 2009, 09:47:11 AM »
If the provider is set up as a facility you can bill the treatment out as facility fees, but the billing is done on a UB04 and you have to use rev codes.  I think the rev codes you are looking for are 0944 - drug rehab or 0945 - alcohol rehab.  They do pay higher for those.

Michele
Sign Up for our FREE Medical Billing Newsletter
Get a 10% discount on Medical Billing Products by using Coupon Code: 10OFF
http://www.solutions-medical-billing.com

Cindy

  • Newbie
  • *
  • Posts: 5
Re: Mental Health Billing
« Reply #2 on: May 27, 2009, 09:48:02 AM »
try S9480 for procedure code.  Look it up first..

Michele

  • Global Moderator
  • Hero Member
  • *****
  • Posts: 4708
    • Solutions Medical Billing
Re: Mental Health Billing
« Reply #3 on: May 27, 2009, 09:49:53 AM »
Sorry, I just reread your question and realized my answer wasn't correct.  You cannot bill Medicare part b for anything other than the professional charges which would be cpt codes.  The previous answer only applies to other insurances.

You would have to be credentialed with Medicare as a facility and bill part A.

Michele
Sign Up for our FREE Medical Billing Newsletter
Get a 10% discount on Medical Billing Products by using Coupon Code: 10OFF
http://www.solutions-medical-billing.com