How To Bill Insurance Companies For Mental Health Services

They must accept the rate the insurer provides and write off any remaining balance. For a customized list of insurance companies to work with reach out about our credentialing service for mental health therapists and behavioral health providers. For example medicare part b will cover mental health services as long as they are medically necessary for the diagnosis or treatment of an illness or injury.

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If you re out of an insurer s network you may accept reimbursement from the insurer and then bill the patient for the rest.

How to bill insurance companies for mental health services. For counselors and other healthcare providers time management becomes a major issue when one is trying to see patients and simultaneously file insurance claims. A healthy mind is part of a healthy body. Mental health practices that have contracted with insurance companies cannot balance bill their clients. You will learn what client information you need how to verify mental health benefits create and submit claims and account for eobs.

Superbill is the term for a billing format in which the mental health clinician wants to handle billing in a simplified manner. As such most insurance companies cover mental health services as long as they are considered medically necessary. The mental health parity and addiction equity act of 2008 prohibits private insurers from discriminating against people with mental health diagnoses or providers who offer mental health services. Another cost effective insurance billing strategy is the superbill.

Prior to the parity law many insurance plans required patients to meet different and often higher deductibles for mental health services than for medical services. Insurance companies of all shapes sizes and locations need to find reliable effective practitioners for their panels. As a result of the law a single deductible now applies to both mental health treatment and medical services. This beginner s guide to mental health billing is for the brand new and having no clue outpatient therapist looking to learn how to bill insurance companies.

What insurance panels want need. The hardest part for providers conducting mental health billing is the variety of hoops that each insurance company makes the biller jump through. Using this strategy allows the client to submit the bill directly to the insurance company.