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
Time Tracking
Claim Support
More Revenue
EHR/RCM
For Psychiatric and Counseling Services
Improves patient care
outcomes by providing better decisions, care coordination, and patient engagement
Reduces medication errors
by checking for interactions and automating refills
Enhances patient-provider communication
by supporting telepsychiatry and secure messaging
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.
Electronic Health
Records
Credentialing
and insurance Billing
Patient Engagement
Services
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…
Thank you so much Amy! I will be referring to DENmaar as often as I am asked about credentialing services.
Thank you so so much Donna. You have helped make our company so much stronger. We appreciate you.
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.
Edwina, Thanks for your help. I appreciate your patience with me.
Victoria you have made my life so much easier. Thank you for the outstanding work. You are so helpful.
Thank you Donna for jumping in and helping us out so much. You have no idea how much I appreciate it!
“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,
Capterra, Software Advice And Get App 2023 Best Of Badges Awarded To DENmaar
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.
Our Latest Blogs
Why Is Medical Credentialing So Important?
Medical credentialing has to be the single most important thing that every healthcare practice and practitioner needs to undertake in the United States. It is a process by which the expertise and qualifications of doctors and nurses are verified. As such, this is one procedure that helps patients trust the healthcare provider of their choice.
Simply verifying a healthcare organization of a practitioner’s credentials isn’t where the merits of the medical credentialing end, though. There is an important financial incentive involved in getting credentialed as well. For instance, most healthcare organizations cannot receive payment for the care offered from insurance companies like Medicare and Medicaid if they do not have medical credentialing.
That being said, we’ve barely scratched the surface trying to explain how fundamental a role medical credentialing plays in the success of healthcare professionals and organizations. There is way more to unpack with medical credentialing when it comes to its benefits. That is what we will try to accomplish today with the help of this article.
We will be looking at all reasons why medical credentialing is vital for hospitals, clinics, and healthcare professionals in general.
But first… let’s take a brief detour to understand how ancient this ostensibly modern practice is.
History of Medical Credentialing
Medical credentialing isn’t a new concept. Instead, it is somewhat of a tradition that has lasted for centuries in a variety of forms. Its origins can be traced all the way back to 1000 BC. The first-ever medical credentialing process took place in ancient Persia, where the cult of Zoroaster demanded a physician treat three heretics. If all three survived their treatment, the physician would be qualified to provide care to patients until the end of their life.
We’ve come a long way since then. The process has evolved to become much more regulated. However, the basic gist of the procedure remains the same – to ensure that a doctor or nurse is qualified to administer treatment to patients.
Reasons Why Credentialing is Important
1. Protecting Patients
As we mentioned, medical credentialing is undertaken to determine whether a practice or healthcare professional is qualified to treat patients. Patient care has always been the core purpose of medical credentialing. The process itself is rather complex and involves verifying a practitioner’s credentials against various relevant data points.
For instance, a practitioner is continuously checked against major publications like Death Master File, Sex Offender Registries, National Abuse Registry, OFAC, and many other sources. A provider can be denied credentialing if their name shows up in any of the above data points. Credentialing can also be denied if a provider’s license has expired or defaulted on their student loans.
Credentialing instills confidence among patients. For example, it would be nice to know that a particular doctor in charge of providing treatment to a child is not a registered sex offender or that a psychologist has the qualifications necessary to provide you with sound advice.
Competency and Performance Reviews are an integral part of the credentialing process. Organizations in charge of this process leave no stone unturned in determining whether a practice or healthcare professionals are worthy of being credentialed. As a result, patients can feel safe going for treatment to clinics and hospitals whose staff are all credentialed.
2. Helps Medical Organizations Prevent Revenue Loss
It is important to note that no insurance company will reimburse a hospital or medical practice if they lack medical credentialing. A medical organization has to first get in-network with insurance carriers like Medicare, Medicaid, etc., to be able to cater to patients with health insurance. A non-credentialed medical organization is not complying with state and federal regulations. This alone can open a can of legal issues (more on this later.)
To put it more succinctly, an insurance carrier will deny reimbursement to a healthcare organization if they hire providers that aren’t credentialed. Furthermore, if a refund has already occurred and it is later revealed that the provider did not possess medical credentialing, they will be hit with fines and civil monetary penalties. Therefore, a healthcare organization must make sure a provider’s credentials are verified upon hire. Not doing so only leaves the practice open to a severe financial hit down the line.
Read More: 5 Things to Learn about Medical Credentialing Process
3. Medical Credentialing Helps Providers Avoid Lawsuits
In a lawsuit, Medical Credentialing has proven to serve as a cover protecting healthcare organizations. For instance, the first thing the law will consider when examining a lawsuit against a healthcare practice is whether or not it complies with state and federal regulations. If a medical practice follows best practices and possesses staff with the necessary accreditations and qualifications, the organization is more likely to imprint a good impression on the Justice System.
On the other hand, if a healthcare organization faces medical negligence and patient endangerment charges, its providers are excluded from medical credentialing. As a result, there is no way to win a lawsuit. Moreover, losing the lawsuit won’t be the worst thing that happens to the practice. The organization’s reputation will be destroyed in the media, leading to serious patient mistrust.
The Bottom Line
Medical credentialing does a lot more than just verifying healthcare professionals’ legitimacy as you learn for yourself. Medical credentialing is such an integral part of our healthcare system today that no healthcare practice can thrive, let alone survive, without undertaking the process.
That being said, the credentialing process isn’t exactly child’s play. It can be complex, time-consuming, and overwhelming to undertake. Fortunately, we at DENmaar take care of the often excruciating credentialing process. Our credentialing specialists ensure you have error-free paperwork ready to help you get in-network with insurance carriers as quickly as possible.
Over the years, we’ve helped many healthcare organizations with their credentialing tasks, thus providing them with more leeway to focus on patient care and other core areas of their practice.
Contact DENmaar now to learn more about the medical credentialing process and how we can help your practice.
Impact of AI on Medical Billing and Coding
By Healthcare Tech Outlook
For virtually all of the significant health IT vendors, using AI to understand a customer’s behaviors, predict their expectations, and show the correct data at the right time is a top priority.
FREMONT, CA: For several, it is hard to envision the future of Revenue Cycle Management (RCM) in the Artificial Intelligence (AI) era. How does this technology accelerate the business cycle and affect healthcare back-office day-to-day work? It is unknown when AI will be the industry norm at this stage, but there is some speculation about potential advantages that AI can soon bring.
AI Will Simplify Workflows for Medical Billing
Deep learning of the users’ interaction with Electronic Health Record (HER) and billing applications may have the most critical effect on a medical biller’s everyday life. For virtually all of the significant health IT vendors, using AI to understand a customer’s behaviors, predict their expectations, and show the correct data at the right time is a top priority. The ability to retrieve and manipulate information instantly has the power to significantly minimize labor spent on manual billing activities and allow workers to make smarter choices about the next steps to overcome denials.
Enhanced Medical Coding Precision
Its capacity to analyze text and the spoken word would be a core feature of AI. For procedures and diagnosis, systems can learn the language and assign specific codes. After code set updates, this functionality will have a profound effect to ensure the correct codes are used and paperwork is compliant, reducing the change that arises with updates to coding. If AI had been included, think how much simpler the transition from ICD-9 (International Classification of Diseases, Ninth Revision) to ICD-10 (Tenth Revision) would have been.
Immediate Pre-Authorizations
Its capacity to draw assumptions and forecasts will be one of the most critical facets of AI. It can take hours now, or even days, to get a payer’s pre-authorization. Future systems will interpret clinical data from a patient and assess the medical need of treatment within a few seconds. The good news for medical billers is that an automated mechanism will verify that authorization has been received and its related data collected, significantly minimizing (or eliminating) pre-authorization denials due to the absence of an authorization number.
Clinical Data
Webinar: Collaborative Care in Behavioral Health
Nearly one in five adults in the United States is affected by one or more mental health conditions. Unfortunately, for those living with common mental illnesses such as depression or anxiety, care is rarely coordinated across the entire care team to yield long-term improvement and mental health outcomes.
Join our webinar to explore the unique challenges in managing behavioral health and the benefits that collaborative care can deliver to your customers.
Collaborative Care: The New Model for Solving the Challenges of Fragmented Care in Behavioral Health
Wednesday, February 24, 2021 |12:00 – 12:30 PM EST
Our host, Colin Banas, MD, MHA, Chief Medical Officer of DrFirst will cover:
- • The importance of uniting the care and family team (CFT)
- • The necessity of marrying care collaboration with telehealth in a single, complete, and secure platform
- • The operational, administrative, and clinical efficiencies that will save your clients time and money
Colin Banas, MD, MHA,
CMO Medical Officer, DrFirst
Our Partners
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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