MBC: Best-in-Class Behavioral Health Billing Company

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MBC Best-in-Class Behavioral Health Billing
Company
Behavioral health billing is quite challenging as
various factors affect the billing process. The
length of the session, the approach to therapy,
and the willingness of the patient to partake
make it far more difficult to standardize
treatment and billing. Moreover, the manner in
which insurance carriers look at behavioral
health is noticeably unlike the way they look at
more traditional medical practices. For example,
insurance carriers determine how long treatments
are allowed to take and how many sessions can
take place each day, making it challenging for
behavioral health practitioners to balance
effective billing with adequate patient
treatment. In such challenging billing
conditions, behavioral health practitioners can
benefit from assistance from the medical billing
company. Medical Billers and Coders (MBC) is a
best-in-class behavioral health billing company
providing complete behavioral health services.
With our help, you can focus only on patient care
while we deal with government and private payers
along with their constantly changing billing
guidelines and reimbursement policies. What
Makes MBC Best-in-Class Behavioral Health Billing
Company? Verifying Patient Demographics
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MBC Best-in-Class Behavioral Health Billing
Company
We cross-check patient demographics and insurance
information submitted by behavioral health
practices. Our team cross-checks patient
demographics like name, date of birth, and
address, along with insurance information.
Inaccurate patient and insurance information is
the prime reason for claim rejections. Rejected
claims are claims with inaccuracies that are
stuck in billing software and cant reach to
payers system unless they are corrected.
Verifying patient demographics ensures timely
payments and acts as a base for benefits
verification prior authorization activities.
Throughout the billing process, our team ensures
that data is transferred through secured channels
and complies with HIPAA standards. Insurance
Coverage and Prior Authorizations Patients
benefits and coverage requirements might vary
based on services rendered and individual/group
policy. For us, its critical to check insurance
coverage and prior authorization requirement for
every patient visit. We share comprehensive
insurance coverage reports with behavioral health
providers, and also notify if any procedure
code/s or planned service/s are not covered in
any patients plan. Such notification help
providers front office to contact the patient
for alternate insurance or inform them about
patient responsibility. Our team is well versed
with state-specific and payer-specific behavioral
health prior authorization requirements. Whenever
applicable we submit the prior authorization
request and take the
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MBC Best-in-Class Behavioral Health Billing
Company
reference number to be mentioned in the claim.
Denials received for prior authorization are
considered as hard denials i.e. they are hard
revoked by payers. Clean Claim Submission A
clean claim is submitted claim without any errors
or other issues. Clean claim submission ensures
timely payment from insurance carriers. We stay
on top of the yearly changes in the CPT codes and
have a deep understanding of HBAI codes usage
while billing for behavioral health services. We
ensure prior authorization of the patients
eligibility benefits with behavioral health
insurance to avoid denials in the long run. Our
team of medical billers and coders instantly know
the ICD codes for behavioral and mental health.
All these help us to submit clean claims. Denial
Management Team Our team keeps regular track of
submitted claims to catch and resolve denials
issues without exceeding the time limit. We
constantly follow up on claims within 30 days to
avoid insurance aging. To track and appeal
denials, our denial management team consists of
experts from various fields like Accounts
Receivable (AR), coding, quality, and billing. We
include providers also in our process of denial
analysis and resolution process.
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MBC Best-in-Class Behavioral Health Billing
Company
Our AR experts, connect with payer
representatives to discuss the nature of denial
and possible resolution in such cases. Billing
Various Payers Medical Billers and Coders
(MBC) is in the medical billing industry for more
than 15 years. We are successful in processing
medical claims with most standard commercial
insurance carriers including UHC, WellPoint,
Aetna, Humana BCBS, and Anthem, and government
payers such as Medicare. Our expertise is also in
working with Medicaid and we have a deep
understanding of state-specific Medicaid
policies. Our expertise with various insurance
carriers helps our customers to receive accurate
and timely reimbursements. Provider
Credentialing Provider credentialing and
enrolment are crucial for any behavioral health
practices financial sustainability. But provider
credentialing and enrolment is a very long and
tedious process. At the time of starting a
practice, most behavioral health providers submit
applications for various insurance carriers but
later lose their focus due to patient care. This
might lead to submitting claims to insurance
carriers without enrolling with them resulting in
denied payments. Under our credentialing
services, we complete thorough research
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MBC Best-in-Class Behavioral Health Billing
Company
on provider credentialing and enrolment status.
And as per inputs from a provider, start filling
or following up on credentialing status for
various providers. Our credentialing team tries
to get your facility, group practice, and
providers in-network with insurance panels as
quickly as possible. Small Practices The
differences between medical billing and
behavioral health billing are magnified by office
budgets. A large group practice might hire
dedicated employees to focus completely on
medical billing, but with behavioral health, its
more commonplace to have a small group or solo
practice with limited administrative support for
billing and other office duties. Some providers
will even try to do the billing themselves but
sooner or later, this will become overwhelming
and produce time management problems, not to
mention lost income. We customized our
behavioral health billing services to match the
unique billing requirements of small/solo or
group practices. Being medical billing experts,
we take complete ownership of medical billing
responsibilities and ensure providers are not
keeping any money on the table. Our constant
efforts toward clients satisfaction help us to
become and stay a best-in-class behavioral health
billing company. If you are still not sure about
how we can completely manage your behavioral
health billing, contact us directly
at info_at_medicalbillersandcoders.com or call us
at 888-357-3226.