Get the free Fee-for-Service Behavioral Health - IN.gov

FEE SCHEDULELABELJULY 1, 2017 JUNE 30, 2018, Behavioral Health Services Wampum Memorial Hospital Amnesia Healthcare BHO533 (4.12.18) ORDER FROM PRINTING PAGE 1 OF 2MD Initial Evaluation (90792)MD

How to fill out fee-for-service behavioral health

How to fill out fee-for-service behavioral health

1. Gather all necessary information and documentation such as identification cards, insurance details, and referral forms.
2. Review the fee-for-service behavioral health form to understand the required fields and information.
3. Start by filling out the patient's personal details, including their name, address, contact information, and date of birth.
4. Provide the patient's insurance information, including the policy number, group number, and any other relevant details.
5. If applicable, include the referral information from the referring healthcare professional.
6. Complete the sections related to the patient's medical history, treatment goals, and current symptoms or issues.
7. Ensure that all sections requiring signatures or authorizations are properly filled out.
8. Double-check all the entered information for accuracy and completeness.
9. Submit the completed fee-for-service behavioral health form as per the instructions provided by the healthcare provider or insurance company.
10. Keep a copy of the filled-out form for your records.

Who needs fee-for-service behavioral health?

1. Fee-for-service behavioral health is needed by individuals who require mental health or substance abuse treatment services.
2. This may include people experiencing a wide range of behavioral health issues such as depression, anxiety, bipolar disorder, addiction, or other mental health conditions.
3. Both adults and children can benefit from fee-for-service behavioral health services.
4. Individuals who have insurance coverage or are eligible for government-sponsored programs may seek fee-for-service behavioral health benefits to access necessary treatment and counseling.
5. It is recommended to consult with a healthcare professional or insurance provider to determine eligibility and coverage options.

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What is fee-for-service behavioral health?

Fee-for-service behavioral health is a payment model where providers are reimbursed for each specific service provided to patients, rather than receiving a lump sum payment or capitation for a population.

Who is required to file fee-for-service behavioral health?

Providers of behavioral health services, including therapists, psychologists, and psychiatrists, who seek reimbursement for their services under this model are required to file fee-for-service behavioral health claims.

How to fill out fee-for-service behavioral health?

To fill out fee-for-service behavioral health claims, providers typically need to complete a claim form that includes patient information, service details, diagnosis codes, and billing codes specific to the services rendered.

What is the purpose of fee-for-service behavioral health?

The purpose of fee-for-service behavioral health is to ensure that providers are compensated for each service delivered, thereby promoting a transparent billing process and allowing for more flexible access to different services by patients.

What information must be reported on fee-for-service behavioral health?

Information that must be reported includes patient demographics, provider details, dates of service, specific services rendered, diagnosis codes, and any applicable modifiers related to the services.