Professional Behavioral & Mental Health Billing Services in USA
Mental health care is one of the most sought-after medical services in US. Mental health professionals have to keep up with increasing demand for services, keep pace with innovative treatments, and stay current with laws and regulations. They also have to keep liaison with insurances, provide excellent patient care, billing, collection, and much more. As doctors concentrate on providing care for their patients, a smooth flow of income is necessary to support their work. Mental health billers have great responsibility of getting all claims paid, help the practice to stay compliant.
Physicians have to be aware of documentation requirements, service frequency limits, and insurance plan requirements and limitations. Patient processing staff needs to know what information to collect from patients, understand insurance plans, and patient account details. Biller will complete the patient processing loop by checking all patient information for accuracy, auditing exam documentation, and submitting and processing claims for payments.
Mental health physicians are losing thousands of dollars each year due to incorrect patient processing, documentation errors, and billing mistakes. FCbilling has been able to help Psychiatrists, Nurse Practitioners, Physician Assistants, Licensed Clinical Social Worker, Licensed Professional Counselor, Mental Health Therapist, Licensed Practitioner, TMS Therapist, and Sparavato/Esketamine Therapists stay compliant and maintain profitable practices. We get claims paid accurately and quickly. We have been able to increase profit for physicians in many states in USA.
Our Mental Health Providers:
We perform account management services for mental and behavioral health providers. Following are specialties that we currently work with:
- Psychiatrists
- Psychologists
- Nurse Practitioners
- Physician Assistant (PA)
- Licensed Clinical Social Worker (L.C.S.W.)
- Licensed Professional Counselor (LPC)
- Licensed Practitioners (LP)
- Therapists
- TMS Therapy
- SPRAVATO/ Esketamine
By partnering with FCbilling, physicians can take their billing from difficult to accomplished. Increase profit with guarantee of payment on all insurance claims.
We will work with your practice for success. Your practice will benefit from our expertise with:
- Coverage Verification
- Prior Authorization
- Proper Documentation
- Coding Accuracy
- Billing Follow-Up
Why FCbilling is the Best Mental Health Billing Services in USA
Mental health doctors trust FCbilling for account management and revenue growth. We closely review exams for correct coding and submit clean claims for faster payments. We do detailed work even before patient is seen. We verify coverage, insurance requirements, co-pays, co-insurance, and deductible before the visit. We acquire prior authorization, collect all information from patient and practice, and document all communication with insurance. We have an experienced team to escalate claims for faster payment. We are able to get claims paid for special and prolonged services. We ensure that claim is submitted for all services and both insurance and patient are billed accordingly.
Challenges with Behavioral & Mental Health Billing
Psychiatry and Mental Health therapy billing and coding require an in-depth understanding of insurance plans, benefits, and requirements. Billing needs to be error free in order to get claims paid with initial submission. Coding is based on time and service and must be carefully noted in the exam and cross-checked with claim. Billing codes documented on claims will depend on duration of visit and type of treatment.
Mental Health plans are set up much differently from medical coverage plans. A medical plan might might not have any restrictions, such as need for authorization or referral, whereas mental health plan for the same insurance might require pre-authorization, referral, or have restrictions on the number of allowed visits. No two plans are the same. Biller should make a chart with insurance names and requirements in order to avoid claim rejections. Insurance requirement information should be shared with provider as well as office staff. A well-informed practice is like a well-nourished body, they both thrive on healthy habits.
Insurance Aging needs to be reviewed at a fixed interval for two purposes. First, to make sure correct (or corrected) information has been sent, related notes are in patient’s file and a corrected claim (if needed) has been submitted. Second, regular review of insurance non-pays will give the billing team the opportunity to find rejection patterns and avoid the same mistakes in future and bring in payments for claims faster. Our goal is to get all claims paid under 60 days.
FCbilling has Proven Skills in Helping to Increase Revenue
We work with Psychiatrists, Therapists, and all other mental health providers. We have successfully increased earnings for all medical practices we work with. We take away the challenges of patient processing, coverage verification, billing and collecting payments, and communication with patients. By partnering with us, physicians can eliminate their worry of practice management. Our mental health billing services adds value to healthcare practice by increasing profit and decreasing overhead. Our expertise, experience, and commitment to provider satisfaction are unmatched. Our team has in-depth knowledge of the medical industry as they continue to participate in research, training, and education in billing and coding. If you are searching for the best behavioral health billing service, get in touch with us.
Types of Covered Mental Health Billing Services
We work with all subspecialties of mental healthcare, Psychiatrists, Clinical Psychologists, Counselors, Psychiatric social workers, Psychiatric nurses, and Psychiatric physician assistants.
Our providers work with adults, adolescents, and children, providing care through medication management, psychotherapy, TMS, SPRAVATO, and other innovative care.
Medication Management
Providers assess patients’ need, then create a care plan which may include medication for depression, anxiety, and other mental health conditions.
Family Psychotherapy
For patient with specific mental health issue, family members or caregivers can receive therapy sessions to learn about the condition and ways to care for them. This service can be performed with or without the presence of the patient and billing and coding is done accordingly.
Group Psychotherapy
Group session treatment is also a therapy option. If diagnosis is covered under patients’ insurance plans, claims are submitted to and paid by insurance.
Therapeutic Psychological Services
Individual therapy for conditions such as behavioral or mental disorders can be treated by different methods.
Psychiatric diagnostic review
Provider assess patient’s mental health status and their ability to respond to treatment, then construct a treatment plan.
TMS Therapy
This is a non-invasive, non-drug therapy for treatment of depression. This therapy has been successful in helping many patients with severe depression.
SPRAVATO Treatment
Many Psychiatrists are using this depression treatment to treat patients who have not responded to other treatment methods.
Best practice for Mental & Behavioral Health Billing
Pre-visit preparation is the key to successful billing. Verify patient’s mental health coverage, benefit, and limitation. Mental health plans might have separate claim mailing addresses and payer IDs for submitting electronic claims. Insurances have specialty specific coverage, so doctor’s office needs to ask treatment specific questions. All information received from insurances for pre-authorization and benefits coverage needs to be noted in the patient’s file. When it comes to health coverage details, more information is always better. Scrub all claims in order to get payments faster and identify claim and payment issues as soon as possible to avoid loss of payment.
- Coverage information needs to be verified
- In-depth knowledge of billing and coding
- Claim Follow Up for payment
- Knowledge of local coverage determination
FAQ
Mental health billing is unique because insurance coverage may differ from other healthcare services. There might be more restriction on number of visits, medication, and treatment.
Most insurance make payment within 2 to 4 weeks.
If patient is covered by insurance for care, doctors can bill patient only the amount allowed and specified on the explanation of benefit (EOB).
Check-in staff has to be pro-active in asking patients for any coverage change. Also, any claim denials need to be followed up as soon as possible, best practice is within 24 hours. Read all the remark codes carefully and contact patients if needed.
Not necessarily. Each insurance plan is different. Detailed verification of coverage and requirement needs to be completed.