Medical Billing Forum
General Category => General Questions => : Cherylwilli July 08, 2009, 07:29:35 PM
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I bill for mental health providers and have been asked by a nutritionist to process claims. This is the first time the provider has been involved with insurance--usually her clients are self-pay--and has no idea how to go about submitting a claim. The HMO has given the provider a fee schedule w/appropriate CPT codes, but these are only in increments of 15 mins. The provider's sessions are 50-60 mins. Does this mean that I can only bill for 15 min. sessions or is there a way around this? If this is the case, it may not be worthwhile for me. Thanks.
Cheryl
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You just need to bill one unit for each 15 minutes, so for a 50-60 minute session you would bill for 4 units.
Michele
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Your answer is so simple that it makes my question seem like a no brainer. But billing for mental health is so straight forward, I had no idea. Now it seems worthwhile to do her billing. I appreciate your response. Thanks.
Cheryl