Starting a Medical Billing Business > Starting Your Own Medical Billing Business
Mental Health Billing
bethcanare:
I recently purchased the Mental Health Big Book. I noticed on the CMS case study samples most of the claims don't have modifiers. Is that common in mental health billing? Do you also bill Worker's Comp in mental health?
Thank you very much in advance for helping a newbie like me. :)
Beth
Michele:
Mental health claims hardly ever require the use of a modifier.
There are some times that workers comp may be billed for a mental health claim but it is not common. We had a situation once where an employee of a grocery store was robbed at knife point. They weren't injured physically but they did need counseling to be able to return to work. The claim was billed out to the comp carrier on the CMS form as it would be billed to the patient's regular insurance, just with the comp info.
Michele
bethcanare:
Thank you, Michele. That will help me a lot.
Beth C
billingfromhome428:
One case that I know of where a modifier is required for Mental Health and that is when you are billing Medicare for a LCSW. You must submit a AJ modifier. I have been billing for a LCSW for over 4 years and that is the only one I have ever used. :)
Michele:
We bill for 17 LCSW's and I have not heard of that before! Interesting. Since our claims are being paid I'm going to leave it as is. Just curious, where are you in the country. I'm thinking it must be a carrier specific requirement.
Michele
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