decisionhealth Newsletters, Part B News - 2023 Issue 11 (November)
Behavioral health expansion opens the way to new billing providers
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Article Overview
This article explains final CMS Medicare behavioral health policy changes affecting billing eligibility, enrollment considerations, and payment updates for several behavioral health service categories. It is relevant to providers, billers, and compliance staff working with Medicare behavioral health, psychotherapy, care management, and substance use disorder services. The discussion focuses on expanded provider participation, revised service coverage, and payment adjustments under multiple HCPCS and CPT codes.
Why This Topic Matters
The changes affect who may bill certain Medicare behavioral health services and how several related services are paid, making the article important for practices that furnish psychotherapy, care management, health and behavior services, or substance use disorder treatment.
Article Sections
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Billing
Overview of the finalized Medicare behavioral health coverage and billing changes, including expanded provider participation and related enrollment considerations.
What You Will Learn
- Which categories of behavioral health professionals are newly addressed by the CMS policy changes
- How Medicare coverage and enrollment guidance is being updated for behavioral health services
- Which broad service groups are affected by the finalized payment changes
- What kinds of behavioral health billing and reimbursement topics the article covers
Who Should Read This
- Behavioral health providers
- Medical coders and billers
- Practice managers
- Compliance staff
- Health care attorneys
- Medicare billing specialists
Codes Discussed
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