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
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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.
![Monet Counseling Service](https://denmaar.com/wp-content/uploads/2024/02/client-placeholder.png)
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)
![Brighid Gannon, Psychiatric NP](https://denmaar.com/wp-content/uploads/2024/02/client-placeholder.png)
![Sheridan Jackson, LCSW](https://denmaar.com/wp-content/uploads/2024/02/client-placeholder.png)
![Stacy Kim Johnston, PhD](https://denmaar.com/wp-content/uploads/2024/02/client-placeholder.png)
![Nathan Croy, LCMFT](https://denmaar.com/wp-content/uploads/2024/02/client-placeholder.png)
![Michael A. Belus, PsyD](https://denmaar.com/wp-content/uploads/2024/02/client-placeholder.png)
![Stacy Kim Johnston, PhD](https://denmaar.com/wp-content/uploads/2024/02/client-placeholder.png)
“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)
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.
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Our Latest Blogs
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Top 10 advantages of outsourcing your behavioral health billing
Why Outsourcing Your Behavioral Health Billing Is Beneficial
Healthcare is complicated, especially with many regulations that constantly add additional layers. Healthcare providers spend more time and resources organizing patient care and can use this time better. Using a qualified, outsourced behavioral security billing company can serve you well while reducing your workload, experiencing less disruption, and increasing your profitability.
10 Benefits of Outsourcing Your Behavioral Health Bills
1. Reduce staff costs.
When you outsource behavioral/mental health billing, you are not responsible for employee health care, acquisition costs, PTO (Paid Time Off), and other employee costs. The resources required to manage the behavioral health insurance process are high. Another point of using this behavioral billing solution is the cost-sharing model. It allows billing costs based on your size and revenue. It is advantageous if you have a low-income month; no fixed price will be associated with your billing.
2. Improve the revenue cycle.
As behavioral health providers’ legal and administrative terms grow and the claims process becomes more complex, working with a skilled and trained behavioral health billing company can provide significant relief. RCM, or Behavioral Health Revenue Cycle Management, is a specific application explicitly designed for practices that treat patients with behavioral issues. It helps with payment methods and claims processing more than a generic billing app. It will significantly improve revenue cycle management.
3. Keep patient data secure.
Internet security is one of the main concerns preventing doctors from outsourcing medical billing. Protecting patient and practice data is critical. All professional medical billing companies are responsible for safeguarding all patient information (HIPAA compliance).
4. Reduce employee errors.
Even the most minor fatal mistake can cause an insurance company to deny a medical billing claim; someone on your staff will correct the error, resubmit the application and wait for the revised application to be accepted and processed. Working with a specialized provider reduces employee errors, as they have more experience working with invoicing and have gone through a much greater training process than your in-house team.
5. More consistency.
Due to unplanned staff changes or staff absences, internal billing is at high risk of disrupting your practice revenue. Our outsourced medical billing services provide an entire team of experienced people to ensure your claims are prepared efficiently, reducing the likelihood of disruption to your practice cash flow.
6. Better handling of claims.
Prompt and accurate payment of each insurance claim is essential to optimizing the medical office’s cash flow. Time is precious, and healthcare workers typically do not have the luxury of reviewing and following up on every claim. Let’s face it, healthcare professionals and their support staff are often pulled in different directions. But you must submit these claims as quickly and accurately as possible the first time. Otherwise, unpaid claims can quickly deprive the office of resources you can apply elsewhere. Forcing you to make numerous phone calls to insurance providers only wastes more time and increases frustration. Healthcare providers should consider outsourcing this function to reduce the administrative burden on support staff. Good medical billing companies are quick, consistent, and accurate in filing and processing insurance claims.
7. Transparency.
Others think outsourcing billing means relinquishing control and power to your practice, but that’s only partially true. When you outsource billing, you get more control and transparency. You may review the data collected or monitor the processing at any time at your discretion. It gives you an up-to-date assessment of how and when to handle your clinic bills.
8. Increase profits.
Due to inefficient, inadequate, or incorrect claims, medical providers lose revenue. However, this is not the case if you outsource billing to a pool of eligible behavioral health billers.
These outpatient behavioral health billing professionals are simply experts and far more skilled than your in-house staff. They are adept at handling appeals and reversing denials. They have the insight and experience to identify specific areas of weakness, reduce recurring claims errors and ensure more claims are completed (paid) on the first attempt.
9. Knowledgeable.
Behavioral health external billing solutions come with a wealth of knowledge. They understand the various intricacies of invoicing insurance and know to check trends and spot industry shifts. Longevity is not unusual in this niche area; However, it is necessary. The results from longevity and experience are priceless. Understanding historical trends for each insurance company, the amount paid, accurate printing of documents, etc., can significantly impact your BHO’s ability to collect insurance.
10. Fast action.
Automating routine administrative tasks makes your work more productive and valuable. Automating the same-day claims submission process will increase cash flow. A certified paper claim can take at least two months to travel through all channels before you receive payment. Submitting a clean claim, properly coded for maximum benefit and supported with electronic health records, can result in full reimbursement in a shorter period.
Conclusion
There are many great reasons to outsource your behavioral health bills to a professional group. It makes sense to outsource revenue cycle management services to a third party, which puts less strain on your internal resources. DENmaar provides behavioral/mental health billing services to many behavioral health treatment centers and has many years of experience.
We, DENmaar, can provide these services quickly and affordably, with all kinds of benefits that will accrue to your practice. It has a skilled team of billing and certification professionals dedicated to your medical practice with the expertise in medical billing, accreditation, EMR, and EHR you need. Call us now!
![featured_image](https://denmaar.com/wp-content/uploads/2022/10/Medical-Insurance-Credentialing.png)
Medical Insurance Credentialing: Everything you need to know to avoid losing money and clients
Accurate and timely acceptance of medical insurance is essential for obtaining payment from insurance companies. It’s complicated, time-consuming, and can cost thousands of dollars if you get it wrong. That’s why it’s important to partner with a medical billing company that has experience and a proven track record of success.
What is Medical Insurance Credentialing?
Insurance companies check that medical providers are legitimate and eligible to be compensated for services rendered. When a particular payer credentials a service provider, they can bill the payer directly and receive compensation.
What types of medical professionals require credentialing?
Every practice you want to bill an insurance company for must be approved. These include hospitals, clinics, doctors, dentists, physical therapists, behavioral health therapists, optometrists, etc. The term “In-network” (inside the network) means that the provider is currently credentialed by a particular insurance company and is eligible to file claims for reimbursement.
How difficult is it to get credentialed?
It is very complex and time-consuming. It usually takes 20 hours or more to apply to a single-payer. Every country has different needs. Specialists may also require unique documents. These variables make it effortless to miss a step, add the wrong document copy, or make a mistake.
Why are credential errors so common?
Even the slightest mistake in the credentialing process results in claims being denied, which means significant delays in the provider’s revenue stream. Timing is important.
What are the requirements for the credentialing
Providers have 30 to 90 days to submit the claim after the day of service, depending on the state and purpose. Then, the payer has 90 to 120 days to file that claim. If the claim is rejected and resubmitted, the waiting period starts again. But denying a claim does not reset the 90-day clock for payment. Providers may experience timely application problems if they see patients not credentialed adequately by payers.
Are there other ways providers lose money due to credentialing errors?
Large payers may make up a more significant percentage of a practice’s revenue. If most of your claims are delayed for three months, you may not have enough income to keep the doors open. You may need to stop seeing customers until the problem is resolved. On the other hand, they could not recover the lost revenue due to the expiry of the application period.
How most credentialing systems do manage?
Medical practices typically hire one person to handle the credentialing process, which involves gathering about 20 different documents, ensuring the data is accurate and submitting them one by one to other payers. This person will ideally be responsible for re-credentialing in subsequent years. But if that person leaves, gets reassigned, or even gets busy and forgets the approval order, organizational knowledge is lost, and the deadline is missed.
So many practices choose to use credentialing software or outsource the tasks to a billing company that provides this service. Outsourcing to a credentialing service such as DENmaar is an easy way to manage the process.
Why an outsourcing dependency task is better than doing the in-house with dedicated software?
Credential programs are expensive, making them out of reach for most small practices. Although users are limited to most of the tracking features, users complain that the software is challenging to locate. For example, you may fail to set it correctly and miss the re-credentialing window.
How have credentials changed since COVID-19?
The pandemic has changed the healthcare landscape, especially in behavioral health. Many new patients sought treatment and demanded that providers accept insurance. Previously, small clinics could only get away with cash services. Suddenly, they had to get credentials to fill a genuine medical need and didn’t know how to do it.
Another significant change in credential requirements was telehealth. Before the pandemic, there were not many methods of providing telehealth services, and therefore no billing processes. Then almost overnight, telehealth became ubiquitous, and its payers imposed new requirements.
In addition, telehealth allowed behavioral health providers to see more patients daily, and it took more time for a provider to do their billing or manage credentials.
How can clinics lose patients because of credentialing
Let’s say your staff forgot to re-credential, and all your claims are denied. Rehabilitation takes 3 to 4 months. During that time, you have two terrible options. You can look after patients for free until you are credentialed. It causes a massive loss of income. Or you can close your clinic or hospital for a while. You cannot blame them for going elsewhere for treatment.
Where to get the best insurance credentialing services?
Looking for insurance credentialing services? You’ve come to the right place! Here at DENmaar, we provide the best insurance credentialing services in the business – and at prices that are more than reasonable. Give us a call today!
![featured_image](https://denmaar.com/wp-content/uploads/2022/09/Medical-Insurance-Credentialing-1.png)
Billing to Medical Insurance: In-Network Vs. Out of network
Many health care providers are not recognizing that they can increase profits and save patients’ costs by paying medical insurance bills.
One of the most common questions many medical/dental billing specialists in a medical practice hear is: “Do we need to be in-network for medical insurance billing?” When dealing with this question, there are many things to consider, but the answer largely depends on the following question: What type of medical insurance policies do you want to pay for?
Types of Insurance
There are many types of insurance. Health maintenance organizations (HMOs), exclusive provider organizations (EPOs), and preferred provider organizations (PPOs) are the most common.
HMOs and EPOs are similar in that these plans require you to be in network (IN) to be billed, as they do not allow the patient to see any provider out of their network (OON).
Sometimes they allow the patient to see an OON provider if they are in an emergency. An example is a patient with severe pain from an abscessed (infected) tooth or some trauma. The HMO/EPO may initially deny service to an out-of-network provider; however, they may pay if you appeal the claim.
If they agree to pay, these schemes will do your work to get paid. OON methods can avoid billing for these types of preventative plans.
Most residents have PPO-type medical plans. PPO plans offer in-network and out-of-network benefits to their insured patients. There is a difference in how benefits are paid to an OON provider versus an IN provider. For example, if 80% is delivered to an IN provider for a procedure, it is usually paid 60% or less to an OON provider.
Discounts are another significant factor. It is essential to know that not all actions apply to the opponent. An example of this is ratings.
Tell your patients that their drug payments will begin after the deductible is met. You’d be surprised how many processes don’t apply to deductions. One of the significant variables will be plan quality. There are good and not-so-good dental policies, but the same goes for medicine. You do get what you pay for.
This benefit reduction is not reflected in most practices as allowances (the amount allowed for a procedure/service) are much higher than for dentistry (which is included in the contract fee schedule). Most procedures cost double what dental policies pay for.
Credentialing with medical insurance
Getting approved for access to IN medical insurance is similar to getting approved with dental plans. It is vital to ensure that the medical carrier understands that you intend to engage in IN medical services, not dentistry and that you provide many services that do not include dental treatment and are more medical. However, you may find that many medical plans only allow oral surgeons to go IN.
Numerous dental practices are ignorant that in some states if you are IN with dental, you’re automatically IN with medical. In this case, you could easily bill medical and be refunded more than double for your services. It helps provide dental benefits to patients for dental procedures. You can bill both medicine and dentistry; They are separate policies that your patients pay for and have benefits.
Medical bills are here to stay. There are many services you offer that may be billed for medical services, such as evaluations, surgery, sleep, or TMJ treatment. Whether in IN or OON, being strategic in your approach will grow your practice group and lower your patients’ out-of-pocket costs.
Who provides the best medical insurance credentialing Services?
Since 2008, we, Denmaar provide mental health care and practices with valuable services and tools that enable increased revenue, reduced management time, and an improved patient engagement experience. Using an in-house IT system explicitly designed for the mental healthcare specialty, unparalleled efficiency allows us to deliver our services at lower than typical medical care rates.
Our Partners
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Please contact us with any questions
Let’s Talk: 844-727-3627
Get Started
- 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