Outsourcing Telehealth Billing Services Archives - InfoHub https://infohubservices.com/blog/tag/outsourcing-telehealth-billing-services/ Fri, 21 Oct 2022 12:25:05 +0000 en-US hourly 1 https://wordpress.org/?v=6.1.1 https://infohubservices.com/wp-content/uploads/2019/10/cropped-INFO-HUB--32x32.png Outsourcing Telehealth Billing Services Archives - InfoHub https://infohubservices.com/blog/tag/outsourcing-telehealth-billing-services/ 32 32 How Telehealth Billing benefits Mental Health Providers https://infohubservices.com/blog/how-telehealth-billing-benefits-mental-health-providers/ Fri, 21 Oct 2022 12:06:25 +0000 https://infohubservices.com/?p=47390 Undoubtedly, mental health billing is already quite challenging especially due to the ever-changing policies. Working with new codes and billing procedures, being HIPAA compliant, and knowing the mental health services covered in telehealth are just the starting of the pain points. There is also a need to be aware of the new software and technology used in telehealth billing, specifically for mental health. In such a scenario, implementing telehealth billing effectively can be pretty advantageous for mental health providers. 

How does an effective Telehealth Billing benefit Mental Health Providers?

We all know that the telehealth billing process has different terminologies, billing codes, CPTs, and modifiers. As a practitioner of telehealth in mental health services, the billers and coders have to be aware of all the changes of Medicare, Medicaid, and private insurers, while using the EHR  to warrant better telehealth services.

Here are some benefits that an effective telehealth billing can offer to the mental health providers:

1. Reduce Billing Errors

When it comes to mental health, the telehealth billing starts with the location of the patient and the provider during the visit, along with the service given by the practice. Hence, an effective telehealth billing would involve the following:

  1. Originating site: It has to state the patient’s location during the treatment to get approved by Medicare. 
  2. Distant site: The location of the service provider during the visit.
  3. Place of service: The code is given for the telehealth billing to inform the originating and the distant site since the payer rates change based on the physician’s location during the service.
  4. Practice type: It informs the payer about the service given to the patient.

But these are not all; CPT codes are used with ICD codes and some modifiers to make the payment process smoother. Added to these, all these involve submitting them electronically on ANSI 837 EDI.

All these details can be easily missed by the telehealth biller when they are looking after other administrative aspects. That’s why it is important to ensure the billers have the proper training, keep up to date with their knowledge and submit the claims timely.

2. Billing Compliance

Telehealth billing is not only complicated but also ever-changing. Mental health is even more challenging than keeping up to date with the changes implemented by Medicare, Medicaid, and other third-party medical insurance companies. The billers have a full-time job to ensure they adhere to all the payer’s protocols. Hence, they need to stay up-to-date with every bit of change in the requirements and regulations set by the insurers, the government, and any other medical industry to warrant the claim submissions are clean and without any errors.

3. Increase revenue

With telehealth billing in mental health, it has been proved that overhead costs are reduced, and timely submission of the claims is ensured with almost error-free billings. All these points to the fact that there is a significant way to increase the practice’s revenue. With the best-trained staff and the latest billing technology, you can put the best revenue cycle management in place to improve the turnaround.

4. Enhance Patient Satisfaction

When the telehealth billing and coding is carried out effectively, the ability to concentrate on patients and their requirements is much better. With correct billing, the reimbursement is hassle-free, which offers the patient relief. It means that their claims will be complete without any issue, thus receiving uninterrupted services. The patients can also receive a professional and courteous reply regarding their billing from the telehealth staff.

How to Add Expertise In Telehealth Billing For Mental Health Providers? 

Did you know the lack of knowledge in correct billing (often in telehealth and telemedicine) results in revenue loss up to 3.3 percent annually. One of the best ways to mitigate the challenges and requirements often imposed by the billing system in telehealth is by working with an experienced telehealth billing partner such as Info Hub. These medical billing partners with experience in telehealth billing can offer extensive help in improving revenue and overall patient care.

Finding a partner like Info Hub for your telehealth billing for mental health services will provide you with a dedicated and specialized team. They will ensure no claim denials and rejections using the correct coding, and billing.

3 Essential ICD 10 Codes for Telehealth https://infohubservices.com/blog/3-essential-icd-10-codes-for-telehealth/ Thu, 06 Oct 2022 14:24:10 +0000 https://infohubservices.com/?p=47319 Be it any medical practice offering telehealth; one must adhere to the ICD 10 codes. There is no option for doctors, hospitals, or medical service providers to neglect such codes. In fact, they need to incorporate the telehealth strategy into their practice to stay in the competitive medical business.

However, there are also some challenges that telehealth facilitators are facing. It is because telehealth is a broad category and encompasses managing a wide range of complex situations. It ranges from remote monitoring of stroke patients to high-quality virtual convenience care and managing episodic, acute, and sometimes non-emergent conditions in fast, effective, and cost-efficient ways.

In such a scenario where the medical landscape of care is expanding worldwide, telehealth billing and coding must also be prioritized. Therefore, telehealth medical providers need to adhere to three core principles:

  • Implementation of the established care standards.
  • Ensuring insurance coverage.
  • Cross verification of the patient information.

The other vital aspect of telehealth billing and coding is understanding the ICD 10 codes and accurately implementing them as per the telehealth service provided.

What are the ICD 10 Codes in Telehealth?

International Classification of Diseases (ICD) codes are a set of designations used by healthcare providers to communicate diseases, symptoms, and findings of a patient’s diagnosis. ICD 10 codes are used to establish the medical necessity of the telehealth services to insurance providers for claiming the complete reimbursement.

While telehealth ICD 10 codes often appear on patient paperwork and bills, there are often instances when the codes are miswritten. The onus is on the telehealth service providers to ensure the correct codes are entered while necessary verbal or written consent is taken from the patient for any virtual consultation.

It must be remembered that the ICD 10 codes for telephone consultation differ from those used for video consultation and medical facility visits for the same condition suffered by the patients. 

Top 3 ICD 10 Codes for Telehealth

The release of the ICD 10 codes has now become a one-off manifesto for every healthcare professional and physician for recording and maintaining standardized clinical data, documentation, claims to process, and public health reports.

However, ICD 10 has many codes, and telehealth providers must be careful in identifying the correct code and entering it accordingly to ensure proper reimbursement of the claim. There are four primary areas that the telehealth coders must be aware of while implementing the codes:

  • Place of Service (POS)
  • Modifiers
  • Cost-Share Waiver
  • Cost-Share Coverage

Let’s have a look at the ICD 10 codes to be used for telehealth:

Evaluation Management Services on Telephone

The codes for E/M (Evaluation Management) services for telephone or audio-only has a different set of guidelines in ICD 10. In fact, the patient cannot be a part of a related E/M service that has originated in the last seven days or led to the same service in the next one day. The patient needs to be coded based on the duration of the E/M service or medical discussions as follows:

  1. 5 – 10 mins – Code 99441
  2. 11 – 20 mins – Code 99442
  3. 21 – 30 mins – Code 99443

Patients Monitored Remotely

The ICD 10 codes have also been valued by Medicare, where established and new patients can avail of remote monitoring for chronic, acute, and single disease conditions. A range of codes used under this category include:

  • 99091 for interpretation and collection of physiological data.
  • 99453 for educating the patient and set-up up the monitoring equipment.

There are five more codes under this category.

Emergency Department Telehealth Services

Under this category, dozens of codes range from 99217 for discharge services for observation care to G0406 – G0408, where telehealth consultation for inpatient follow-up is done in SNFs or hospitals.

It is vital to note that in telehealth Emergency Department services, the coding needs to be done for inpatient and observation. Also, a Modifier 95 is to be attached for commercial payers, and the Medicare telehealth billing may use it for an interim purpose.

Why Adhering to ICD 10 in Telehealth Billing is Important?

It is a known fact that when there is any incorrect coding in a bill, the reimbursement from the insurance companies will be either rejected or denied, which means there is a loss of revenue. With telehealth becoming a predominant way to get healthcare services for many, the ICD 10 codes must be adhered to to ensure that medical practices and practitioners get remuneration for their services.

But with new HIPPA codes, about 70,000 ICD 10 codes, and ever-changing health regulation policies and software, keeping up with them can be challenging for any practice. In such a scenario, Info Hub can help with the telehealth coding and billing process and ensure no revenue loss due to rejected claims. Contact their experts right now and understand the process regarding where to begin.