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Yesterday, my association's message board was buzzing with an intriguing conundrum presented by a colleague. This owner of a revenue cycle management company is entangled in the labyrinth of Blue Cross' credentialing process. The timelines offered are absurd. And sadly, real.

Use Code 99214 for patients with moderate complexity of treatment. The visit is completed within 30-39 minutes according to AMA (American Medical Association). Furthermore, use this code during a visit with an established patient that has a progressing illness or acute injury requiring medical management or potential surgical treatment. Integrity reviews your practice's coding to ensure that your data accurately reflects current clinical practice and any innovation in medicine.

Understanding the correct medical codes to use can be a daunting task, especially when it comes to the commonly used CPT code 99213. This code is typically used for an established patient office or other outpatient visit that lasts under half an hour. But what if you need to upcode or downcode? Let's delve into the details.

Behavioral health services include psychology, psychiatry, and clinical social work. Running a behavioral health facility has several responsibilities to its patients. One of the very important responsibilities includes having accurate coding in the billing department. This can prove to be a challenge for some clinics that begin to struggle with the gaps of day-to-day medical coding. Per Integrity's COO Denise Corbisiero, "Let us remember that behind every accurate claim is a person seeking healing and support, deserving nothing less than our utmost diligence and integrity."

According to RevenueXL, Revenue Cycle Management (RCM) is a financial process healthcare practices use to maximize the total patient service revenue generated by the practice as quickly as possible. This is achieved by managing and optimizing all the administrative and clinical functions contained in the revenue cycle. The RCM services for your facility will ensure accuracy and a results-oriented approach. The primary goals are to ensure accurate and efficient payment for healthcare services, minimize denied claims, and improve revenue collection. Your claims are handled accurately and the bills are paid in full and on time, we maximize your revenue and cash flow.

We work with substance use disorder facilities that provide drug and alcohol treatment services. SONTX is a non-profit center, certified as a 501(c)(3) organization. Integrity Billing has a long-standing history of partnering with SUD and Mental Health (MH) facilities which proves to be an invaluable asset when working with SONTX. Chrisina Nichols of Solutions of North Texas located in Denton, TX tells us about her experience changing to services with Integrity Billing. "In 2018 we needed to find another Third-Party Vendor for the Insurance Claims Billing/Utilization Management portion of our Substance Abuse Outpatient Clinical Services and were referred to Integrity Billing Co. After speaking with Eric and Denise and a couple of other facilities that use their services-we contracted with them."