Hi Everyone,
I am a veteran mental health biller. Since my job is moving towards actually billing for their medical services, my team and I will be moving forward in that field as well. We are currently on a board assisting in setting up our system for billing- Go live date is July 1st - and I need help understanding the billing flow for medical services from start to finish. We service children, so if a child comes in for a well visit How is billing set up and triggered to pick up all required codes and modalities.
Example: Jane (age
comes in for her annual, she is examined by the provider = E/M, the provider then orders her the Flu shot, blood work, eye/hearing test. What does your encounter look like to cover all these services?
I know E/M services = provider F2F time in the office and I believe for the most part they should be set up by time (correct me if I'm wrong) but then how does the vaccines, labs and other testing play a part in the claim?