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Result-Oriented Mental Health Billing Services

88%

First Pass Clean Claims Rate

30%

Reduction in A/R

90%

Collection Ratio

Simplify Your Billing Needs

Partner with us for seamless mental health billing solutions, allowing you to prioritize patient care effortlessly and improve access to efficient mental health insurance billing strategies.

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Higher, Faster & Better Reimbursements

Are you struggling with denied claims, slow insurance payments, claim rejections, and complicated billing tasks? Efficient claim submission is crucial in overcoming these challenges. Consider MedCare MSO’s mental health billing services as a solution. We work with payers to optimize your reimbursement process.

Revenue Cycle Management

Insurance Contract Negotiations

Compliance and Regulatory Support

Mental Health Credentialing Services

Insurance Verification

Coding and Documentation Review

Claims Submission

Claims Follow-up and Analysis

Account Receivable Management

The Challenges of Managing Mental Health Insurance Billing

Most behavioral health and mental health procedures require providers to secure prior authorization before starting treatment. Dealing with the challenges of mental health billing involves addressing the complexities of insurance policies and their impact on financial processes. It is crucial to verify eligibility and perform benefits verification to avoid issues with claims processing and ensure providers are aware of patient benefits before services are rendered. CMS recommends including specific documentation.

 

This includes timesheets, encounter notes, service details, and proof that a care team created the treatment plan with the patient and their family. All of these factors make the process challenging. As one of the leading mental health billing companies, we will help you with:

Limited Patient Insurance Coverage

Insurance plans often limit mental health services, like the number of therapy sessions or types of treatment. It’s crucial to verify eligibility and patient benefits, including mental health benefits, before submitting claims, as many may only have general health coverage. We help patients by explaining coverage details, guiding pre-authorizations, and assisting with claims to ensure patients get the most out of their insurance coverage benefits through accurate benefits verification.
  • ICD-10 codes
  • CPT codes
  • HCPCS code
  • HBAI codes

Insurance Reimbursement Rates

Mental health services often have lower reimbursement rates due to their long-term nature, unlike short-term medical or surgical procedures. MedCare MSO addresses this by negotiating with payers and getting maximum insurance disbursements for the services rendered. Our experts also help uncover hidden costs that could be affecting your financial performance.

Prior Authorization & EHR Integration

Billing can be a huge hassle, with all the tasks like prior authorizations, insurance billing, and handling claims taking up valuable time. This is especially tough for solo practitioners who spend a significant amount of time on tasks that are not directly related to patient care. MedCare MSO simplifies this by taking care of these tasks for you and using EHR systems that streamline both billing and clinical notes, allowing mental health service providers to focus on their core responsibilities and deliver superior experiences.

Complex Coding

Accurate coding for mental health services is crucial to avoid billing errors and denied claims. Understanding fee schedules is essential to ensure proper billing and payment processing. For example, using specific CPT codes like 90834 for a 45-minute psychotherapy session is essential. MedCare MSO stays up-to-date with annual CPT code changes and expertly applies HBAI codes, ensuring accurate billing and smoother claim settlement. Implementing best practices in documentation and coding accuracy significantly contributes to the ability to submit clean claims, which is vital for minimizing denials and enhancing financial viability. We also ensure every fee is aligned with payer requirements.

Serving a Wide Spectrum of Mental

Psychiatrists & Psychologists

Therapists and Counselors

Mental Health Clinics & Behavioral Health Facilities

Addiction Treatment Centers & Group Practices

Solo Practitioners & Telehealth Providers

Community Mental Health Centers

Hospitals with Psychiatric Units

Outpatient Mental Health Programs

Mental Health Professionals

Looking for the best practice management software for psychologists?

We specialize in smoothly integrating our psychiatry medical billing services with your current software, including EMR/EHR systems. Schedule a demo to explore more.

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We Help You Stay Compliant

Our billing services for mental health practices adhere to all relevant rules and standards, including:
  • The Mental Health Parity and Addiction Equity Act (MHPAEA)
  • HIPAA
  • 42 CFR Part 2
  • State-Specific Billing Regulations
  • Medicare and Medicaid Guidelines
  • False Claims Act

Why Choose Our Mental Health Billing Services?

Outsourcing to a leading mental health billing company can make a real difference in your mental health business. It helps streamline operations, save time, and boost both efficiency and cash flow.
Here are the perks you enjoy with our services:

Double-checking each patient’s insurance

Identifying the insurance company’s preferred filing method

Get your accounts billed quickly and accurately

Access up-to-date reports whenever you need them

30% reduction in accounts receivable

See a 50% increase in the reimbursements you receive

Round-the-clock assistance

Scalable services at any time

Stay on top of regulatory requirements with ease

Ensure clinicians and therapists are reimbursed properly for their services

Excelling at medical billing services for small practices, we transform your complexities into clear-cut methods. Precision and care are at the heart of our organization.

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