Mental Health Medical Billing Services
As a mental health professional, you need a billing service that understands the unique challenges of behavioral health billing. At Claims4Medical, we provide a complete billing solution for psychiatric care, substance abuse treatment, therapy, and other mental health services.
We manage insurance claims, revenue cycle management (RCM), and accounts receivable (A/R) to ensure you get paid on time. Our team manages claims processing, claim denials, and works to maximize your reimbursements so your practice runs smoothly. Claims4Medical takes care of the complete billing process from verifying patient eligibility and coding to submitting claims and following up on payments.
Expert Management of Billing Challenges
Mental health billing is complicated. Constant updates to coding and insurance policies can make it hard to keep up. We specialize in making this process easy for you, so you can stop worrying about billing and give maximum time to your patients.
Simplified Coding
Mental health services often require detailed and specific coding. For example, different CPT codes may apply depending on whether an evaluation is performed by a medical or non-medical professional. Confusion may be increased by add-on codes, which must be used in combination with the primary codes. Claims are frequently rejected due to code errors. We simplify this procedure. Our professionals guarantee that your claims are timely and correctly coded. In this manner, you can prevent revenue loss due to little mistakes.
Referral Management Made Easy
Many insurance plans require patients to have a referral before seeing a psychiatrist. Forgetting to confirm this can lead to coverage issues. We manage referral verification and ensure all requirements are met before appointments are scheduled. Additionally, we help providers maintain their credentials with multiple insurance companies, giving your patients more coverage options.
Handling Complex Insurance Rules
There are wide variations in insurance coverage for mental health services. Although mental health is listed as an essential care under the Affordable Care Act (ACA), the specifics vary by state and plan. It's simple to become weighed down in the specifics when patients frequently have several coverage plans. We are professionals, when it comes to managing these details. By guaranteeing the claims are filed accurately the first time, our staff will maximize the reimbursement and cut down on delays.
Transparent Reporting and Insights
Use our detailed reporting to stay up to date on the financial health of your practice. We offer clear reports on the status of claims, trends in denials, and overall revenue performance. You can grow your practice and maintain a steady income by using these reports as a tool to help you make well-informed decisions.
Support for Patient Billing Queries
Billing questions from patients can be time-consuming and stressful. Our team manages patient inquiries regarding their statements, insurance coverage, and payment plans. We ensure that your patients understand their responsibilities, reducing confusion and improving their overall experience with your practice.
A Perfect Partner for Your Billing Needs
Dedicated Account Manager
A dedicated account manager who has expertise in your company will be assigned to you. They monitor daily operations to maintain quality standards, evaluate your account performance on a regular basis, and resolve possible problems before they get worse.
Advanced Denial Management
Our expert team identifies rejection patterns and apply preventive measures to reduce future denials.We track claims through their lifecycle using advanced technology, quickly detecting and fixing mistakes. Quick reactions to payer requirements and policy changes are made possible by real-time monitoring.
Advanced Denial Management
Outsourcing your billing eliminates expenses related to hiring, training staff, maintaining office space, and purchasing software. While improving revenue management, these savings can be put back into patient care.
Managing Complex Verifications
All insurance verifications, including benefits checks and prior authorizations, are managed by our experienced staff. We successfully manage complex coverage scenarios and multi-payer scenarios. Complete documentation improves reimbursement potential and guarantees compliance.
Smooth Transition
To guarantee the least amount of disturbance, the switch to outsourced billing is managed carefully. Proper planning and training keep operations running smoothly during the transition. Constant communication between our team and your staff guarantees that patients receive correct and timely bills.
Claims4Medical and Your Mental Health Billing Needs
Substance Abuse Billing
Claims4Medical specializes in billing for the prevention, diagnosis, and treatment of substance use disorders. We’re experienced in managing codes like H0001, H0020, and H0050 to provide timely reimbursements for your services.
Mental Health Billing
Our services cover billing for treating mental health disorders such as depression, anxiety, bipolar disorder, and schizophrenia. We’re skilled at managing common codes like 90785, 90870, and 90875, so your practice gets the reimbursements it deserves.
Behavioral Specialist Billing
We execute billing for behavioral specialists providing applied behavior analysis, functional behavior assessments, and behavior intervention plans. Using codes like 0362T, 0373T, and 97172, we provide a smooth process from claim submission to payment.
Psychiatry & Psychology Billing
We manage billing for services such as medication management, psychotherapy, psychological testing, and psychiatric evaluations. For psychologists and psychiatrists, our experience guarantees correct claims processing, saving you from unnecessary delays or denials.
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Frequently Asked Questions
What Insurance Plans Do You Work With?
We handle all major insurance providers including Medicare, Medicaid, BCBS, Aetna, Cigna, and UnitedHealthcare.
How Long Does It Take to Get Paid?
Typically 14-30 days for clean claims, depending on the insurance payer.
What Is Your Claim Denial Rate?
Our average denial rate is under 5%, well below the industry standard of 15-20%.
What's Your Fee Structure?
We charge a percentage of collected revenue, typically 5-8% based on monthly claims volume.
What Reports Will We Receive?
Monthly reports covering collections, denials, aging claims, and revenue trends.
