Working in medical field can be an exhaustive task. One must always be mindful of the fact that this noble profession deals with people’s lives and must be carried out with utmost care. Similarly, medical billing is a complicated task too. A simple error or neglection can leads to claims getting denied or delayed and this has a direct impact on the revenue cycle of the medical facility. Now there’s medical billing and then there’s behavioral health billing. Behavioral and mental health medical billings deal with treatments undertaken by the patient for long term conditions. This includes conditions such as depression, anxiety, substance abuse and so on.
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All You Want to Know About Behavioral Health Billing.pdf
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All You want to know about Behavioral
Health Billing
Working in medical field can be an exhaustive task. One must always be mindful of the
fact that this noble profession deals with people’s lives and must be carried out with
utmost care. Similarly, medical billing is a complicated task too. A simple error or
neglection can leads to claims getting denied or delayed and this has a direct impact on
the revenue cycle of the medical facility. Now there’s medical billing and then there’s
behavioral health billing. Behavioral and mental health medical billings deal with
treatments undertaken by the patient for long term conditions. This includes conditions
such as depression, anxiety, substance abuse and so on.
Mental health billing is considered to be more complex than rest medical billing
processes because of the types of services, restrains, time and scope that are acting
factors in mental health treatments. If you are interested in Behavioural health billing,
this article is for you.
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Insurance and Coverage
It is advisable to know the patient’s insurance plans and benefits prior to their arrival.
This is done so that you have knowledge about the coverage available for each patient
before they receive any service. This can be beneficial to get a larger return in the end.
4. Verification of Benefits
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Verification of Benefits is essential to ensure what coverage the patient has. This process
checks the patient’s policies with regards to the service they are visiting the medical
facility for. This also enables the service provider with information which is not available
that easily from the patient’s insurance card. Upon check, the medical facility will be
equipped with information regarding the coverage of the patient for the service they are
seeking and also the amount their insurance company will pay for the said service.
5. CPT Codes
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Keeping track of your accounts receivables on a monthly basis provides suppliers
with the data they need to identify customers who are at risk of losing revenue and
adding to bad debt. Providers can evaluate ARs over time to spot potentially
dangerous trends, and identify any remaining reimbursements that are relatively
simple to resolve.
Providers should examine their AR data to identify how old their borrowers are and
what their collection rates are. These two measures give you an overview of your
provider’s AR cycles and whether they’re on the correct track. The number of ARs in
each age group is revealed via aged debtor reports. The success of providers in
turning ARs to payments in a fiscal period is measured by collection rates.
6. Identifying Root Cause of Denials
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The second AR recovery approach is to figure out what’s causing your denial patterns.
When dealing with insurance claim denials, it’s critical to discover payer trends as well as
the fundamental cause of denial trends so that action plans may be put in place to prevent
future denials. Although all payers utilize the same CAS Codes, not all payers use them in
the same manner. Assess CAS Codes by payer group and link CAS Codes depending on
your understanding of the payer. You can fix several rejections quickly if you recognize
payer patterns, and start investigating the fundamental cause of the denial.
7. Proper Submission of Claims
Submission of claims is a tedious task. A simple error or any information missed can
lead to claims getting denied or delays which can in turn have adverse effects on the
revenue cycle of the medical facility. While filing for claims ensure that correct code is
entered and the claim is submitted to the correct insurer. Also, make sure that the
correct billing format is followed which varies from company to company. While doing
that, one must also verify the claim is done according to the company’s preferred filling
method.
There is a huge amount of work which goes into medical billing. The medical field is a
stressful industry which demands its employees to be on their toes all the time. In such
a case, any help is appreciated. Hence, may medical facilities are now outsourcing their
medical billing services to a third part medical billing agency or a medical billing
company.
8. About Us
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Though there are several common benefits offered by offshore medical
billing companies, but choosing the right medical billing partner plays a
vital role. Info Hub is one of the leading offshore medical billing companies
in Coimbatore, India, with sophisticated infrastructure and skilled
manpower that is highly experienced in multiple aspects of medical billing
and coding, to support healthcare practices grow heights and develop
consistency in generating revenue.
If you are looking to outsource your medical billing and coding services to a
reliable outsourcing partner, Info Hub is your ideal choice. With more than a
decade experience in providing excellent medical billing and coding
services, Info Hub has earned high client value by building trust with its top-
notch services. For a quick appointment, make a call to +1-888-694-8634 /
+91-0422-4212455.