Medical Billing for Behavioral Health

Medical Billing for Behavioral Health: Expert Solutions for Mental Health Providers

As a behavioral health provider, your focus should be on patient care, not complex billing processes. Professional behavioral health medical coding and billing services
are essential for maintaining your practice’s financial health. Leading mental health billing services can improve your revenue cycle management while you concentrate on delivering quality care.

Collect Smarter, Collect Faster

Capture More Revenue with Our Proficient Behavioral Health Billing Services

The complexities of behavioral health medical coding and medical billing for behavioral health extend beyond standard medical practices, encircling unique service parameters, time constraints, and treatment scopes. 

Our behavior health billing services account for crucial elements such as therapeutic methodologies, session duration, and service location. While specializing in behavioral health medical coding and billing, we also extend our expertise to other medical specialties, including Cardiology, ensuring comprehensive revenue cycle management and optimal practice performance.

Essential Steps and Procedures Steps Involved in Behavioral Health Medical Coding and Billing

The following steps outline the comprehensive process of behavioral health medical billing and coding:

Patient Eligibility Verification

For effective behavioral health billing services, the first crucial step is insurance eligibility verification. Our best mental health billing services team contacts insurance providers to verify coverage using patient demographics and policy information. It’s critical to understand that coverage varies across plans – some may restrict certain behavioral health services or require session limits. Many insurance plans mandate prior authorization, especially for specialized behavioral health treatments. Our behavior health billing services ensure proper authorization to prevent claim denials.

Behavioral Health Medical Coding

After eligibility confirmation, our behavioral health medical coding experts assign appropriate CPT codes to services rendered.
These codes are specific to behavioral health treatments and determine reimbursement rates:

  • CPT Code | Treatment/Therapy | Time Duration
  • 99214 | Office/outpatient visits (established patient) | Variable
  • 90801 | Initial psychotherapy session | 45-59 minutes
  • 90802 | Subsequent psychotherapy session | 45-59 minutes
  • 90804 | Crisis intervention session | 30-60 minutes
  • 90805 | Family psychotherapy session | 45-59 minutes
  • 90807 | Psychiatric diagnostic evaluation | 30-59 minutes

Claims Submission

Following accurate behavioral health medical coding, claims are submitted either electronically through clearinghouses or via paper CMS-1500 forms. Our medical billing for behavioral health services utilizes efficient electronic submission systems to ensure quick processing.

Denials and Rejections

Common reasons for claim denials include:

  • Incorrect behavioral health medical coding
  • Insufficient documentation
  • Missing prior authorizations
  • Medical necessity questions


Our behavior health billing services team expertly handles denial management and resolution.

Reimbursement

Final reimbursement depends on provider contracts and fee schedules. As one of the best mental health billing services, we ensure optimal reimbursement rates through accurate coding, thorough documentation, and effective payer communication.

Maximize your Practice Revenue with Optimized Behavior Health Billing Services

Strategic Denial Management

Proactively minimize revenue disruptions through specialized behavior health medical billing strategies that prevent claim denials before they occur.

Conduct in-depth audits of behavior health billing processes to identify, analyze, and systematically address potential revenue loss sources.

We use deep insights in behavior health billing and coding to develop strategic appeal management, ensuring maximum reimbursement and systematic rejection resolution.

Perform routine compliance audits to proactively identify potential issues, prevent future denials, and maintain exceptional coding accuracy in behavior health medical billing.

Provide comprehensive behavior health medical billing services including patient enrollment, insurance verification, authorization management, specialized coding, payment posting, account reconciliation, AR management, patient collections, coding audits, and credentialing.

Medical Billing & Coding Audit Services

Partner with RCM Experts Who Know Your Practice

We work closely with our clients. Feel free to interact with expert billers and a dedicated account management team. Each healthcare center partners with seasoned professionals who understand your unique challenges and goals. Your dedicated team delivers hands-on support, proactive problem-solving, and industry-leading expertise to optimize your revenue cycle.

RCM Services Comparison: Integrity RCM vs. Industry Standards

Performance Metrics Integrity RCM Industry Average Benefits of Integrity RCM
Clean Claims Rate 98-99% 75-85% Higher first-pass acceptance, faster reimbursement
Days in A/R 14-30 days 45-55 days Improved cash flow and revenue cycle
Collection Rate 96-98% 85-90% Maximum revenue capture
Denial Rate <3% 5-10% Fewer rejected claims, reduced administrative burden
Coding Accuracy 99% 90-95% Minimized compliance risks, optimal reimbursement
Patient Satisfaction 95% 80% Better patient experience, fewer billing complaints
Customer Support 24/7 dedicated support team Limited business hours Faster issue resolution

Drive Success with Data-Driven KPIs

Track what matters with our comprehensive medical billing KPIs. We turn complex data into actionable insights, ensuring faster reimbursements, reduced denials, and optimized revenue cycles.

EMRs & EHRs We Work With

We are a medical billing company that knows the features and workaround of your EHR system. At Integrity RCM, we work with your
existing EHR to remove the hassle of shifting to a new one.

Nationwide Healthcare Services 

As a leading medical company in the USA, we deliver exceptional medical billing services across all 50 states. Integrity RCM combines cutting-edge technology with expert knowledge to make your collection process smooth and efficient.  Our certified specialists ensure compliance, optimize reimbursements and maintain the highest clean claims rates in the industry.

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Take Control of Your Revenue Cycle

Don’t let coding errors and billing inefficiencies hold your practice back. Get data-driven medical coding
solutions from Integrity-RCM. 

FAQs

What types of healthcare providers do you work with?

Integrity RCM services a broad cross-section of healthcare providers: private medical practices, hospitals, private clinics, specialty practices, mental health providers, dental offices, and ambulatory surgical centers. Our billing solutions are flexible and meet the needs of every medical specialty.

How do you ensure accurate and timely claim submissions?

Our expert medical billers have a rigorous quality control process that verifies the accuracy of every claim. Our certified coders and billers are constantly updated on the latest coding and billing compliances and regulations to minimize the chances of any errors and delays.

How do you protect patient privacy and confidentiality?

Integrity RCM is HIPAA compliant, and we adhere to all compliance measures and ensure that patient information is not made widely available. We take care of the information very confidentially. Advanced security measures include encryption and secure data transfer protocols.

How can I contact your customer support team?

You can reach us through our customer support team by dialing (281) 404-5503, sending an email to info@integrity-rcm.com, or through our online contact form. Our committed support team will be ready to answer your questions or assist you in any way possible.

How can we get started with your medical billing services?

Getting started is easy. We offer a complimentary initial consultation to analyze your current billing processes, understand your specific needs, and provide a tailored solution. Contact our team to schedule a comprehensive review and discuss how we can best optimize your medical billing operations.

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