2023 Essential Coding and Billing Strategies - Focused on Mental and Behavioral Health Services - Revenue Improvement for Agencies, Focus on Medicare, Medicaid, Medicaid MCO, and Commercial Payers.

This course is instructed by Sherry Marchand, CPMA. Sherry's direct approach to the topic will help you navigate through the 2023 mental and behavioral health CPT and ICD-10 coding changes as well as help you streamline you workflow.

Past attendees consistently say that Sherry's courses are outstanding, helpful and relevant to industry challenges

This course is designed for:

Billers
Coders
Billing Department staff
Psychiatrist
Psychologist
Clinical Social Workers
Professional Counselors (LPC)
Program Administrators
Management team members

Objectives:

ASAM Level of Care
Network Coverage Benefits Determination and the Importance of Checking Eligibility
Effective Collection of Patient’s Responsibility.
Understanding Copayment, Deductible and Out of Pocket Maximums.
How to Negotiate Single Case Agreements.
Scenarios Specific to NJ
Best Revenue Cycle Practices to Adopt.
State of NJ DHS, MA Alerts and Newsletters Key Things to Know.
Transition to MCO Contracts.
Understanding Notice of Admission and Authorization Requirements.
Overview of the UB-04/ 837i Claim Elements.
Clearinghouses and Billing “In and Out of Network” Claims.
Coding for Prescriber Level Providers
CPT/HCPCS Level II Coding.
ICD-10-CM and Dual Diagnosis.
Tracking Contracted Payment Amounts to Ensure Full Reimbursements are Being Received.
What to Do Discrepancies Are Identified. - The Appeal Steps.
Billing Out of Network Payers and The New Rules for 2022.
Good Faith Estimates.
Tips for Negotiate Rates.
Analyzing the Accounts Receivable Data.
Learn Key Performance Indicators.
Question and Answers

2023 Coding and Billing Updates for Mental and Behavioral Health Service