With Everest's Behavior & Mental Health Billing (Psychiatric) & Coding Services, you can maximize profitability and minimize errors.
Reduce denials, increase collection and fix revenue leaks
Extremely professional and very knowledgeable in all aspects of mental health billing. They did a thorough needs assessment and helped us discover where we could improve on our bottom line. They are able to communicate very well, to both our Admissions department and our clinical teams.Dr. Isabel Rodrigues
Behavior & Mental Health (Psychiatric) specific EHR, Medical Billing, Coding & RCM Solutions that boost profitibilty & improve patients experience.
At Everest A/R Management Group, we have a team of experienced billers and coders who are providing customized Psychiatric Behavior & mental health medical billing, coding and accounts receivable services to healthcare providers, revenue cycle companies, and healthcare systems not just in Florida but all over the United States; we have the people, processes, and technology in place to deliver high-quality services.
It is important to bill carefully and submit clean claims for the services provided to run a smooth and profitable medical billing operation. Outsourcing your behavior and mental health (Psychiatric) billing process takes the load off your back and allows you to use your staff for better purposes. It saves a large amount of money lost to billing & claim submission errors. Our team of behavior & mental health billers apply the best practices to increase your revenue and decrease claim denials.
Our mental health and behavioral billing services include:
Verification of insurance benefits: We verify patients’ insurance coverage and benefits before their first appointment to ensure that you are providing services that are covered by their plan.
Claims submission and follow-up: We submit claims promptly and follow up on any denied or underpaid claims to ensure that you receive maximum reimbursement.
Patient billing and collections: We handle all patient billing and collections, so you don’t have to worry about chasing down payments.
Customized reporting: We provide customized reports that allow you to track your revenue and analyze your billing performance.
One way to reduce stress on your staff and increase reimbursement is to outsource your billing & coding requirements to a technologically empowered billing company like Everest A/R Management Group Inc.
Leverage our expertise in various disciplines of Behavior & Mental Health (Psychiatric) Billing Services.
Our coders are proficient in ICD-9/10, CPT, HCPCS coding based on CMS and AMA guidelines and are certified by the American Academy of Professional Coders (AAPC). They acknowledge the list of codes and modifiers provided by the CMS for Behaviour & mental health billing and ensure that they stick to it. Our team of medical billers & coders instantly know the ICD codes for behavior & mental health, which allow us to submit clean claims. We apply industry’s best practices such as obtaining full patient information, apply specialty specific solutions, claim follow up, and CPT/HBAI codes.
The most common CPT Codes:
- 90791 – Psychiatric Diagnostic Evaluation
- 90792 – Psychiatric Diagnostic Evaluation with medical services
- 90832 – Psychotherapy, 30 minutes (16-37 minutes)
- 90834 – Psychotherapy, 45 minutes (38-52 minutes)
- 90837 – Psychotherapy, 60 minutes (53 minutes and over)
- 90846 – Family or couples psychotherapy, without the patient present
- 90847 – Family or couples psychotherapy, with the patient present
- 90853 – Group Psychotherapy (not family)
- 90839 – Psychotherapy for a crisis, 60 minutes (30-74 minutes).
Patients receive treatment from counselors and psychiatrists through various methods such as therapy, drugs, meditation, etc. The amount of time each treatment method takes varies based on the type of patient and the illness. A patient with disabling behavior issues, for example, might need additional job training, literacy training, rehabilitation, etc. Unfortunately, insurance providers’ timing for each treatment method differs from the actual time taken, causing discrepancies while billing for the services. Therefore, it is essential to be aware of the issues that cause delayed reimbursements and denials. Some of the common causes of denials are:
Prior Authorization – Prior Authorization is necessary for most Behavioral/Mental Health procedures. The provider must obtain prior authorization before the treatment begins.
Documentation errors – CMS recommends keeping specific documentation, such as timesheets, encounter notes, and records of the time and place of service. This, along with evidence that a professionally led care team that included the patient and their family developed the plan, can help establish the medical necessity of the procedures/treatment and reduce denials.
Coding Compliant – The amount of time spent in therapy is a key element in billing for treatment, as it is based on the number of units. Using the appropriate medical codes based on the time spent can help avoid errors in the number of units billed.
- Policy violations – CMS clearly defines common policy violations in billing for behavioral/mental health treatments, such as:
– Failing to take progress notes promptly
– Billing for services that need prior authorization without receiving prior authorization
Specialty Billing Services Florida
Our medical billing services in Florida can help you increase your revenue by reducing the number of denied and unpaid claims. Our billers in major cities like Gainesville, Jacksonville, Miami, Tampa, St. Petersburg and Orlando can provide you with less paperwork and more accurate medical claims to improve the efficiency of your practice.
Frustrated with decreased revenue, staffing issues, and technology costs?
At Everest A/R Management, we offer a full range of medical billing and coding services. We understand that all medical offices and practices are not the same. We work with our clients to design a customized solution that not only meets your needs, but exceeds them. We optimize customer service and efficiency to build a seamless process. Let us focus on the billing, A/R, and administrative challenges while you focus on patient care and clinical quality.
We make it right for our clients. Customers that we’ve tested had quite a lot of positive feedback.
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I want to thank you very much for your professional and supportive service over many years. I have recommended Everest AR to every provider I speak with here. Your services far exceed any other group or individual I used in over 25 years of business here in Gainesville, Florida.LCPC Psychologist in Gainesville, FL