Complete Guide to Mental Health Billing Updated for 2022

how does mental health nurse practitioner billing work

There are fewer pitfalls involved in medical billing vs. mental health billing simply because billing is more straightforward. Mental Health Modifiers are two digit alphanumerical codes used on CMS1500 insurance claims to signify identifying information about the provider rendering services. The DNP is the planned entry level degree for advanced practice registered nurses according to the ANCC.

We offer a solution to the many complexities in the healthcare environment that make your job more difficult. ICANotes is the premier EHR for behavioral health specialty, and we work with all clinical https://www.bookstime.com/ disciplines to deliver an intuitive charting solution for your practice. Common Procedural Technology (CPT) codes are also necessary for billing for therapists and other mental health providers.

Psychiatric Nurse Practitioner Job Benefits

Complete absence of all Revenue Codes indicates
that coverage is not influenced by Revenue Code and the article should be assumed to apply equally to all Revenue Codes. Contractors may specify Bill Types to help providers identify those Bill Types typically
used to report this service. Absence of a Bill Type does not guarantee that the
article does not apply to that Bill Type. Complete absence of all Bill Types indicates
that coverage is not influenced by Bill Type and the article should be assumed to
apply equally to all claims.

  • This makes it extremely difficult for mental healthcare providers to balance adequate treatments with a successful billing plan.
  • The AMA does not directly or indirectly practice medicine or dispense medical services.
  • Our fully templated EHR offers many different features that can benefit you and your patients, such as patient portals, charting and automatic coding.
  • Billshrinkers Inc. has been servicing mental health professionals for twenty-five years.
  • The latter is more important because ICD-10 codes indicate the patient’s diagnosis, whereas CPT codes denote how you’re treating the diagnosis.
  • They may also work in disaster relief or similar humanitarian care settings.

Common workplace settings for psychiatric NP jobs include hospitals, primary care clinics, and private practice. These professionals will also find opportunities in telehealth nursing, college healthcare centers, and public health agencies. In restricted practice states, nurse practitioners must work under the supervision of a physician for all of their scope of practice.

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BPS Billing can help you smoothen out your cash flow, improve your practice’s relationships with insurers, and manage disputes, all while maximizing your revenue. Learn how to offload your mental health insurance billing to professionals, so you can do what you do best. Our mental health insurance billing staff is on call Monday – Friday, 8am-6pm to ensure your claims are submitted and checked up on with immediacy. To ensure the financial health of your mental health practice, fast, efficient, and effective mental health billing services are essential. Billshrinkers Inc. has been servicing mental health professionals for twenty-five years. We have repeatedly been successful in collecting previously denied claims, sometimes going back several years.

  • Psychiatric Nurse Practitioners tend to be very busy in seeing large numbers of patients for short periods of time, with little time left to manage a practice and do their own billing.
  • Graduates may pursue advanced clinical leadership roles and teaching and research positions in nursing schools.
  • In many states, the laws that establish nurse practitioner (NP) roles are in flux.
  • An NP’s scope of practice can include assessing a patient’s condition, ordering tests, interpreting results and making diagnoses, prescribing medication, and ordering treatments.
  • The doctor will usually perform the same exams and tests for many patients, such as checking blood pressure, height, weight, listening to your heart or getting blood samples.
  • PMHNPs can provide psychotherapy or crisis intervention and prescribe medication.

Mental health nurses care for patients with mental or behavioral conditions such as depression, anxiety, substance use disorders, and post-traumatic stress disorder (PTSD). As with other types of nurse practitioners, Psychiatric NPS can expect to earn salaries on the higher end of the spectrum. According to the Bureau of Labor Statistics, the median pay for nurse practitioners is $120,680 per year as of May 2022. If you are struggling mental health billing to do each of these tasks for your insurance clients, considering hiring a mental health billing service like TheraThink to solve these problems for you. Individuals who already possess a bachelor’s degree in another field can attend one of many accelerated BSN programs before entering an approved MSN or DNP program. Accelerated BSN programs typically take one and a half to two years after completion of prerequisite coursework.

Psychiatric Nurse Practitioner Salary by Years of Experience

The typical educational pathway to becoming a PMHNP involves earning a BSN and an MSN in six years from start to finish. Online, bridge, direct-entry, or other accelerated programs may lead to a degree in approximately two years, depending on an applicant’s previously earned college credits or RN experience. Depending on their practice authority, these nurses may work independently or under the supervision of physicians or psychiatrists. They may provide counseling to people recovering from trauma, domestic violence, child abuse, and depression.

However, providers cannot help others unless they collect sufficient funds to run their practices, and pay themselves. Some providers will even try to do the billing themselves but eventually this will become overwhelming and create time management problems, not to mention lost income. The mental health billing process is based on the data on your patient’s insurance card. This information will tell you how to seek and receive payment for your services, so if you get it wrong, you’ll face delays receiving revenue. When you have copies of your patients’ cards on file, you minimize the chances of such errors. We also recommend saving copies of any forms you file, including invoices and superbills.

It’s important to know the types of covered mental health services for your patients who may have varying insurance or medical coverage. For example, some insurance will only cover mental health services by specific providers, such as physicians, psychiatrists, clinical psychologists and clinical social workers. Additionally, some independent mental healthcare providers can only diagnose the patient with a mental disorder because insurance will not cover the actual treatment. Depending on the state, PMHNPs either work independently or in collaboration with doctors and other healthcare specialists. Diagnosis coding allows mental health professionals to identify different treatments, diagnoses or actions given to the patient. Diagnosis coding is documented to make it easier to categorize different mental disorders or diagnostic evaluations during therapy.

Navigating psychiatric nurse practitioner schooling can take six years or longer depending on a student’s educational background, whether they attend classes full time, and whether they intend to pursue a DNP degree. Most MSN programs require applicants to have completed two years of work experience, adding to the timeline. Use this guide to find out about educational and credential requirements, career prospects, and salary potential. It is especially frustrating to file insurance claims for mental and behavioral health benefits. From the types of services offered to the pre-authorization needed and who takes care of the books, you’re at a disadvantage compared to other health professionals.

Frequently Asked Questions About Nurse Practitioner Practice Authority

In addition, it would be a time-consuming hassle to fix the mistake and ensure that the patient is receiving an accurate, automatic diagnosis code for insurance billing and mental health services. Essentially, an incomplete or inaccurate medical record would reflect that medical and mental health services are unnecessary for the patient. This error often results in insurance companies not paying for the service, making it difficult for behavioral health providers to do their job and patients to get the treatment they need. Proper note writing and documentation also play a huge role as a communication tool used between mental health providers and professionals. Like all advanced nursing roles, PMHNPs must complete several steps before entering practice as a psychiatric primary care provider, psychotherapist, consultant, or educator. These nurses must hold a valid registered nurse (RN) license in the state where they intend to practice, a graduate degree, and national board certification as a psychiatric mental health nurse practitioner.