DENmaar: Streamlining Clinical, Administrative, and Billing Operations for

Medical billing on its own is a seriously complicated process. However, medical billing for mental health is a whole new level of the headache-inducing choir. It comes with its own set of unique and complex challenges. When you take into consideration the size and time availability of office staff, unbundling concerns, pre-authorization, etc., behavioral health practitioners are always at a disadvantage compared to their contemporaries in other fields

Understanding the process of behavioral health medical billing is the only way for mental health practitioners to achieve salvation. As then and only then can practitioners spend more time and money on something that matters to them beyond everything else – their patients.

Having emphasized the importance of comprehending the process, we at DENmaar have designed an intricate and precise behavioral health billing software that aims to lift the unnecessary weight of medical billing off your shoulders, thus allowing you to focus on what you are good at, which is tending to your patients.

What Makes Medical Billing for Mental Health So Difficult

The variety in the types of services, the time, scope, and restraints put on mental health treatments, all of them work in conjunction to make the medical billing very difficult. For practices other than mental health, the process is easily standardized; hence the medical billing process remains fairly easier to understand and implement.

However, the very volatile and diverse nature of behavioral health treatment doesn’t allow the luxury of convenient medical billing to those who practice it. Behavioral health treatment differs vastly. The session length, the therapeutic approach, the location in which services are rendered – all contribute to the complex nature of behavioral health medical billing.

Behavioral Health Billing Guidelines

So how can you, as a Mental and behavioral health practitioner, combat the tedious nature of medical billing? Read on for the answer.

     1. Double Check Each Patient’s Insurance and Coverage

The very first thing you need to do as a responsible mental health practitioner is to learn about each of your patient’s insurance plans and coverages before each visit. Although this may sound like a time-consuming choir, knowing each and every patient’s insurance plan will reap greater returns in the end.

You can check all of your prospective client’s coverages by conducting verification of benefits for each of your patients before you begin treatment or serving the client in any manner.

Verification of benefits allows providers to unearth important information that is not available in the patient’s insurance card. By checking the VOB, you can rest assured knowing that they are insured for the services they are getting from you and will know how much the insurance company is willing to pay for the services of a client.

Many insurance companies provide online provider portals that can be used to perform verification of benefits by the provider. If a portal is not available, then you can directly call the insurance company to gather the needed information.

To conclude, it is very important to know the coverage and insurance plan of all of your patients, so you don’t end up with rejected claims and unpaid bills.

     2. Understand CPT Codes

CPT or ‘common procedural technology’ are codes used by insurance providers to determine the amount of reimbursement to be delivered to healthcare facilities. When dealing with billing, it is imperative to know the associated behavioral health codes for billing. It is extremely crucial to understand the services your facility offers and its respective CPT codes.

Some mental health practitioners use the same CPT codes for all their services. This is illegal, and we recommend our clients never to do such a thing. There are two types of CPT codes available for behavioral health practitioners – E/M Codes and Psychiatric Evaluation Codes

E/M Codes are used to evaluate new medical issues and must have three documentation elements provided. They are:

• History
• Medical Examination
• Medical Decision Making

On the other hand, Psychiatric Evaluation Codes are used for diagnostic assessment. It can include E/M services, but the time associated with E/M services is not counted.

     3. Submit Claims Properly

For you to get reimbursed for a claim without a hassle, not only do you need to file the correct code in reference to the correct insurer, but also submit the claim in the correct billing format. Make sure that you are well aware of the insurance companies filing method, and that you do file within the time allotted to you by the insurance company.

Learn More: How to Handle Claim Denials & Maximize Reimbursements

DENmaar’s Mental Health Medical Billing Service

As you can guess from the article, medical billing for mental health is not a walk in the park. A lot of effort, blood, and sweat goes into the entire process. It can be time-consuming and really frustrating for mental health practitioners who just want to tend to their client’s needs.

Here at DENmaar, we partner with concerned practitioners to offer pre-authorization, third party billing, claims follow-up, and to assist with appeals for any denied insurance claims. With DENmaar, you get the assistance of our medicare behavioral health billing specialists to make your billing process easier than ever. Call us on 844-727-3627 to get started!

We at Denmaar have always strived to bring our clients a reliable and powerful feature that helps in the faster creation of treatment plans. Well, what seemed like a vision for the future is now possible because of our new Partner Wiley and their robust invention in Wiley Treatment Planner.

An Insight on Wiley Treatment Planners

Wiley treatment planners are now an integral part of Denmaar’s Treatment Planners. Treatment planners, in general, helps mental health practitioners to not only define the problems they face on a daily basis but also helps provide them with goals, interventions, and objectives to create a fully executable, customizable treatment plan.

Here is How Wiley Treatment Planners Can Help You:

• Saves Time that would have been wasted in Paperwork.
• Offers Practitioners the freedom to develop a customized treatment plan.
• Includes Over 1000 Clear Statement describing in detail the behavioral representation of each relational problem.
• It includes long term goals, short term objectives, and clinically tested treatment options.
• Deploys an easy to use format that helps locate treatment plan components by behavioral problems.

Apart from creating evidence-based options and best practices for your clients, treatment plans can also be useful when it comes to treatment review.

Build an Effective Treatment Plan with Wiley

1. Problem Selection
Treatment planners allow you to sort and apply to present issues relevant to your client. Choose the problem that effectively represents the problem of your client.

Example: Anxiety

2. Defining the Problem
The treatment planner has the ability to clearly describe the behavioral definitions of the problem represented in the client. The symptom pattern should be associated with codes found in DSM 5 or ICD-10-CM codes.

Example: Motor Tension
                 Hypervigilance

3. Goal Development
The planners provide a variety of other goal statements for each problem identified, so it is easier for you to set a broad set of goals for the resolution of the problem faced by the client.

Example: Reduce overall frequency, intensity, and duration of the anxiety.

4. Objective Construction
A treatment plan includes objectives written in the behaviorally measured language. This makes it more clear to review agencies, health maintenance organizations, and managed care organizations. The objectives mentioned in treatment planners are defined to meet the demand in accountability.

5. Intervention Creation
Interventions are the actions that are designed for the completion of your objectives. You will find at least one intervention for one objective.

6. Diagnosis Determination
The determination of a clear diagnosis is based on your client’s complete clinical presentation. You must compare behavioral, emotional, cognitive and interpersonal symptoms with the criterion for diagnosis on the basis of the DSM-5 code. Remember it is ultimately your knowledge of the DSM-5 and client assessment data that will give you a valid diagnosis.

Treatment Planner with Denmaar

Our new feature now allows you to create treatment plans with unprecedented ease, NO TYPING REQUIRED!

It is well integrated into our platform to minimize both time and effort. The process is as direct as assigning a diagnosis to your client.

Wiley Treatment Planner is a gift we have been planning to deliver to our customers for a long time. Some of our community members have already tested the planner, and the response has been overwhelmingly positive.

Treatment Planners are just another convenient way to empower healthcare professionals to run their businesses more efficiently.

If you are already a Denmaar Customer, then you can use Wiley Treatment Planners for free now.

Behavioral Health Medical Billing Software has become a necessity in today’s age of mobile technology. A behavioral health expert tends to a lot of clients, hence keeping track of payments and the process of billing and getting paid can become a headache.

On the other hand, Every healthcare provider is required to enroll in an insurance credentialing process to accept patients with insurance. Without credentialing a medical practice simply cannot exist. Behavioral network providers usually enroll with different networks than medical providers. And, that is just the icing of their billing related hassles.

Keeping this frustration in mind, DENmaar set on a course to bring the mental health industry a billing software that would work to rid mental health practitioners of their payment-related hassles. Our billing software comes with an easy to comprehend user interface that would fit right in with your daily medical choirs.

DENmaar’s Mental Health Medical Billing Software can help you get in-network with the nation’s most prominent medical plans, and also take care of other activities like scheduling and of course billing. Most commercial network plans have a separate network for behavioral health providers.

DENmaar has the credentialing experts who have experience with psychiatrists and psychologists to offer you a product that gives you the medical billing system your practice needs and deserves. With our billing software, you don’t have to worry about any paperwork, thus saving you valuable time and Money, our automated system takes care of everything.

Whether you are looking to outsource your billing or looking for a better billing company, DENmaar is your solution to a better behavioral health medical billing software.

Automated Behavioral Health Medical Billing at Your Service

1. Access to Credentialing Experts

Our teams of insurance credentialing experts are always at your service to provide you advice on which insurers to choose and help you get in a network quickly. Our experts have experience working with Medicare, Medicaid, and other commercial health insurance programs.

2. Real-Time Access

DENmaar’s credentialing portal offers you a fully automated system which allows you to monitor your progress. You get real-time access to all your information, files, the status of an application. You can log in anytime you want to retrieve or monitor your data.

3. Behavioral Health Networks

We are well aware behavioral health networks enrollment procedure. We have experience working with specialty networks that serve behavioral health networks specifically. This helps you save a lot of time and money on the extensive enrollment procedure.

4. UP-TO-DATE CAQH

As many insurers use CAQH for their credentialing process, DENmaar helps you create, update, and keep your CAQH current.

5. Automated PAR Status Updates

DENmaar’s RCM portal allows you to be up to speed with credentialing application status.

6. Expiring Documents Alerts

Our automated alerts feature promptly sends you an email notifying you about any imminent document expiry dates. DENmaar will also handle all your insurance panel revalidations, so you never have to go through the hassle of getting credentialed again.

Why Choose DENmaar?

DENmaar has been working in the behavioral health industry and understands the challenges of a practitioner engaged in that practice. Our medical billing software was designed and constructed keeping mental health billing in mind. With our software now launched for both Android and iOS devices, we hope to bring our billing application to all practices who seek a solution to their billing hassles.