Aetna Behavioral Health Billing Guidelines

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Behavioral health supervisory billing - Aetna

(5 days ago) WEBBehavioral health supervisory billing. Aetna® recognizes that high consumer demand for behavioral health services affects its behavioral health network. As part of our effort to support our providers and improve member access to care, Aetna allows supervisory …

https://www.aetna.com/health-care-professionals/newsletters-news/office-link-updates-march-2023/behavioral-health-updates-march-2023/behavioral-health-supervisory-billing.html

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Provider manual - Aetna

(1 days ago) WEBProvider manual Resources, policies and procedures at your fingertips Aetna.com 3302205-01-01 (4/24)

https://www.aetna.com/content/dam/aetna/pdfs/aetnacom/health-care-professionals/office_manual_hcp.pdf

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Provider manual - Aetna

(8 days ago) WEBYou may request an appeal of any overpayment decision by contacting Aetna Provider Services at 1-800-624-0756 (TTY: 711) or by sending your request for an appeal with. copy of the overpayment letter to PO Box 14020, Lexington, KY 40512.

https://www.aetna.com/content/dam/aetna/pdfs/aetnacom/healthcare-professionals/documents-forms/2023_office_manual_supplement.pdf

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Applied behavior analysis medical necessity guide

(2 days ago) WEBApplied behavior analysis is a scientifically supported model of treatment to remediate the functional impairments typically found in people with Autism Spectrum Disorder (ASD). It is a time-limited treatment that should result in progressive, measurable gains in functioning on a standardized measure. 1Exhibit A, attached to this guide

https://www.aetna.com/content/dam/aetna/pdfs/health-care-professionals/applied-behavioral-analysis.pdf

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Telemedicine and Direct Patient Contact Payment …

(4 days ago) WEBHigh-intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior G0445 Annual, face-to-face intensive behavioral therapy for cardiovascular disease G0446 Face-to-face behavioral counseling for obesity G0447

https://www.aetna.com/content/dam/aetna/pdfs/aetnacom/pdf/telemedicine.pdf

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Billing and Claims Provider Training - Aetna Better Health

(5 days ago) WEBCOVID-19 Co-Payments Update. Effective March 25, 2020, Aetna Better Health of Florida (ABHFL)is currently wavingall of our membersCo-Paymentrequirements for all services for all Lines of Business. [email protected] by …

https://www.aetnabetterhealth.com/content/dam/aetna/medicaid/florida/provider/pdf/May%202020%20-%20Monthly%20Provider%20Billing%20Claims%20Training%20-%20COVID-19,%20HH,%20and%20EIS.pdf

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Behavioral health coding guide American Medical …

(5 days ago) WEBThe Behavioral health coding resource (PDF) provides physician practices and their care teams with a list of key CPT codes that can be used (as deemed medically appropriate) when administering behavioral health screening, treatment and/or preventative services. This is part of AMA’s broader efforts to empower health care organizations to

https://www.ama-assn.org/delivering-care/public-health/behavioral-health-coding-guide

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Aetna Supervisory Billing - Mastering Insurance

(7 days ago) WEBAetna’s policy on Billing as Supervisor (a summary): the full policy in rather brief but is listed here: Aetna Supervisory Billing for Behavioral Health. Aetna allows supervisory billing for in-network behavioral health clinicians, supervisors, groups, and facilities to support providers and improve member access to care.

https://masteringinsurance.com/aetna-supervisory-billing/

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Aetna Telehealth Billing for Therapy and Mental Health …

(8 days ago) WEBLike with all major insurance companies, Aetna requires mental health providers to utilize their normal range of CPT codes. Common CPT codes for Telehealth can be found at our telehealth billing guide. Aetna Telehealth Billing & Coding Guidelines. CPT Code: Utilize the most accurate CPT code possible. Place of Service Code: 02

https://therathink.com/aetna-telehealth-billing/

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OhioRISE Program 2023 Provider Manual - Aetna Better Health

(6 days ago) WEBAetna Better Health® of Ohio . OhioRISE Program 2023 Provider Manual . OhioRISE, specialized behavioral healthcare Billing Encounters and Claims Overview children and youth with the most intensive behavioral health needs in-state and closer to their families and support systems.

https://www.aetnabetterhealth.com/content/dam/aetna/medicaid/ohio-rise/providers/pdf/abhohiorise_provider_manual.pdf

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Clinical guidelines and policy bulletins - Aetna Better Health

(4 days ago) WEBClinical policy bulletins. These bulletins state our policy about the medical necessity or investigational status of medical technologies and other services to help with coverage decisions. A national review team creates the bulletins and bases them on: Aetna® clinical policy bulletins. Aetna® medical clinical policy bulletins.

https://www.aetnabetterhealth.com/virginia/providers/clinical-guidelines-policy-bulletins.html

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Clinical guidelines and policy bulletins - Aetna Better Health

(5 days ago) WEBGuidelines. We’ve chosen certain clinical guidelines to help our providers get members high-quality, consistent care that uses services and resources effectively. These include treatment protocols for specific conditions, as well as preventive health measures. These guidelines are intended to clarify standards and expectations.

https://www.aetnabetterhealth.com/clinical-guidelines-policy-bulletins.html

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Behavioral Health Provider Manual

(9 days ago) WEBIf you need hard copies of any of Aetna Behavioral Health utlilization management criteria or CPBs, call us at. 1-888-632-3862 (TTY: 711). Some states have specific requirements or laws in place for practitioners and facilities. For more information on state-specific requirements, see our public website.

https://health.maryland.gov/pophealth/Documents/Local%20Health%20Department%20Billing%20Manual/PDF%20Manual/Section%20IV/Aetna%202020%20Behavioral%20Health%20Provider%20Manual.pdf

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Aetna Incident-To Billing for Mental Health Services

(1 days ago) WEBAetna Incident-To Billing for Mental Health Services. Our agency employs associate licensed therapists who worked under the supervision of our Clinical Director, who is independently licensed. Both the agency and the Clinical Director are credentialed with Aetna. I am having a hard time determining if Aetna allows Incident-To billing for the

https://www.reddit.com/r/CodingandBilling/comments/vkhil4/aetna_incidentto_billing_for_mental_health/

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Frequently Asked Questions about Billing Medicare for …

(8 days ago) WEBBeginning January 1, 2018, these services will be reported using new CPT codes. CPT codes 99492, 99493, and 99494 will be used to bill for services furnished using the Psychiatric Collaborative Care Model (CoCM). CPT code 99484 (General BHI) will be used to bill services furnished using other BHI models of care. 1.

https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/PhysicianFeeSched/Downloads/Behavioral-Health-Integration-FAQs.pdf

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Telehealth Benefits Aetna Medicare

(Just Now) WEBWith telehealth – or telemedicine – you can get virtual care by phone, video or mobile app, anywhere you are, including after hours or on the weekend. Covered services include: Routine care. Sick visits. Urgent care (walk-in clinics) Prescription refills. Behavioral health services (individual and group sessions)

https://www.aetnamedicare.com/en/for-members/telehealth.html

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Understanding Billing Restrictions for Behavioral Health …

(1 days ago) WEB- 2 - Understanding Billing Restrictions for Behavioral Health Providers November 2016 BACKGROUND Millions of Americans are affected by mental health and/or substance use disorders (SUD), equating to nearly 1 in 5 Americans living with a behavioral health condition in a given year.1 Additionally, approximately 1 in 25 adults experience a …

https://www.behavioralhealthworkforce.org/wp-content/uploads/2017/01/FA3P4_Billing-Restrictions_Full-Report.pdf

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Behavioral health clinical practice guidelines - Aetna

(3 days ago) WEBBehavioral health clinical practice guidelines. Clinical practice guidelines from nationally recognized sources promote consistent application of evidence-based treatment methods. This helps provide the right care at the right time. For this reason, we make them available to you to help improve health care.

https://www.aetna.com/health-care-professionals/newsletters-news/office-link-updates-march-2022/behavioral-health-updates/behavioral-health-clinical-practice-guidelines.html

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Aetna Better Health® of Florida

(6 days ago) WEBBest Ways to Connect with Us . PROVIDER SUPPORT . Use our new provider contact us form to tell us more about your specific request or inquiry. This form allows you to share the

https://www.aetnabetterhealth.com/content/dam/aetna/medicaid/florida/provider/pdf/ABHFL_April_2024_Provider_Monthly_Training_General_4.18.2024.pdf

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Insurance Reimbursement Rates for Psychotherapy [2023]

(1 days ago) WEBVirginia – VA. $90-$105. Pennsylvania – PA. $90-$110. Texas – TX. $90-$110. Again, these are estimated rates for a typical 60 minute session for an entry-level mental health license. The city you practice in will have a larger impact on your insurance reimbursement rates for psychotherapy than the state you pick.

https://therathink.com/insurance-reimbursement-rates-for-psychotherapy/

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Quick Reference Guide for Horizon Behavioral Health Providers

(7 days ago) WEBAddress for Paper Claims and other billing forms Horizon NJ Health Claims Processing Department PO Box 24078, Newark, NJ 07101 Any MCO-covered behavioral health service provided by an out-of- Guidelines www.beaconhealthoptions.com

https://s21151.pcdn.co/wp-content/uploads/HorizonNJHealth-QuickReferenceGuide-NewBenefits10.1.pdf

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Quick Reference Guide for Horizon Behavioral HealthSM …

(1 days ago) WEBTitle: Microsoft Word - EC004929 Horizon BCBSNJ BH Provider Quick Reference Guide-Participating-Providers_Oct 2019 FINAL .docx Created Date: 20191030172918Z

https://s21151.pcdn.co/wp-content/uploads/HBH_QRG_HBCBSNJ.pdf

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