Behavioral & Mental Health Billing Services
Boosting Your Revenue with Tailored Billing Solutions
See improvements in your mental health organization’s billing performance within 1 month.
Improvement Guaranteed
Are you struggling with the complexities of medical billing?
Finding the right resources to build and retain a stellar medical billing team in your mental health organization isn’t easy. In the meanwhile, revenue is leaking from your organization, and you’re plagued with fighting administrative fires. Not to mention that staying up-to-date with frequently changing rules and regulations can sometimes be lagging behind, leading to compliance errors that can lead to claim denials, financial penalties, or even legal issues.
Top Denials influencing your cashflow
- Data Entry Errors: Simple data entry errors, such as typos or transposed numbers, can result in claim denials.
- Authorization and Referral Problems: Some insurance plans require pre-authorization or referrals from primary care physicians for mental health services. Failure to obtain proper authorization or referrals can result in denials.
- Inaccurate or Incomplete Information: Denials can occur if there are errors or omissions in the information submitted on the claim, such as incorrect patient information, missing diagnosis codes, or incomplete documentation
- Duplicate Claims: Submitting duplicate claims for the same services can lead to denials. It’s important to track submitted claims to avoid this issue.
- Coding Errors: Errors in diagnosis and procedure codes on the claim can lead to denials. It’s essential to use the correct codes and ensure they match the services provided.
How We Help Your Mental Health Organization Reach Its Revenue Targets
After 11+ years of providing behavioral & mental health billing services nationwide, we’re familiar with the distinct financial challenges that mental health organizations encounter in billing and revenue management.
Revenue Leakage Analysis
Our comprehensive revenue leakage analysis involves a meticulous review of your billing processes, enabling us to identify & address potential sources of revenue loss.
Credentialing and Network Management
Help organizations maintain proper credentialing for their providers and ensure that they are in-network with relevant insurance companies. This can prevent denials due to provider issues.
Improvement to Clean Claims
We focus on enhancing your organization's revenue through meticulous analysis and continuous improvement of claims submissions and denial analysis.
Regular Compliance & Coding Audits
Conduct routine compliance audits to identify potential issues or areas of improvement. This proactive approach can help catch problems before they lead to denials or legal issues.
Follow-Ups & Denial Appeals
Develop efficient and effective appeal processes to challenge denials when they occur.
Prior Authorization Management
Assist in managing prior authorizations to ensure that required authorizations are obtained before services are rendered.
Partner with Neolytix Today
Don’t let billing challenges hold you back. Partner with us and streamline your healthcare organization’s financial operations.
Common Code Missteps in Mental Health Billing
While the Current Procedural Terminology (CPT) and International Classification of Diseases (ICD) codes below may appear straightforward to some, they frequently become the culprit behind delays in reimbursement.
Common CPT Codes
90834 (Psychotherapy, 45 minutes)
Clearly document the psychotherapeutic intervention provided during the 45-minute session, including the patient's mental health diagnosis and treatment plan.
90837 (Psychotherapy, 60 minutes)
Detail the content and focus of the extended psychotherapy session, ensuring it aligns with the complexity of the patient's condition.
90791 (Psychiatric diagnostic evaluation)
Provide comprehensive documentation of the psychiatric diagnostic evaluation, including the patient's history, mental status examination, and diagnostic impressions.
96127 (Brief emotional/behavioral assessment)
Clearly document the specific emotional or behavioral assessment performed, detailing the results and implications for the patient's mental health care.
Common ICD 10 Codes
F32.9 (Major depressive disorder, single episode, unspecified)
Specify the details of the major depressive episode, including severity, duration, and any associated symptoms or impairments.
F41.1 (Generalized anxiety disorder)
Provide thorough documentation supporting the diagnosis of generalized anxiety disorder, including specific symptoms and their impact on the patient's daily functioning.
F90.0 (Attention-deficit hyperactivity disorder, predominantly inattentive type)
Document the specific criteria met for the diagnosis of ADHD, specifying the predominant symptoms related to inattention.
Z63.0 (Relationship distress with spouse or partner)
Clearly outline the factors contributing to relationship distress, as this code requires documentation of specific relationship issues.
Benefits Of Working With Neolytix Mental Health Billing Services
Neolytix provides services around the clock to healthcare organizations nationwide. Each team member in our billing team receives ongoing training and is upskilled to harness new technology and remain compliant with best practices and changes in regulation.
The upskilling happens behind the scenes at no cost to your organization and won’t affect your medical billing, coding, and collections operations.
- Uninterrupted Support: Constant availability to ensure continuous support for your healthcare organization.
- Enhanced Accuracy: Improved accuracy in claims submissions and reduced billing errors & monitoring of coding changes and amendments.
- Regulatory Compliance: Stay updated with ever-changing healthcare regulations. We ensure that your billing practices align with the latest compliance standards.
- Expertise in Mental Health Billing: Our experts are well-versed in the latest coding guidelines and ensure accurate submissions for maximum reimbursement.
- Elevated Patient Experience: Free up your time by outsourcing medical billing and administrative tasks. Focus on patient care, and leave the billing to us.
CUSTOMER TESTIMONIALS
Listen to what our clients have to say
Partner with Neolytix Today
Don’t let billing challenges hold you back. Partner with us and streamline your mental health practice’s financial operations.
100% Probability of Revenue Improvement
99% Claims Acceptance Rate
11+ Years of Experience
HIPAA Compliance
Rejuvenate Your Coding & Billing Operations Now
Choose our specialized billing services for seamless revenue improvement.
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