Empowering MHSA Professionals with Mental Health Billing Software

What constitutes the best medical billing software for mental health services? Is it an excellent user interface? Or Is it the ability to perform all tasks like scheduling, appointment booking, tracking payments, and billing automatically? Ask this question to a mental health practitioner, and the answer would be all of the above.

And why not? Why not have software that is not only easy to use but also relieves doctors and practitioners from the hassles of everyday billing and payments.

Keeping this frustration in mind, DENmaar set on a journey to bring the mental health industry a medical 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.

With a hard-earned reputation, DENmaar specializes in professional and facility billing for insurance claims and patient responsibility. Our clients receive our RCM and provider phone apps to easily create charges, which we later submit to insurance and bill patients. All associated expenses are included with our software, billing services, credentialing, text and email messaging, eligibility verification, and patient billing systems.

DENmaar’s fully automated and highly advanced software was developed to bring our clients the benefits of both professional and institutional billing. And that’s not all. Our software also allows for 24 hours claims submission, to ensure you submit your claim on time always.

Our system also allows for the tracking of your claim status. If due to some unfortunate circumstances, your claim does get rejected and denied, then our experts are at your service to take the necessary actions needed for the approval of your claim.

What makes DENmaar’s Medical Billing Software Special.

Improved Patient Payment System

DENmaar’s P2P program is HIPAA compliant and integrates PAYPAL with our RCM to create a conveniently seamless way for patients to make their payments. For providers, it automates the entire payment tracking system. Patients can now make payments without an account. They can pay at the office or through an email link in a matter of a few minutes.

Claim Issues Resolved

Claims which have been denied and rejected are immediately followed up on by DENmaar’s team. We leave no room for such claim issues to occur. That is why DENmaar has a very high first-time claim submission pass through. Payments come in a timely. This allows for cash flows to be maximized, thus making an organization witness its highest revenue generation period.

Staff Claim Tools

All of our apps and software modules, which include intake forms, therapy notes, scheduling, treatment plans, and soon to be released elemental therapy app, are all free to use. We take care of all your setup requirements. This enables companies to make a seamless transition to DENmaar’s system.

Choosing 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 medical billing in mind. With our software now launched for both Android and iOS devices, we hope to bring our billing application to all practices which seek a solution to their billing hassles.

A letter of Interest is practically a letter you send to an insurance company of your Interest in hopes of getting paneled with them. Now, a letter of Interest in many ways is similar to a cover letter with one significant difference.

A cover letter is what you send before applying for a job at a specific point of time, whereas a letter of interest can be submitted at any time. Now, a letter of Interest with respect to credentialing should be sent keeping specific requirements in mind.

You are making an appeal to be welcomed as an in-network provider with an insurance company. Hence, it is essential to know how to approach a letter of Interest to make a compelling appeal to an insurance company.

Tips for Writing a Letter of Interest.

When a letter of Interest is written compellingly, it can become a powerful tool to persuade a payer to offer access to their network.

1) Identifying Information

As a provider, you must provide information that matches the enrollment application. Information like Name, NPI number, Tax ID, CAQH Number, the specialty and services provided by your company are all vital information to disclose in the letter of Interest.

2) Special Attributes

Don’t forget to mention any unique attributes associated with your practice. Any defining features like whether your business is family-owned or corporation, whether it is a minority or women-owned small business. Small details like these can be instrumental in enhancing your appeal.

3) Unique Services

Highlighting a service, your practice offers that your competitor doesn’t is also a good addition to your letter of Interest.

4) Geographical Locations

Specify your practice’s geographical location. State whether you work in rural or urban areas.

5) Patient Demographics

It is essential to define the kind of patients your practice caters to on a regular basis. Bunch them to include patient groups by age, income group, gender, etc.

6) Referring Services

You can also mention the services you offer which are available for referral. Services such as durable medical requirements, home health, and hospice care.

7) Competitive Rates 

Mention your competitor’s rate in comparison to yours as well. Mention if the competitors provide a rate slightly less than the competition. This bit of information can make you more appealing than to the insurance company.

8) Information on Test Programs

Panels are always at a risk of being full. They won’t accept a new practitioner to their already crowded network unless you entice them with something like test or trial programs of your services.

The other information you need to mention in a letter of Interest are as follows:

• IRS Form W9
• Applicable Licensure
• Marketing material or brochure
• Top billing codes or desired rates.
• Sample claim forms
• Invoice on products.

While writing the letter of Interest, do some due diligence, and find out the name and address of key decision-makers. Address the letter to them. Once you the information you need to send them the letter along with the application and any other attachments.

Make sure to address why you, as a provider, are unique and different from others in the market.

Insurance credentialing for nurse practitioners is as vital as for other practitioners in the field. However, the dynamics of credentialing is quite different for nurse practitioners than others. Its challenges are different and can cause a lot of distress for the uninformed.

In this article, we will look at some of the challenges faced by nurse practitioners that are exclusive to their faction. It is essential to know the hurdles you face, so when the time comes, you can jump over them with ease.

Challenges with Insurance Credentialing For Nurse Practitioners

Restrictions with License

Nurse practitioners throughout America have to go through various forms of restrictions when it comes to licensure. It varies from state to state. Some states allow Full Practice license to nurse practitioners. This means that they are allowed to evaluate, diagnose, interpret diagnostic tests, initiate or manage treatments and prescribe medications in accordance with the exclusive licensure authority.

Read More: Importance of Nurse Practioner Credentialing for Nurses and Healthcare Organizations

In reduced practice states nurse practitioners require a regulated collaborative agreement with a physician. The collaborative agreement is mandatory if NP’s wish to offer patient care in these states. Without the above formalities, there is no chance for a nurse practitioner to ever get credentialed to undertake practice. It is highly recommended for nurse practitioners in these states to have the necessary collaborative agreements in place when the need arises.

And finally, we have “Restricted.” This kind of practice states requires thorough supervision, delegation, or team management by an outside health discipline for nurse practitioners to practice health care.

Admitting Privileges

Many insurance plans require practitioners to have to admit privileges at an in-network facility. If a practitioner does not have the required admitting privileges then he/she need to prove an “admitting relationship” with another provider.

The requirement can be frustrating for many practitioners who work in a setting that does not have situations that require admissions requirement. As we mentioned, the “admitting relationship” should be in the form of a letter, on the letterhead of the concerned physician who states that the physician in question will handle all inpatient admissions for the patients when necessary.

There is no way you can skip this requirement. Nurse practitioners must keep this requirement ready when undertaking the credentialing process.

Credentialing File

It is highly recommended for nurse practitioners to keeps their files ready. All the credentialing documents and copies that will be required need to filed and available. Documents will always be needed for assessment, whether it is for credentialing or re-credentialing.

Here is a list of documents that you need for credentialing

• State License
• Current CV
• Professional liability insurance
• Current Drivers license
• Collaborative Agreement
• DEA/CSR
• Board Certificate
• Admitting Arrangement Letter
• Prescribing Arrangement letter
• Copy of diploma from the highest level of education.

Get Ahead of the Curve

Credentialing is not a piece of cake and can go on for a better period of a year. If you are starting a new practice or hiring nurse practitioners for your practice, then be ready with all the necessary documents and copies needed. Prepare a credentialing packet for your nurse’s so that they can arrange for the required documents without any confusion.