Mastering Mental Health Billing: A Guide to CPT Codes and Documentation

Mental health billing is complex, with evolving CPT codes, time-sensitive documentation, and strict payer rules. This guide breaks down essential strategies for accurate coding, telehealth compliance, and denial prevention—helping your practice optimize revenue while staying fully compliant.

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Improving Collections by using the right CPT Codes for Prolonged Service

While the application of prolonged service codes may be fairly simple, very few codes cause more confusion than prolonged service codes. It may be noted that prolonged service codes can be used for outpatient procedures as well as for inpatient care. These codes are typically used to bill for services that significantly exceed the standard time a physician takes while providing care. These may include face-to-face services as well as non-face-to-face services.

While prolonged service coding issues are highlighted in this case study, the principles of educating physicians and clinical staff is applicable for all cases where coding denials are high.

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