The massive increase in telehealth claims over the last year due to the pandemic has put your mental health practice on the top of payer audit lists. Telehealth mental health
Even before the pandemic, Medicare had flagged telehealth claims as high risk due to a 30% error rate on claims. Now, the increased volume in virtual mental health services has made them an easy target for auditors trying to make up for lost time (and lost money). And don’t expect the COVID-19 telehealth waivers to protect you.
Don’t make the mistake of thinking your practice is immune to a payer audit. Mental health practices across the country are being targeted regardless of their location and size. The good news is there is help available.
On Tuesday, August 31st at 1pm ET, coding and billing expert, Stephanie Allard, CPC, CEMA, RHIT, is presenting a 75-minute online training session exclusively to help you ensure your mental health telehealth claims are accurate and audit-proof. During this training, Stephanie will break down each step of correctly coding, billing and documenting your mental health virtual services.
Here is just a small sample of the easy-to-implement mental health telehealth claim strategies you’ll receive during this upcoming expert-led online training:
- Avoid lost revenue due to incorrect use of telehealth code categories
- Accurately choose between group and individual therapy codes with informants
- Head off the most common telehealth coding errors before they get you audited
- Prepare for payer scrutiny by knowing what components to include in your audit plan
- Proven checklist to comply with new patient consent and privacy notices rules
- Fix holes in already-filed claims, and amend documentation to ensure compliance
- Pin down the biggest reasons telehealth claims are flagged for refunds and how to fix them
- Accurately choose between outpatient (99202-99215) versus evaluation codes (90791-90792)
- Sidestep payer denials by learning to choose the correct telehealth modifier for different insurance types
- Match provider types with the right telehealth code to ensure payment for non-physician time
- Get paid for more of your time with add-on codes like 90836 and 90838
- And much more!
IMPORTANT: CMS has made it clear. To prove they’re serious, they’ve implemented financial penalties for telehealth claim violations at 3-times the normal rate. In addition to this, claims that are deemed fraudulent can also be required to pay an additional fine of $11,665 – $23,331 per incident. Don’t risk, it. Sign up for this expert-led training today.
Federal and private payer auditors aren’t waiting until the public health emergency waivers have expired – they are starting their audits right now. Far better to shore up your billing, coding, and documentation now than wait until errors—however unintentional—have been discovered and you’re on the hook for returning overpayments or even paying penalties.
Private payers and CMS are constantly updating and clarifying their telehealth billing policies, and it’s nearly impossible to stay on top of all the changes. Attend this 60-minute, online training session and you’ll gain access to the most relevant, up-to-date telehealth mental health billing and coding rules, plus tried-and-true strategies to keep auditors at bay. Don’t let all-too-easy telehealth mental health billing mistakes eat into your hard-earned revenue. Sign up today!
Stephanie Allard is a Senior Compliance Specialist for Doctors Management. She is a multispecialty auditor with proficiency in more than 40 specialties including, but not limited, to orthopedics, cardiology, vascular, neurology, general surgery, OB/GYN, PM&R, and PT/OT. In addition to performing external audit reviews, Stephanie provides feedback and education to help clients implement practices and strategies that will reduce risk in the future. She also performs forensic auditing that includes focused reviews to be used in court cases.
Stephanie brings more than a decade of medical and management experience and a strong understanding of the entire medical billing and coding process. She has managed large teams of coders and understands the importance of quality reviews, productivity tracking and coding education. Clients appreciate that Stephanie stays current with the ever changing regulations and is able to convey new information in a way that helps improve their overall results. She often provides guidance and support to other coding professionals.
Stephanie holds the Certified Professional Coder (CPC®), the Certified E&M Medical Auditing (CEMA®), and the Registered Health Information Technician (RHIT®) designations. She is an active member of the National Alliance of Medical Auditing Specialists (NAMAS), the American Health Information Management Association (AHIMA) and the American Academy of Professional Coders (AAPC).
When she’s not solving complex coding and auditing cases, Stephanie can be found volunteering at their local church with her husband and two daughters. She also enjoys family adventures to local lakes and rivers.