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Our Mental Health Insurance Billing Services ensure detailed knowledge of payer carve-outs, separate behavioral insurance coverage, diverse provider credentials, and high-cost treatment authorizations.
Our billing specialists are well-versed in the specific documentation and medical necessity requirements to ensure claims are coded correctly and supported by the clinical record, securing payment.
We interpret mental health insurance benefit structures and verify whether they are covered under the medical plan or a separate behavioral health card. This helps in billing without guesswork and denials.
The task of obtaining and tracking prior authorizations for IOP, Suboxone, mental health testing, and other services is taken off your plate. Our dedicated authorization team manages payer follow-ups for you.
We help expand your reach without financial risk by managing multi-state credentialing for your providers and ensuring compliance with each state's telemedicine billing regulations, capturing revenue you might otherwise miss.
Outsource the complex, tedious process of credentialing and re-credentialing your diverse team of psychiatrists, psychologists, and social workers to our specialists, avoiding lapses in panel participation.
Our optimized RCM workflows, from clean claim submission to aggressive follow-up on aging accounts, significantly reduce days in accounts receivable and stabilize your monthly cash flow.
Payers impose strict limits on therapy sessions and require detailed documentation. We track authorizations, manage renewals, and appeal denials with clinical evidence.
Therapy sessions, medication management, and complex procedures can go unbilled due to a lack of administrative oversight and reporting. Our team ensures every billable service is captured and submitted.
We navigate the "carve-out" challenge, identifying when behavioral health is managed by a separate carrier (such as United Behavioral Health) to ensure claims are sent to the correct payer the first time.
Meticulous management of authorizations and billing for complex services such as Transcranial Magnetic Stimulation (TMS), Electroconvulsive therapy, and Intensive Outpatient Programs (IOP).
Time saving assistance with medication prior authorizations and refill requests management.
We manage enrollment for all providers, ensuring proper reimbursement regardless of whether services are provided by an MD Psychiatrist, Nurse Practitioner (NP), or Licensed Clinical Social Worker (LCSW).
Our team tracks and processes high volumes of authorizations for multi-session therapy and clinical procedures. We review each appointment to make sure any necessary prior authorizations are obtained before the treatment or session.
We assist providers in obtaining multi-state credentialing to expand their reach through Telehealth behavioral services.
We perform detailed benefits checks to determine session limits and copay requirements before the patient walks in.
Strategic follow-up on medical necessity denials, session limits, and authorization-related rejections.
Dedicated virtual assistance for appointment scheduling, medical records management, and fax coordination, handled with sensitivity and professionalism.
Detailed dashboards, KPI tracking, and performance reviews to optimize collections. A partner for all of the behavioral health billing.
We support Federally Qualified Health Centers (FQHCs) offering integrated behavioral health services alongside primary care and other specialties.
Payers low reimbursement for main services need to be renegotiated. Our Credentialing team knows how to navigate the payer to the source and process for renegotiating your payer contracts.
We give your business the edge with unmatched features working seamlessly together, delivering precision and efficiency like no one else.
Written protocols Liability Insurance 3+ Levels of Supervision 5 point IT protection HIPAA BAA included Comprehensive reports & KPIs 3rd party HIPAA compliance certification
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