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Mental Health Virtual Assistant Billing 101
Welcome
About Me
Welcome Survey
Resources for Starting Your Mental Health Billing Business
Disclaimer: READ BEFORE PROCEEDING 🔴
Module 1: Starting Your Mental Health Billing Virtual Assistant Business
Plan Your Business
Business Management Systems (131:31)
Liability Insurance Requirements
Understanding HIPAA (28:45)
Add On Services You May Want to Consider
Certification
Medical Billing Business Contract TEMPLATE
Bill Like A Boss: Maximize Your Profits Our Community Site
This is the place for extra support! Check it out.
Module 2: Important Information for the Clinicians You will Be Working With
The Pros and Cons of Taking Insurance
Brick & Mortar, Telehealth or A Hybrid Practice?
State Information for Telehealth
Parity Laws by State
Practice Management Software or EHR's
List of All Major Insurance Companies and EAP's for Reference
If Your Clinicians Want To Travel & Work
Module 3: If Your Clinician Wants to Be All Telehealth
Who Covers Telehealth?
How Do The Clinicians Choose Which Insurance Companies to Panel With?
Telehealth Platforms Required for Certain Insurance Companies
Example of Some Insurance Companies' Telehealth Policies
Module 4: Understanding The Language Of The Insurance Companies
Insurance Acronyms Defined
What's the lingo? Coinsurance, Deductibles and Copay's.... Oh My!!
Policy Templates You Can Use for Your Clients if Needed
Module 5: Credentialing and Contracting
Credentialing with Insurance Companies: Quick Start Guide
Credentialing FAQ's
Credentialing 101 (50:08)
Medicare Credentialing and Billing (63:46)
What if the therapist is already with a group practice and they want to go out on their own?
Insurance Contract Information All In One Place
How do I get my clinicians on closed panels? (1:57)
Group Credentialing (50:10)
Module 6: Prepping To Bill Insurances
Before Call Prep
How to Do a Benefits Check
Who to Call and What to Say
Authorizations (9:19)
Scripts for Clients When Insurance Won't Cover Telehealth to Convert to Private Pay
Module 7: How to Bill Insurance Companies
🛑 Read First
How Do I Actually Bill the Insurance Companies?
HCFA/CMS 1500 Form: Sample Form
Blank HCFA 1500 Form
What are Modifier and Location Codes? **Update**
ICD-10 Diagnosis & Medical Necessity
CPT Codes *UPDATE* 2023 (3:33)
Smart Billing for MORE MONEY, Yes, Please! Crisis Codes, Extended Sessions, Assessments and more.
Billing for Family and Couples Sessions
Out Of Network Benefits & Billing
Documentation
Progress Note Template
Filing A Claim In An EHR - Step by Step
How To Bill For A Group Practice (66:09)
Incident-To or Supervisory Billing
Laser Coaching Session - How To File A Claim In SimplePractice
Video Tutorials for Billing on EHR Platforms
The Life Cycle Of A Claim
Secondary Insurance Billing
Module 8: How Does My Clinician Get Paid?
EFT's and ERA's - What Are They?
Business Bank Accounts
Electronic Funds Transfer Set Up
HRA's and HSA's
SpreadSheet for Keeping Track Of Billing When You Aren't Using An EHR
How to Request a Rate Increase After The Clinician Has Been Credentialed for a While
Collection Agencies and Court
Module 9: Denials, Claim Rejections, Audits, Appeals
Denials & Rejections (8:28)
Claim Denials Continued
What Do I Do If I Put The Wrong Information On A Claim?
Insurance Recoupments! AKA: Clawbacks (16:00)
Appeals (0:47)
Module 10: Additional Information About Insurance Billing
Tri-Care Not Exactly An Insurance Company....
EAP's
Insurance Audits (8:17)
Medicare All.The.Things (68:35)
Single Case Agreements
Supervisory Billing "Incident To" Billing
Module 11: If Your Clinicians Have Decided to Go All Online or Even Change Pracitic Locations, You Will Need to Change Their Address
How to Change Your Address: All.The.Places.
Where to Buy a Virtual Address
Module 12: Case Study Section
Coinsurance
Deductibles
Example: How To Understand Copay's, Co insurances and Deductibles.
2 NPI's?!?!
Billing Across Multiple States
What If The Clinician Is Licensed In More Than One State?
Secondary insurances (1:56)
Z codes - If they do not have a diagnosis.
FAQ Module: Frequently Asked Questions
FAQ's All Things Insurance!
Bonus Model: Other Health Professionals
Additional billing codes for other related disciplines.
Nurse Practitioners & Psychiatrists
Dieticians
Psychologist
Lactation Specialists
ABA Billing Codes
Speech Language Pathologists Speech Therapists
Templates Module: All Course Templates and Documents in One Place
Collection Agency Template
Consent for Telehealth Template
Guide to Check Your Out Of Network Benefits
Group Credentialing Form TEMPLATE
Blank HCFA 1500 Form
Insurance Benefits Verification Form for Insurance & Telehealth
Insurance Opt Out Template
Insurance Policy Template
Insurance Reimbursement & Sharing of Confidential Information Policy Template
Insurance Contract Information Spreadsheet Template
Insurance Information Gathering Form - Simple Practice
Medical Billing Contract TEMPLATE
Practice Policy Template
Progress Note Template
Pros and Cons Decider
Sliding Scale Agreement
Treatment Plan Consent & Review Form Template
Consent For Telehealth Template
SpreadSheet for Keeping Track Of Billing When You Aren't Using An EHR
Super Bill Template
Treatment Plan Consent & Review Form
COVID Bonus Module: COVID 19 is still causing confusion with billing. Here is some info to help you with this special situation.
Quick Start Guide (10:20)
Insurance Company Medical Necessity CoronaVirus
Simple Practice Users - Template Guide
Other resources for a Quick Start ~ Amber Lyda
Temporary Medicare Guidelines
COVID-19 Medicare & Commercial Insurance Billing Guidance (35:48)
DISCOUNT CODES for Practice Management Platforms
Discount Codes
Accounting 101 For Therapists In Private Practice ~ Jennie Shottmiller, LMFT, CPA
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