decisionhealth Newsletters, Answer Books - 2009 Issue 3 (March)
Mental Health Services / Overview
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Article Overview
This article provides a high-level overview of how mental health services are covered under Medicare and the related compliance environment for providers seeking reimbursement from federal health care programs. It discusses the broad categories of fraud and abuse oversight, the roles of Medicare contractors, and the major CMS and statutory guidance sources relevant to mental health service billing and administration.
Why This Topic Matters
It helps readers quickly determine whether the article addresses Medicare payment, contractor oversight, and federal fraud-and-abuse compliance topics relevant to mental health service organizations and billing staff.
What You Will Learn
- How Medicare coverage is generally divided for mental health services
- Which federal fraud-and-abuse laws are highlighted for mental health providers
- How Medicare contractors fit into fraud prevention and claim administration
- What major CMS manuals and guidance sources are referenced for provider compliance
Who Should Read This
- Mental health providers
- Billing and coding staff
- Compliance officers
- Healthcare administrators
- Medicare reimbursement professionals
Codes Discussed
Code Ranges Discussed
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