Mental Health Billing Services
For over a decade, MedEx MBS has been offering comprehensive psychiatry billing services to mental health providers. Our primary aim is to optimize insurance and patient collections, allowing our clients to concentrate on patient care and expand their practices. With our experienced team handling your psychiatry medical billing, you can reduce administrative burdens and dedicate more time to your patients.
Psychiatry Medical Billing Services: Boost Provider Revenue
Our medical billing company offers a cutting-edge approach to revenue cycle management, encompassing everything from credentialing and daily claims management to annual reviews. Essentially, we safeguard your income. Our mental health billing services are handled by a team of experts who not only have a deep understanding of the overall coding and billing system but also possess the experience to identify and manage the codes and scenarios unique to this specialty.
Specialized Billing Services Customized for Your Field
Psychiatry is a highly specialized medical field, and psychiatric billing requires meticulous attention to detail. MedEx MBS provides comprehensive revenue cycle management (RCM) services, including claim processing and handling of rejections and denials. This significantly reduces administrative burdens, enabling psychiatrists and their staff to concentrate on patient care. Outsourcing RCM and related administrative tasks, such as payer credentialing and compliance reviews, has proven to be an effective solution for practitioners and medical institutions nationwide. We offer mental health billing solutions designed to streamline reimbursement from payers, ensuring a smooth process.
Compliance Reviews and Payer Credentialing Services Available
MedEx MBS offers comprehensive behavioral and mental health billing services that go beyond just coding and billing. Our full suite of revenue cycle management (RCM) services includes credentialing to expand your network, verifying coverage, obtaining pre-approvals, conducting audits, and more. Our services are customizable, so you only pay for what you specifically need, with no bundled packages required.
Billing Challenges in Psychiatry
Psychiatry billing and coding are inherently complex, with annual updates to codes and frequent changes in payer policies. Keeping up with these changes while providing excellent patient care can be overwhelming for a busy practice. While these challenges are not exclusive to psychiatry, they are particularly pronounced in this specialty. Our mental health billing specialists are well-equipped to manage these issues on your behalf.
Complex Coding
In psychiatry, there are numerous codes for similar services, such as different CPT codes for evaluations conducted by medical versus non-medical providers. This complexity can make it challenging for inexperienced coders to accurately complete claim forms, as they need to remember many specific details.
Add-on codes are also frequently used in psychiatry but must be paired with a primary code. Psychiatry medical billing experts must be familiar with these codes to ensure both are included, as missing either will result in claim denials.
Referrals Are Typically Required
Patients typically need to see a general practitioner to obtain a referral to a psychiatrist, so it is crucial to ensure that the referral is filed with the payer before the patient’s visit. To simplify the process for patients, doctors’ offices often refer to specialists within the same insurer’s network to ensure coverage. Consequently, psychiatrists must be credentialed with a wide range of insurers in addition to government payers.
Complicated Rules for Coverage
The Affordable Care Act (ACA) mandates that all plans in the Health Insurance Marketplace include mental health and substance use disorder services, but it does not specify the details of coverage, leading to significant variations between plans. Even the same carrier may have different policies from state to state.
Medicare covers mental health care through different parts: Part A for hospital insurance, Part B for medical insurance, and Part D for prescription drug coverage. Patients might be enrolled in various options for each part and may also have supplemental insurance. This complexity makes mental health billing challenging and requires specialized training and expertise. Professional billing companies are equipped to handle these variations and ensure accurate claim submissions.
Streamline Billing and Satisfy Patients: Enhance Your Practice with Our Billing Services
Psychiatry serves a high-need population, which can be demanding for both medical staff and doctors. Adding administrative stress to this workload is unnecessary when it can be mitigated. Outsourcing revenue cycle management to MedEx MBS offers the relief needed to alleviate this burden.