decisionhealth Newsletters, Part B News - 2013 Issue 5 (May)
Use denial rates from 2011’s psych codes to map 2013 billing
Subscribe or sign in to view the full article.
Article Overview
This article reviews denial-rate data for psychotherapy-related billing and explains how CMS claims information and a crosswalk can inform planning around the move from older psychiatric coding to the 2013 code set. It is aimed at coders, billers, and behavioral health and primary care practices that submit mental health claims and want a general view of denial patterns by provider type and service category.
Why This Topic Matters
Understanding historical denial patterns helps practices anticipate where claim processing problems may be more common during a coding transition. The article is useful for organizations comparing utilization and denial trends across specialties and for those updating workflows around mental health billing changes.
What You Will Learn
- How denial-rate analysis can be used to understand psychotherapy billing trends
- What broad claim-processing patterns were observed across different provider groups
- Why historical claims data can help prepare for a transition to updated psychiatric coding
- How crosswalk-based comparisons support planning for coding changes
Who Should Read This
- Medical coders
- Billing staff
- Behavioral health practices
- Psychiatrists
- Psychologists
- Clinical social workers
- Primary care practices
Codes Discussed
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com