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Insurance plans often limit mental health services, like the number of therapy sessions or types of treatment. It is critical to verify eligibility and patient benefits, including mental health benefits, before submitting claims, as many people only have general health insurance. We support patients by explaining coverage specifics, guiding pre-authorizations, and assisting with claims to ensure that they get the most out of their insurance benefits through correct benefits verification.
Mental health services are sometimes reimbursed at a lesser rate than short-term medical or surgical operations due to their extensive duration. Medsurebilling addresses this by negotiating with payers to maximize insurance reimbursement for services given. Our specialists can also assist you identify hidden costs that may be hurting your financial performance.
Billing may be a major burden, with procedures such as previous authorizations, insurance billing, and claim management taking up valuable time. This is especially challenging for solo practitioners who spend a large amount of time on things unrelated to patient care. Medsurebilling makes this easier by handling these processes for you and utilizing EHR systems that streamline both billing and clinical notes, allowing mental health service providers to focus on their primary responsibilities and create superior experiences.
Accurate coding for mental health services is crucial to avoid billing errors and denied claims. Understanding fee schedules is essential to ensure proper billing and payment processing. For example, using specific CPT codes like 90834 for a 45-minute psychotherapy session is essential. Medsurebilling stays up-to-date with annual CPT code changes and expertly applies HBAI codes, ensuring accurate billing and smoother claim settlement. Implementing best practices in documentation and coding accuracy significantly contributes to the ability to submit clean claims, which is vital for minimizing denials and enhancing financial viability. We also ensure every fee is aligned with payer requirements.
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