Headache

Create a new post for topic
Join the Conversation on
Headache
16K people
0 stories
2.1K posts
About Headache Show topic details
Explore Our Newsletters
What's New in Headache
All
Stories
Posts
Videos
Latest
Trending
Post

Stressful situations

How to deal with taking a shower when I can't stand too long. Thanks to my grandma for having a shower seat but made a mess last time when water got everywhere, and it was extremely stressful for me because it is so hard to for me to do something so easy. I am also very highly sensitive, and any little situation gets me into a mess of tears and a headache or two. #HighlySensitive #Anxiety #Osteoarthritis Are there any accessories you guys use in the shower to help when standing or anything else?

Most common user reactions 9 reactions 4 comments
Post

I wanna try to write what´s on my mind...
I tend to say: "I´m fine." There´s more than just pretending I´m fine. So much going on emotionally which I barely recognize.
Some paper work to do; application form for councelling twice a month. I´m afraid I don´t get financial help for much needed councelling.
Yesterday I was off work due to headache.
Today was another sunny day; morning was freezing cold. Afternoon was warm - felt like spring temperature.

I´m keeping myself busy. Distraction from insecurity and anxiety.

There are both uplifting and pulling down parts in life. I can see both.

Most common user reactionsMost common user reactionsMost common user reactions 27 reactions 5 comments
Post
See full photo

Morning Migraine

Good morning Mighty Fam! Woke at 4am with a migraine but thank God it has passed. I got up and got one rizatriptan and two excedrin and microwaved my axolot heating pad my bestie gave me. Laid back down for an hour and a half and miraculously the pain passed. Thank You Lord. I have work today that has to be done either way so I am glad I am migraine free. I wake often with migraine. When I can make it go away in the first couple hours I am usually good. But if it doesn’t go away in an hour or two with meds and heat it means the rest of the day gonna be varying migraine pain. Migraines suck! (Pic is the heating pad my bestie gave me and my two doggies that keep me company when I am feeling bad) #Migraine #Headache #ChronicFatigueSyndrome #Sarcoidosis #PolycysticOvarySyndrome #HypothyroidismUnderactiveThyroidDisease #MightyPets

Most common user reactions 5 reactions 2 comments
Post

Success #neurology #IdiopathicIntracranialHypertension #Headache #Migraine

So. I'm having investigations done because a brain MRI showed increased cerebrospinal fluid pressure. This might mean I have idiopathic intracranial hypertension however I'm aware that the MRI alone doesn't necessarily mean I meet the full criteria. I was referred to a Neurologist. Their triage assessment process takes 30 days which of course I was worried about just because I didn't know if they would accept my referral or how long I might then have to wait for the appointment. Thankfully I just received a call and I've got an appointment in two days time. This is amazing! However I'm also now worried that they view this referral as particularly serious and what that might mean for me. Overall I'm relieved to have the appointment. I'm very grateful for access to a Neurologist.

Most common user reactions 1 reaction
Post

Good morning

I am excited today about work because my promotion starts next week. I was so worried about it but I have prayed a lot and am really feeling peace now. Which is great because I am so quick to get anxious about things. I will be working five days a week instead of four so tomorrow will be my last Friday off. That worried me because I get so fatigued but I am just going to take the best care of myself as I know how. God is good. #ADHD #Depression #Anxiety #Sarcoidosis #Headache #Migraine #PolycysticOvarySyndrome #HypothyroidismUnderactiveThyroidDisease #ChronicFatigueSyndrome

Most common user reactionsMost common user reactions 25 reactions 8 comments
Post
See full photo

Next week and the week after

On the 5th I have my appointment with the neuro-ophthalmologist. I'm very nervous. Pauley is coming with me. We're getting picked up at 745am. The appointment is at 9.

I gotta make sure they got the MRI results from my neurologist. I've attempted to get them sent over 3x.

Then on the 6th I have an appointment with my PCP merely to satisfy archaic requirements for meds. I'm gonna have blood work done.

Then the week of the 11th is gonna be crazy. Therapy on Monday, MRI of my spine on the 11th, headache specialist clinic on the 13th, and then I have my follow-up appointment with my cardiologist on Valentine's Day.

I promised myself I'd focus on my physical health this year. I've been trying really hard to do just that.

(edited)
Most common user reactions 4 reactions 2 comments
Post
See full photo

Can Anxiety Cause Chronic Pain, and Vice Versa?

Chronic pain and anxiety often intertwine, creating a complex web of physical and emotional distress. You may experience muscle tension, body soreness, and headaches or migraines as common symptoms of anxiety. Beyond everyday discomfort, some people also grapple with diagnosed chronic pain conditions like arthritis or fibromyalgia, which can exacerbate anxiety symptoms.

Chronic migraines are frequently associated with anxiety and depression. More and more people these days suffer from headaches, migraines, and other physiological issues such as IBS, arthritis and more. Any of these issues can lead to decreased mobility and difficulty performing daily tasks, potentially intensifying feelings of anxiety and helplessness the more severe their symptoms become.

Connection Between Chronic Pain and Anxiety

Chronic pain and anxiety often form a vicious cycle, each exacerbating the other. This intricate relationship can significantly impact your overall wellbeing. Persistent pain can lead to heightened stress and worry about its duration and effects on daily life. In turn, this anxiety may amplify your perception of pain, creating a negative feedback loop.

Anxiety doesn’t just affect your mind; it can also influence your body’s pain response. It may increase inflammation, potentially causing pain that wouldn’t otherwise exist. This physical manifestation of anxiety can further intensify chronic pain symptoms, making them feel more severe and persistent.

By addressing both chronic pain and anxiety simultaneously, you can work towards breaking this cycle and improving your quality of life.

Does Chronic Pain Cause Anxiety?

Chronic pain and anxiety often go hand in hand, creating a complex interplay between physical discomfort and mental distress. Research has shown that people suffering from chronic pain are more likely to develop symptoms of anxiety compared to those without persistent pain. This heightened risk often stems from the ongoing stress and uncertainty that accompanies living with a long-term health condition.

The daily demands of managing chronic pain can continue to fuel anxiety. You may find yourself constantly worrying about pain flare-ups, treatment effectiveness, or the impact on your work and relationships. This persistent state of alertness can gradually wear down your mental resilience, potentially leading to the development of anxiety, depression, and other issues over time.

Does Anxiety Cause Chronic Pain?

Anxiety and its associated stress can indeed be significant contributors to chronic pain. When you experience anxiety, your body triggers a stress response, releasing hormones like adrenaline and cortisol into your bloodstream. This hormonal surge leads to inflammation, a common source of persistent pain throughout the body.

Muscle tension is a natural reaction to stress. This tension can result in various physical discomforts, including tension headaches, migraines, digestive issues, and pain in the neck, back, and shoulders. Moreover, prolonged stress can negatively impact your nervous system’s functionality, disrupting the normal communication between your brain and body.

Consistently elevated stress levels can adversely affect multiple body systems. For example, skin, muscles, nerves, joints, and bones can all develop issues from consistently heightened stress and anxiety. This widespread impact underscores the importance of managing anxiety to mitigate its potential role in chronic pain development.

Next Steps

As you navigate the complex relationship between chronic pain and anxiety, remember that these conditions often intertwine and exacerbate one another. By working closely with a therapist, exploring various physical treatment options, and developing coping mechanisms, you can help reduce and bring the cycle of pain and anxiety back within your own control.

#Anxiety #ChronicPain #Headache #Migraine #MentalHealth #Depression #IrritableBowelSyndromeIBS #Arthritis

Most common user reactions 4 reactions 1 comment
Post
See full photo

Navigating Mental Health Medical Billing for Healthcare Professionals

Mental health medical billing can feel like a tough nut to crack, even for seasoned healthcare professionals and administrators. Between complicated codes, insurance nuances, and evolving policies, getting reimbursed for mental health services can often seem like a never-ending challenge.

But don’t worry—we’ve got you! This guide is designed to break down mental health medical billing into bite-sized steps, ensuring you have all the tools and knowledge to streamline your billing process. By reading this, you’ll learn how to minimize claim denials, stay compliant, and focus more on what matters most—helping patients.

Why is Mental Health Medical Billing Unique?

Medical billing spans across all specialties, but mental health billing brings its own unique complexities. From varying session lengths to distinct procedures like group therapy or telehealth consultations, the nuances here require extra care. Key aspects include:

Procedure Codes: Mental health services often use unique Current Procedural Terminology (CPT) codes for therapies, evaluations, and consultations.

Authorization Complexities: Many mental health services require prior authorization, which differs between insurance companies.

Frequent Policy Changes: Regulations surrounding mental health billing often shift, particularly after legislative changes like the Mental Health Parity and Addiction Equity Act.

Higher Risk of Denials: A misstep in coding or documentation can result in time-consuming denials, leaving practitioners struggling to secure reimbursement.

Key Takeaway:

Understanding the intricacies of mental health billing is the first step to mastering it. Start by familiarizing yourself with the basics of CPT codes, insurance types, and legislative updates.

Mastering the Medical Billing Process for Mental Health

Medical billing doesn’t have to be a headache! Follow these steps to simplify the process:

Step 1: Collect Accurate Patient Information

The foundation of successful medical billing lies in gathering accurate patient details. During intake, be sure to:

Confirm insurance information (ID numbers, group numbers, etc.).

Collect secondary insurance details, if applicable.

Copy or scan insurance cards for your records.

Verify coverage for mental health services with the insurer.

Double-checking patient details upfront saves your team from sorting out claim rejections due to minor errors later.

Step 2: Verify Mental Health Coverage and Benefits

Here’s an unfortunate truth—not all mental health services are covered equally. Before providing treatment, verify:

Types of covered services (e.g., psychotherapy, evaluations, telehealth).

Frequency limits (e.g., 12 sessions per year).

Copayments, deductibles, and reimbursement rates.

The need for prior authorization.

This ensures transparency with your patients and avoids unapproved claims down the line. Many practices use clearinghouse software to streamline insurance verification.

Step 3: Use the Right CPT Codes

Mental health services utilize specific CPT codes that denote different types of services and session lengths. Here’s a quick rundown:

Psychotherapy: 90834 (45 mins), 90837 (60 mins)

Family Counseling: 90846 (without patient present), 90847 (with patient present)

Psychiatric Evaluation: 90791 (without meds), 90792 (with meds)

Telehealth Services: Appropriate codes paired with a -95 modifier

Accurate coding isn’t just about reimbursement—it also ensures compliance with payer regulations. Regularly review the latest CPT code updates to stay ahead.

Step 4: Submit Clean Claims

A “clean claim” is one that’s correctly filled out with no errors, omissions, or discrepancies. Submit claims that include:

Correct patient demographics

Accurate CPT and ICD-10 codes (diagnoses)

Appropriate modifiers (such as -95 for telehealth)

Prior authorization numbers (if applicable)

Using practice management software or outsourcing billing can improve claim accuracy.

Step 5: Conduct Denial Management

Even with your best efforts, denied claims happen. When they do:

Identify the denial reason (coding error, missing documentation, expired authorization, etc.).

Fix the issue promptly.

Resubmit the claim with necessary corrections.

Tracking patterns in denials can also shed light on workflow weaknesses you can improve upon.

Step 6: Stay Compliant with Federal Regulations

Health privacy laws like HIPAA (Health Insurance Portability and Accountability Act) and billing-specific regulations like MIPS (Merit-based Incentive Payment System) are critical to follow. Staying informed of these ensures your medical billing practices are secure, ethical, and audit-proof.

Common Challenges in Mental Health Billing (and How to Solve Them)

No billing process is without its hurdles. Here are some common challenges and solutions:

1. Challenge: Frequent Denials for Coding Errors

Solution: Train your billing staff regularly and leverage automated claim-checking systems to minimize errors before submission.

2. Challenge: Complex Insurance Authorizations

Solution: Build a system to track and renew authorizations before expiry. Assign specific team members to handle approvals, especially for long-term patients.

3. Challenge: Telehealth Coding Confusion

Solution: Use CPT codes specifically approved for telehealth while confirming payer requirements for modifiers like -95.

4. Challenge: Lack of Time for Billing Management

Solution: Consider outsourcing your billing to a medical billing company experienced in mental health services, allowing your team to focus on patient care.

The Role of Technology in Simplifying Mental Health Billing

Why make things harder? Leverage technology to take the load off your shoulders. Here’s how:

Practice Management Software: Automate scheduling, coding, and claim submission.

Clearinghouses: Easily screen claims for errors and submit them electronically.

Telehealth Billing Support: Use telehealth platforms integrated with billing solutions for smooth processing.

Investing in these tools ensures faster payments, fewer headaches, and more time spent on meaningful work.

Building a Financially Sustainable Mental Health Practice

A streamlined billing process directly impacts your practice’s financial health. By staying organized, prioritizing accuracy, and adopting smart tech, you can reduce claim denials and ensure steady cash flow. This allows your practice to grow and offer more services to those in need.

Remember, being proactive in patient education is key as well. When patients understand their benefits and costs upfront, it helps build trust and reduce disputes later on.

Take Charge of Your Mental Health Billing Today

With proper strategy and tools, mastering mental health medical billing is achievable. Focus on accuracy, keep up with regulations, and harness technology to make the process smoother for both your team and your patients.

Most common user reactions 3 reactions
Post

Appointments

Jan 23rd...new cardiologist

Feb 5th... neuro-ophthalmologist

Feb 11th...MRI of spine

Feb 13th... headache specialist