Certainly! We already bill for psychiatrists in several states. We can do your billing unless there’s a state law that requires your billing be done in-state. Note: Regretfully, we can’t offer our services in Arizona, Oregon, or Washington State because state requirements say billing services must also be licensed collection agencies.
Yes. Mental health billing is very different from other medical billing. Many times, the mental health payer isn’t the same as the medical payer. Third parties may handle the authorizations for mental health treatment. Even in this age of ‘parity’, co-payments listed on your patients’ insurance cards may not apply to mental health. When we talk with colleagues at conferences, others in medical billing tell us they don’t handle mental health because practices are ‘too small’ or ‘it’s too much work’ or ‘there’s not enough money involved’. Specializing in mental health billing is our expertise and passion. You don’t want to be squeezed into the mold of a larger medical/surgical practice. You want and deserve a billing service that understands your needs. That’s us!
Always. Patient statements are a central part of our services, included as part of your total cost for our billing services. When needed, we also can send statements to your patients’ attorneys, churches, or any third party payer.
Of course! You can’t expect to get paid if we don’t. Some billing services don’t keep track of authorizations, but for mental health, that’s just not acceptable. Every time we submit claims, we send you an Authorization Report with dates through the last day you billed. This report lists patient name, insurance company name, number of authorized visits, number of visits used, start and end dates, and a comments field containing at least number of visits per year. You can keep your authorizations current with this report.
You get us the patient information in a timely manner, and we can do this. Complete benefit verification is an absolute MUST which we provide for you. No need for you to wait a month or more for the first claim to be paid before you know how much to charge your patient. Over the years, we’ve found by then your patient may be gone, making it a lot harder to collect co-pay/coinsurance/deductibles than if you collected them in the beginning. Sometimes, if your patient is still seeing you by then, they may have built up a large enough balance that it becomes a therapeutic issue or a barrier to treatment. Getting you as much information about insurance as possible so you can collect as much as possible at the time of service is our goal. After all, good practice management is about increase revenue and decreasing cost as much as possible.
You keep complete, total control of your money. We don’t get the checks, you do. All moneys are payable to you and come to your address, just like they do now. Other billing services require your money go to a lockbox or an account to which they have access. The idea is they’re doing this for your convenience, so you don’t have to fax or scan EOBs. Maybe that’s a benefit; really there’s a mistrust on their parts that you won’t tell them about all your collections. Our belief is we are your practice management PARTNERS. If we don’t have trust, why bother? Not reporting doesn’t serve a purpose.First, you cheat yourself of the full benefit of our services by under-reporting. Second,patients or insurance companies usually let us know there has been a payment. From our experience, our customers are so happy with our services, they don’t even think about under-reporting.
We’ll do that! After all, that’s part of why you hire us. A ‘Claims Aging Report’ is generated weekly for us to see all your outstanding claims so we can follow up on them. Also, on a daily basis, we check our clearinghouse to see about rejections. In case we have to resubmit, being ‘Timely’ isn’t an issue. With electronic filing the clearinghouse can provide proof of ‘Timely’ submissions. Because of this, insurance companies don’t tend to ‘lose’ claims submitted electronically. For paper claims or EAPs, we follow up in plenty of time to resubmit, if necessary.
Completely! We don’t use an ‘assembly line’ approach to billing, as some other billing services do. In a large billing service, there may be one person who verifies benefits, another one who enters charges and submits claims, yet another who posts payments, and still another who sends out patient statements. That’s not us. We’re small enough to give you personalized attention.
Absolutely. We partner with Authorize.net for this service. Patients have a choice of either calling our office with their credit card numbers or going to a secure online site to pay. You don’t have to buy or rent any equipment … and you don’t have to lose money because your patients don’t carry a checkbook! Note: This service is at an additional charge.
Yes. Our clearinghouse is Gateway. Keep in mind some mental health insurance carriers (mostly EAPs) don’t accept claims submitted electronically. For the most part, our claims are submitted electronically.
Yes, we routinely bill for EAP visits. There are unique challenges in EAP billing; we understand this. Billing isn’t standard, codes may vary, and often you can’t use a HCFA/CMS-1500 form. We’ll take care of everything except reporting clinical information.
Yes, we can do this for an additional charge; it’s not included in our standard billing package. If you’re not as organized as you’d like, it might be worth the additional cost to be sure your claims get paid. We’ll work with you to see what your needs are and how you might organize yourself to be sure as many of your claims as possible get paid.
We can do that. Some companies are willing to negotiate, others are not. Your success often depends on things we can’t control, i.e., network needs, location, your specialties, company policy, etc. If you’re interested in this service, we’ll consult with you first to determine the feasibility of successful negotiation.
Yes. We can do paper credentialing, CAQH, or online at payer sites, as needed. Usually, an average of 1-2 hours per document is required after we gather all the information about you and your practice.
Yes. This is a separate service from our billing package. After reading hundreds of managed care contracts, we can explain the pros/cons of signing them. We’re familiar with the terms and conditions frequently used in managed care contracts.
Yes. Our fee for handling these accounts or claims from dates of service prior to our start date will be separate and distinct from our regular billing package. Also, it will be significantly higher. This is because of the difficulty in getting claims paid that might have been incorrectly billed, not timely, not authorized, and so forth, and patient accounts that might have been allowed to age without prompt billing, bad addresses, etc.
We are not a licensed collection agency. We can’t report delinquent debt to credit reporting agencies nor do we ever contact patients by phone or mail about past due balances. If you choose to employ a collection agency, we can provide information or reports to them.