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Billing Tips
Mental Health Billing Tips  

 
1.  Providers should bill usual and customary fees for the services they provide. DOM pays the lesser of the provider's submitted charges or the fee on file.
2.  Mental health providers should refer to the appropriate billing guidelines (section 15 or 21) for required modifiers for certain procedure codes. Many claims will not pay without the correct modifier.
3.  Any mental health provider that is part of a group is reminded that the provider number submitted on the POC must match the provider number which is billed (usually the group number).