Our EHR/RCM solution tailored for psychiatric and counseling services offers comprehensive support for practitioners in managing patient records and revenue cycles efficiently. Seamlessly integrated with specialized features, our platform caters to the unique needs of mental health professionals, ensuring streamlined operations and enhanced patient care delivery.
Behavioral Healthcare Technology
DENmaar Guardian EHR/RCM Revolution
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Time Tracking
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Claim Support
![](https://denmaar.com/wp-content/uploads/2024/02/more-revenue.png)
More Revenue
EHR/RCM
For Psychiatric and Counseling Services
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![patient-care](https://denmaar.com/wp-content/uploads/2024/02/patient-care.png)
Improves patient care
outcomes by providing better decisions, care coordination, and patient engagement
![Reduces medication errors by checking for interactions and automating refills](https://denmaar.com/wp-content/uploads/2024/02/medication-error-1.png)
Reduces medication errors
by checking for interactions and automating refills
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Enhances patient-provider communication
by supporting telepsychiatry and secure messaging
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Simplifies medication management
with proper data accessibility
Streamlines clinical workflows
by offering intuitive dashboards, note templates, digital scheduling, and billing features
Increases revenue and reduces costs
by optimizing coding, claims, and collections processes
Ensures compliance and security
by following HIPAA, HITECH, and other regulations
The DENmaar service teams supports insurance credentialing and
the insurance claims process, ensuring maximum cash flow and revenue.
Professional
Insurance Services
Insurance Credentialing
Services
DENmaars insurance services are for group practices, where adding providers’ to insurance panels and maximum insurance revenue is a priority.
- Provider Enrollment and Credentialing services
- CAQH Registration and Enrollment
- Individual and Group Medicare Enrollment
- Insurance Contract Negotiations
- Payer Fee Schedule Creation and Evaluation
- Telemedicine Credentialing
Behavioral
Health Billing
We offer top-tier behavioral health billing services powered by our robust software and expert consultants.
- Professional Billing
- 24 Hour Claims Submission
- Claim Status provided in Real-Time
- Immediate Eligibility Verification
- Rejection and Denial Resolution
- U.S based Claims Specialist Assigned
- Credentialing Specialist Assigned to Account
What Our Clients Say
Thank you for your diligence!! I appreciate it so much. Thank you Edwina…
![Michelle Heller, M.S, LPC, CCATP Owner at Hope In Motion, PLLC](https://denmaar.com/wp-content/uploads/2024/02/client-placeholder.png)
Thank you so much Amy! I will be referring to DENmaar as often as I am asked about credentialing services.
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Thank you so so much Donna. You have helped make our company so much stronger. We appreciate you.
![Dr. Yaro Garcia, LMHC Therapy Treatment Team Clinical Operations Director](https://denmaar.com/wp-content/uploads/2024/02/client-placeholder.png)
Working with the Denmaar platform and Amy has been a pleasure, thank you! It is a relief not to worry about the insurance portion of the private work.
![BATYA BERTHA RECKSON LCSW](https://denmaar.com/wp-content/uploads/2024/02/client-placeholder.png)
Edwina, Thanks for your help. I appreciate your patience with me.
![Christina Gill LCMHC,](https://denmaar.com/wp-content/uploads/2024/02/client-placeholder.png)
Victoria you have made my life so much easier. Thank you for the outstanding work. You are so helpful.
![Rodwan Mahfouz MD](https://denmaar.com/wp-content/uploads/2024/02/client-placeholder.png)
Thank you Donna for jumping in and helping us out so much. You have no idea how much I appreciate it!
![Dr. K](https://denmaar.com/wp-content/uploads/2024/02/client-placeholder.png)
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“I absolutely love all the features for intake/evaluation/assessment/progress notes!”
Thanks so much for all your help over the years, we COULD NOT have built our behavioral health division without your keen expertise and steadfast work ethic!
Thanks so much for your help in getting me set up with DENmaar. I am looking forward to working with your company as you all seem so much more personal than other places I have checked out. Hope you all never lose that. Wishing you blessings in your life!
Working with the DENmaar team showed great professionalism beyond anything I would ever expect! Prompt on returning emails. Whenever I had a question, it was almost returned within the hour. Living overseas I would send emails not expecting a response until the next workday but there were times that in the middle of the night, I would get back fully answered emails to any questions I had. My wife and I are confident that if the rest of DENmaar is half as good as the onboarding is this will be a great experience for us. Thank you for everything.
Thank you, I appreciate all that the team does.
love working with Denmaar. You guys are always on it. You Do not find that at most places. Thanks again,
Wonderful and thank you so much. I do not know what I would do without you and your team.
Thank you so much for your time and your amazing help! It is appreciated! Thank you
I really appreciate you getting back to me so quickly and explaining so simply what is going on. Makes complete sense! Thank you again for working so hard! You are awesome.
Thank you for helping me through my problems with getting the right documents to you. I am so glad we went with your company as everyone has been so nice to work with.
Hey Victoria, Thanks for all your help thus far. You have been very helpful, fast, and so thorough! you get an A+ from me
“Victoria, you have been amazing throughout this entire process. You are always pleasant, and you always reply so quickly. I appreciate you so much!”
“Thanks so much for helping along this process and following up with me. I truly appreciate it.”
“Yea!!!! You are awesome. Thank you so much.”
“Thank you for your help! I greatly appreciate it.”
I appreciate your hard work!”
“You are wonderful, thank you so much for all your patience and help with this!
“Thank you for the extra support. It has made me much more comfortable and taken away considerable stress.”
Victoria
“I can’t thank you enough. You really are the best. I don’t know what I would do without DENmaar “
“Thank you so much! Erika, I appreciate you so much. I will cease to be concerned.”
“Great working and getting to know Donna! She’s a power house and knows her stuff.”
Victoria
I really appreciate all the legwork that you are doing for me in getting me on these panels. It’s really greatly appreciated and I want to thank you for all your efforts on my behalf. Warmest Regards,
“Donna, Erika and Nicole are always so kind and helpful”
“Donna helped me tremendously when I started!”
“Working with Victoria and Erika has been great. So happy with your services.”
“Thank you Lindsay for your patience.”
Melissa Wutrick
“I appreciate the good work and helpfulness.”
“Thank you so much.
I seriously dont know what i would do without you guys!!”
“Thank you Edwina for helping me with this situation.”
“So grateful for all of your help Chandra, Sorry this was such a complicated one.”
“Thanks DENmaar, you have been amazing. And thank you for being so understanding. I will definitely be referring people over to you for billing.“
“Chris and his world class DENmaar team have done the billing and credentialing for my practice for 10+ years. There are not enough of superlative adjectives to describe how pleased I am with the services they have provided. The persistent and tenacious approach to billing has yielded the most lucrative cash inflow that I have ever experienced in my 30+ years of private practice. Chris and his group help with keeping up credentialing in superb fashion. I have referred many fellow professionals to use DENmaar and all are equally awed. I would recommend them with the highest possible accolades.”
“Amy is awesome! “
“Nicole you’re the best!”
“Thank you Amy. I truly appreciate all you do!”
“Huge shout out to Victoria and Ashely for putting up with me and helping our practice continue to grow. Fourteen short months ago we founded BN Wellness Group, and we now are getting recognition as a force in the greater Cleveland area. “
“DENmaar you are a wealth of knowledge and I greatly appreciate your time and help. “
Thank you!
Donna your capabilities to get us paneled are wonderful.
You have been just fantastic….
Thank you so much DENmaar! Thank you for ALL that you do to make our company run smoothly; we appreciate YOU.
You are a real pleasure to work with Victoria. I know I’ve asked you to do a lot of hand holding as a new group practice owner.
And you should know that I recognize the extra effort and really appreciate the way you’ve supported me through this process. Thank you again for the professional service and courtesies you’ve extended. Definitely worth the expense.
Thank you Donna for your GREAT assistance!!! You are awesome to work with.
whohooooool Amy is great give her chocolate cakel
Thank you!
Thank you so much Donna. It is really helpful, and exactly what we were looking for.
Thank You for your fast response.
Thank you so much Donna for help over this past week, you have been awesome!! We all really appreciate it.
Donna. You are so awesome and we appreciate your hard work.
I just wanted to thank you Donna for diligently following up with
BCBS and keeping me in the loop!
Edwina is a true hero in my book. She was incredibly persistent, professional & patient thru the whole grueling process with Optum. Could not have done it without her. I am SO grateful for her awesome efforts. Thank for all you and the team does for us.
YOU are a SAINT Edwina!
Thank you!!!
Hello Chris,
The credentialing process with GA Medicaid took long but all through the process Denmaar employees were always responsive and ready to help. I was assigned to Nicole first and Amy later. They both were patient and kept following up with Medicaid and updating me till I finally got approved. I’m happy with my experience
Victoria you are awesome! TY!!!
I can’t express my gratitude for you Donna,
![Adrian Green DBA,](https://denmaar.com/wp-content/uploads/2024/02/client-placeholder.png)
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2023 “Best of” badge winners = DENmaar Guardian has earned a well-deserved Best Value Badge.
See our reviews for our software being recognized as an impactful solution for your business.
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Our Latest Blogs
![featured_image](https://denmaar.com/wp-content/uploads/2022/02/Mental-Health-Billing-VS-Medical-Billing.png)
Mental Health Billing vs Medical Billing
Mental health bills differ from medical bills because of changes in mental health care that are not found in primary or specialist care. Here’s how to handle it.
- Mental health bills differ from medical bills due to some of the variables included in the mental health treatment providers.
- For mental health bills, you should familiarize yourself with medical coding, verify patient insurance, and use the appropriate payer form.
- For best results, always check the benefits, store copies of crucial information, take notes when you talk to payers, and start the billing process as soon as possible.
- Mental health professionals look to improve their existing billing process or start accepting insurance and working directly with fee payers.
Mental health care patients usually have one common complaint: Many providers do not have health insurance, which can be expensive without insurance. As a mental health care provider, your approach may be different. You may not accept insurance because the mental health billing process is complex and frustrating.
However, this guide can assist you in understanding the mental health billing process. In addition, improved mental health billing structures come with more capacity for patients using insurance, which means more revenue.
How are mental health bills different from medical bills?
Mental health bills differ from medical bills in the following ways:
Pre-authorization: Payers must pre-authorize mental health services to patients before submitting medical claims. However, a 2019 report found that mental health visits are five times more likely to be out of network than primary or specialist services. Unfortunately, pre-authorization – even if requested promptly – is rare and complicates billing.
Front Office Staff: Medical practices usually consist of administrative staff handling billing and coding, leaving practitioners to focus solely on patient care. This system is less common in mental health care systems. These practices are usually sole proprietorships or small partnerships, meaning they do not have front office staff. Without additional staff, practitioners should handle the billing themselves.
Standardized billing procedures: While primary care physicians often perform the same tests and examinations on their patients, mental health practitioners provide a very diverse and customized service. The recurring nature of primary care means that medical bills are usually ready to go. The opposite is true for mental health care, making billing more complicated.
Creating an excellent standard: Standardizing primary care means that practitioners can easily combine multiple services into one perfect bill. On the other hand, the more diverse nature of mental health services makes it more challenging to create significant bills. The result is a longer and more difficult billing process.
How standardization affects mental health bills
Standardizing services provided is probably the most significant hurdle of the above factors in mental health care billing. Standardization issues arise from how these factors differ from primary or specialist care:
Session duration: Medical billing assumes approximately the same time for each patient – after all, regular blood tests and physical examinations take a long time. However, the duration of mental health sessions can vary greatly. For this reason, mental health billing codes vary based on session length, which is not heard in medical bills.
Daily or weekly service limits: In general, there are no primary or expert level restrictions on how often a patient can be treated. The same does not apply to mental health services. In hopes of standardizing mental health care bills, taxpayers set the maximum number of treatments a mental health patient can receive in a day or week. These artificial roofs can present billing challenges.
Therapeutic method: Cognitive behavioral therapy requires an entirely different CPT code than psychoanalysis. The result is more billing challenges.
The Bottom Line
The billing process can be frustrating and usually leaves a big sigh of relief compared to treating patients. And if you’re worried about not completing the process yourself, the billing features of DENmaar can be invaluable.
We have assisted many health care organizations in their mental health billing process, thus helping them concentrate on patient care. Call us today!
![featured_image](https://denmaar.com/wp-content/uploads/2022/02/Physician-Credentialing-Checklist.png)
The only Physician Credentialing Process Checklist You’ll Need in 2022
Understanding the process of credentialing is simple. It is a process that entails the procurement and verification of information that ascertains whether or not a physician is capable of fulfilling his or her medical obligations. The process is fundamental for everyone involved with the healthcare industry. This includes the practitioners, nurses, and of course, the patients.
The credentialing process in itself, however, is burdensome, to say the least. A typical credentialing process can take 90 to 150 days to conclude. Hurdles like missing or incorrect information in the applications submitted can result in claim denials, which essentially means you’ll have to undergo the entire process all over again, costing you both valuable money and precious time.
That being said, you can’t simply ignore the process either. Credentialing is important for a variety of reasons.
- • It can help build patient trust
- • It lowers the risk of medical errors.
- • It helps medical organizations from losing revenue
- • It improves a practitioner’s reputation.
- • It can help you save costs
- • It protects healthcare organizations from future lawsuits.
Needless to say, the credentialing process is too valuable to pass. Yes, it can be uniquely frustrating to perform. However, we believe the following checklist can guide you competently for a smoother credentialing process.
So without much further, allow us to acquaint you with the only Physician credentialing process checklist you’ll need for a seamless experience.
Physician Credentialing Process Checklist
The very first thing to do when starting the credentialing process is to make sure you are always one step ahead. The way to ensure that is by starting as early as possible. With that out of the way, you can begin the process.
1. Submit the Pre-Application
It won’t take you time to notice or experience how tedious the credentialing process can be. To begin with, you will need to submit a pre-application based on the healthcare facility or insurance network you want to join. It is at this juncture in the process that insurance companies weed out applicants that are not eligible for credentialing.
This step involves a background check. You will be checked for:
- • Board Certifications
- • Criminal Records
- • Record of disciplinary action taken against you or your practice.
If any issues arise here, you will be asked to submit further information. If there aren’t any issues, then you move on to the next step.
2. Submitting the Applications
This step forms the actual meat of the process. You will be required to submit all information possible that vouch for your legitimacy as a healthcare provider. The most fundamental checklist will be as follows:
- • Transcripts and educational history
- • DEA registration
- • Board certification
- • Medical license
- • Continual malpractice coverage
- • Work history
- • Professional and personal reference
- • Explanation of gaps in work history
- • Personal immunization record
- • Personal health history
- • CAQH Enrollment
- • Hospital affiliation
All of the above information must be backed by solid documentation and relevant letters of recommendation.
3. Receipt Verification
Once the application is submitted, you might feel inclined to take a sigh of relief. However, it will be too early to do so. In fact, we recommend constant follow-ups via call and emails to confirm that your application has been received and is under review. The credentialing board may reach out to you for further information. If that does happen, we recommend submitting the information as quickly as possible. Make sure you have copies of all the documents submitted ready at a moment’s notice.
The above procedure entails the checklist for a traditional physician credentialing process. Medical practices may need to work with a new checklist to assist them in adding new providers. So if you are someone who runs a medical practice and wants to add a new provider to your staff, then the following checklist is for you.
Checklist for adding a new provider
- You will need to provide an updated CAQH profile with a new practice affiliation. Also, make sure the provider’s driving license and DEA are updated with the new state if the affiliation is different from their previous one.
- The group that will be adding the new provider will be required to supplement a list of payers that they are currently affiliated with. This will include Medicaid HMOs, worker’s compensation, Tricare, Medicare advantage, etc.
- Update your practice’s CAQH profile and supply tax companies with your Tax ID.
- You will be required to submit a new and updated malpractice policy and also update it in your CAQH profile.
- You will be required to provide the practice’s primary billing type. This information will be listed on your application with Tax ID.
- Mention Medicare’s PTAN that you plan to be included on. This information will be listed on the Medicare application of the new provider linked to your group.
- The following Documentation will be mandatory.
- • Professional State License
- • Board Certification
- • CAQH Login and Password
- • PECOS Login and Password
- • PLI Certification
- • Professional School Diploma
- • State Medicaid Login and Password
- • Current CV with precise beginning and end date
- • Hospital Admitting Privilege
- • Certification of completing internships, fellowships, etc.
The Bottom Line
Credentialing demands a plethora of information from practitioners. So much so that the whole process might feel a tad bit overwhelming. It also counts that all the information you do gather is complete and accurate. The consequences of failing to ensure that can be disastrous.
So if you are still confused about the process and have no idea what information to carry, then we suggest you give our physician credentialing specialists at DENmaar a call. We are at your service whenever you need us. We’ll assist you with the entire process as well, making sure you make it on a payer’s network without a hassle.
Contact us now to learn more.
![featured_image](https://denmaar.com/wp-content/uploads/2022/02/Provider-Re-credentialing-Explained.jpg)
Provider Re-credentialing – Explained
You would be wrong to assume that the credentialing process is over once a provider has been accepted into a payer’s network. In fact, providers are required to undergo routine screening and license verification to maintain compliance and provide quality care to their patients. This process that involves periodic screening and verification is what we call recredentialing.
Recredentialing process is done to verify the training and qualifications of a provider and notify healthcare organizations if fraud or abuse is found. Now it is no secret that undertaking the credentialing process is no easy task. It can be time-consuming and burdensome. However, the cost of neglecting the procedure can be much direr.
Hospitals and similar healthcare organizations are staring at revenue losses in the upwards of millions on litigation, delayed payments, and civil monetary penalties without recredentialing.
Now that you know how important the process of recredentialing is, we will take a deep dive into the subject to make sure you learn everything there is to know about it.
So without much further ado, let’s get started.
Read More on Importance of Medical Credentialing
How Many Time Does a Provider Need to Be Recredentialed?
The answer to this question will vary from state to state. In most American states, the provider must be credentialed immediately when hired. Later, they must undergo re-credentialing every two years. There are exceptions to this rule, however, as some states like Illinois require providers to be recredentialed every three years.
To know exactly how often a provider needs to be recredentialed, it would be wise to check state laws and regulations that apply to your healthcare organization.
The Initial Requirements for Recredentialing
First and foremost, it is the responsibility of the healthcare organization to notify the doctors and nurses working under them at least 60 days before the recredentialing due date. Providers should be given access to all applications online. Remember, the recredentialing process varies from state to state and can take months to conclude.
To expedite the process, we recommend keeping the necessary documentation on file. We also suggest preparing organization-specific requirements well ahead of time. If the process is too overwhelming to handle, we recommend you give us at DENmaar a call and our credentialing specialists will be happy to shoulder the recredentialing process on your behalf.
Information Verified During Recredentialing
A traditional recredentialing process will entail the verification of the following documents:
- • Drug Enforcement Administration or Controlled Dangerous Substances Certification
- • State Licenses
- • Board Certification
- • Malpractice Claims History
- • Work History
- • Recent Malpractice Insurance Coverage
- • Medicare and Medicaid Sanctions
- • National Provider Identifier Number (NPI)
- • State Sanctions and Restrictions on Licensure and Limitations on Scope of Practice.
What Happens When an Application is denied?
A provider is notified with a written notice that includes the reason for denial in case their application is rejected by the credentialing committee. Providers have the right to submit an appeal contesting the denial. The provider must request reconsideration in writing within 30 days of receiving a denial.
The written request must be submitted along with the necessary documents. The reconsideration will be scheduled within 60 days. Remember, the provider has no further option if his or her claim is denied a second time.
Learn More on How to Avoid Payer Rejection During Enrollment
Getting Recredentialed Without a Hassle
Issues with recredentialing are more common than you would assume. That being said, there are ways by which you can make sure those issues never arise during your procedure. To begin with, healthcare organizations should maintain evidence of a provider’s application in a secure credentials file. They should also adopt a system that keeps all relevant information current.
However, the only guaranteed way to make sure you don’t fail with recredentialing is to seek help from credentialing specialists in the industry like DENmaar. DENmaar has been helping healthcare organizations across the United States with credentialing provider enrollment for decades now. As such, we have the talent, resources, and insight needed to handle the complex process of credentialing at the behest of your healthcare organization.
You can get in touch with us now to learn more about DENmaar’s recredentialing services.
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- Tailored EHR/RCM solution for psychiatric and counseling services
- Comprehensive support for managing patient records and revenue cycles
- Specialized features seamlessly integrated
- Addresses unique needs of mental health professionals
- Streamlines operations and enhances patient care delivery