Behavioral Healthcare Technology
DENmaar Guardian EHR/RCM Revolution

Mental health services billing is more complex than in other areas of health care due to the type of services, timing, scope, and limitations of mental health treatment.

For instance, if a patient goes to the doctor for a routine checkup, he will almost certainly have a standard series of tests and exams. It usually involves measuring the patient’s height and weight, taking their blood pressure, and listening to their heart. These tests are, for the most part, standardized for all patients, take the same amount of time, and have slight patient-to-patient variation.

Similarly, when providers bill health insurance companies for regular checkups, the billing is uniform, recurring, and often bundled into a single fee. However, the same cannot be applied to mental health treatments.

That’s why a mental health care provider must have a streamlined mental health billing process that permits you to concentrate on what’s essential – caring for patients with the best treatment. Here are some mental health billing challenges in the treatment process and well-proven tips for handling them.

Challenge 1: Denied or delayed claims

Sometimes it can be challenging to collect payments for services rendered. The more insurance companies delay making necessary payments, the harder it will be to collect the money you need. Fortunately, instead of facing the challenges of accepting claims regularly, there are several steps you can take to ensure you continue to receive the claims you deserve in a consistent and continuous stream.

Solution: Identify procrastination and how to avoid it

Learn about potential claims delays, including the most common delays with insurance companies. Insurance companies will mostly not accept a claim exceeding the maximum amount allowed on the policy. If you expect this will be a challenge, you should review how the insurance company is billed to ensure you don’t exceed the limit. Coding problems, which can be easily avoided by working closely with a billing professional specializing in mental health, can help facilitate approval and ensure you receive your payments on time.

At last, consider accepting cash payments from patients who may or may not work with certain insurance providers, which can help facilitate payments and keep your clinic running smoothly.

Challenge #2: Patient Insurance Changes and Pre-Approvals

Patients are seeking mental health care regularly schedule appointments and services. Some people may have the same insurance for years, making providing mental health billing for services relatively easy. Any change in insurance may result in your claim being denied, leaving you with uncollected payments. Similarly, the necessary care will not be provided if an insurance company offers treatment to a patient without prior authorization. It may eventually leave the patient unable to afford these services, resulting in lost appointments and revenue opportunities.

Solution: Check insurance coverage and requirements

When a new patient makes their first visit, check with their insurance company to ensure they don’t need special approval steps. Continue to check your patients’ insurance and coverage at each visit, and remind regular patients to notify you immediately if their insurance changes.

Our state-of-the-art EHR platform can help you quickly and easily determine whether a patient has the necessary coverage to complete an appointment. If your patient does not have the insurance coverage required for the appointment or cannot check insurance, you may need to reschedule.

Suppose you were previously an in-network provider but moved out of the network or to a different network tier for a particular provider. In that case, you may need to notify your patients. Make sure this happens before their appointment to give them enough time to sort through any potential insurance or payment changes.

Challenge #3: Insurance Company Presentation Preferences

Nowadays, most insurance companies utilize a digital billing model. But, this does not mean that every company prefers the same registration method. Your employees may be forced to keep changing preferences — and if you file incorrectly, you may struggle to collect payment from that insurance company.

Solution: Collaborate with a professional medical billing specialist

A dedicated mental health billing specialist can help you stay abreast of the ongoing changes in the insurance industry, including the changes many companies are making. Your mental health billing specialist will grow and change your practice with varying needs, ensuring insurance claims are submitted correctly so you can collect payments more efficiently.

Outsourcing mental health medical billing to a third party

As you can see, a lot of work is involved in adequately filing claims for mental health providers. Thus, it’s not surprising that many providers prefer to use a third-party mental health billing company to handle claims so they can focus on patient care and treatment.

Denmaar works 24/7 with mental health providers to provide pre-authorization, billing, and mental health medical coding, follow up on claims and assist with appeals of insurance claims. Check out our mental health billing and coding services, and contact us immediately if you think this is the best option for your facility.

We, Denmaar, have demonstrated our expertise in various fields by implementing uniform quality and timely strategies to improve multiple practices. They have the best experts who closely monitor the accounts and ensure that all medical bills and coding confusions are addressed with practical solutions. Call us now!

Medical billing is a complex process in which medical billing for mental health services is more complicated than ever and comes with unique challenges. Many services are covered under mental health, such as pre-authorization, anxiety dissipation, size and availability of office staff, and mental and behavioral health bills that cater to more disadvantages.

Mental health bills

One of the best factors is paying more attention to patients to understand the mental and behavioral health billing process. In addition, refusal management is a good reason to increase the importance of medical billing for medical professionals. In this blog, we will look at how and why mental health bills are complex and difficult to handle and what can be done to reduce billing claims rejection.

Why are mental health bills so difficult?

Consider other areas of medical billing. You may see some standard procedures followed due to specific treatment and recovery periods, but this may not be the case with mental and behavioral health. Factors such as time, service variables, scope, and mental health treatment limitations make them more complex and ambiguous.

As counseling and billing vary from patient to patient, providers may have difficulty billing and making claims as the causes may increase in patients.

Best practices for mental health care billing:

While the billing process for mental health services is difficult to handle, providers follow these tips to simplify their approach and system.

# 1: Double-check insurance and coverage for the patients

Since the patients have their insurance cards, providers can quickly check the benefits of their policy and whether the services they use are included in the policy. It also lets the providers know how much the insurance company pays the patient for the service.

# 2: Understanding CPT Code:

If the CPT (Current Procedural Terminology) codes are not specified properly, there is no point in doing the whole process properly. These signs show how much you will have to pay for certain healthcare services delivered to patients. Unlike other medical billing procedures, you will not easily find CPT codes for mental health and billing. Standard CPT codes are not used for cognitive and behavioral health bills; Instead, they should contain specific E / M codes and the corresponding CPT codes.ce coverage considering the status of waived cases; Reclassification of neglected cases; Offer details.

Your payment mental health billing claim form looks in three ways: history, examination, and medical decision-making.

History contains details of current illness, past family and social history, and repetition of rules. The examination section covers the type of tests to be performed, the nature of the problem, and the patient’s history. Finally, the column for medical decision-making includes the number of diagnoses or treatments made by the patient, the complexity of the data, and the risk of complications.

CPT codes play an important role in rejecting mental health bill claims; Therefore, practitioners/hospitals should remember that updating their system quickly with CPT codes can help overcome complaints related to mental health bills.

# 3: Learn how to submit claims properly

Just as the symbols in the claim form are important, it also makes sense to understand how to fill out each column on the claim form. You need to go through the full procedure at the beginning, and before filling out, if in doubt, clarify this with the expert involved in submitting the claim and then proceed to fill out and submit the form.

Conclusion

Outsourcing your medical billing and coding process is a wise choice to make your mental health billing process easier and reimburse you without denying any claims. Contact the best medical billing and coding outsourcing company, “Denmaar,” which offers high quality, support, and maximum refunds in medical billing and coding.he benefits and skills of mental well-being before seeing a patient. The attachment will emphasize the limits of normal division; deductible, visits per year allowed, any membership requirements, and Case Street numbers.

About Denmaar’s medical billing service:

We are a medical billing company that provides medical billing services and supports doctors, hospitals, medical institutions, and group practices through our comprehensive medical billing solutions. We help you earn more through our fast and affordable services. In addition, our customized Revenue Cycle Management (RCM) solutions allow physicians to increase additional revenue and reduce administrative burdens or losses.

Our billing solutions experts can help you if you seek assistance for your rising mental health fees. Join affiliated psychiatrists, counselors, and social specialists to offer a system for influencing your mental health needs. As much as they are skilled, they are passionate about prosperity and providing their clients with special treatments and caring associations. 

Custom behavioral Billing Service Measures

Since trained professionals charge your accredited operational success on the subject, they work with professionals, specialists, educators, and social workers to deliver predictable matches to handle your readiness — in all moderate psychology billing services.

They will help manage patient onboarding, board costs, and every part of your shipping charges. In addition, it will certify patient benefits, submit charging and give clarifications, and work with safe workplaces depending on the situation.

Processing of cases

Entering the patient’s financial problems and confirmation data; Checking the availability of records; Submitting claims electronically whenever permitted are processed.

Posting segments

Introduction of sections for changes and publication of patient payment is performed.

Cash report

Access 30 reports on the financial strength of your rankings. Forms include confirmation creation, patient creation, monthly and reliable frameworks, and reimbursement assessments for various payments.

Follow up and restart

Taking out insurance coverage considering the status of waived cases; Reclassification of neglected cases; Offer details.

Online access to information

With our online framework, suppliers can check things with neglected cases, find coordination, and run cash reports throughout the day. Useful when there is no opportunity to email or call the office for requests.

Insist on benefits

They call safety workplaces to show the benefits and skills of mental well-being before seeing a patient. The attachment will emphasize the limits of normal division; deductible, visits per year allowed, any membership requirements, and Case Street numbers.

Practice management measures

Mental health billing services include:

Confirmation of Benefits:

Confirms that sharing, discounts, and unconditional visits are allowed every year.

Record Management:

Mail outpatient data and respond to patient registration requests.

Case Management:

Call insurance associations to consider the status of rejected cases, resubmission of claims, and rejection.