Medical Billing and Coding Resources
Basics of Denial Code CO 109 Denial Code CO 109 – Claim or Service not covered by this payer or contractor. You must send the claim/service to the correct payer/contractor. Denial Code CO 109 tells you that you might have a coordination of benefits (COB) issues to resolve. If you are getting a lot of […]
Basics of Medicare The goal of Medicare is to help the elderly, and those living under very specific conditions, pay for a majority of their medical bills. Sometimes, though, seniors are fortunate enough to have acquired benefits in their elderly age through companies they’ve worked for or continue to work for as they near retirement. […]
All mental health professionals including psychologists, psychiatrists, nurses, and social workers delivering psychotherapy services use the same applicable CPT® codes when billing clients and filing health insurance claims with third-party payers, including Medicare, Medicaid, and private health insurance carriers. The top 10 Psychotherapy CPT Codes Billed in 2019 by behavioral health providers and representatives are […]
Medicare Overpayment A Medicare overpayment is a payment that exceeds amounts properly payable under Medicare statutes and regulations. When Medicare identifies an overpayment, the amount becomes a debt Provider owes the Federal government. Federal law requires the Centers for Medicare & Medicaid Services (CMS) to recover all identified overpayments. Medicare overpayments commonly occur due to: […]
Documentation and Medicare The aim of medical documentation is to ensure that Medicare dollars are administered correctly and, once again, medical documentation must support the medical necessity of the service, to what extent the service was rendered, and why it was medically justified. For example, based on findings from a routine x-ray exam, a radiologist […]
Payer Types Most providers have to deal with a number of different payer types and plans, each with its own specific policies and methods of reimbursement. For that reason, it is important to become familiar with the guidelines for every payer and plan that your practice has contact with. Some insurance plans are administered by […]
Health Care Coverage under Medicare According to the World Health Organization, fifteen percent of Americans who are sixty years or older suffer from at least one mental health issue. The Centers for Disease Control and Prevention (CDC) say the most common mental health conditions in seniors are cognitive impairment from conditions such as Alzheimer’s, mood […]
CO50 Denial Code One of the most important parts of billing is handling denials. Thousands of dollars a year can be lost in providers’ offices that don’t handle denials. Learning the basics of denial management is essential to running an effective practice. Practices that perform well generally have denial rates below 5%. Let’s discuss how […]
Proper coding requires knowledge and practice. Most behavioral health clinicians want to spend their time and energy providing patient care; not worrying about coding and claims. E2E Medical Billing can step in and take care of the work for you so you can get back to doing what you love. Ensure Correct Coding To receive […]
