Billing For Community Behavioral Health Clinics - PowerPoint PPT Presentation

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Billing For Community Behavioral Health Clinics

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Learn the basics of billing for community behavioral health clinics in detail to avoid fraud and low reimbursements. – PowerPoint PPT presentation

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Title: Billing For Community Behavioral Health Clinics


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HTTPS//WWW.247MEDICALBILLINGSERVICES.COM/
INFO_at_247MEDICALBILLINGSERVICES.COM
2

Billing For Community Behavioral Health
Clinics
206 community mental health centers (CMHC)
received an estimated 218.6 million in 2010 for
delivering partial hospitalization program (PHP)
services to roughly 25,000 Medicare beneficiaries
with mental and behavioral disorders. Certain
investigations have discovered flaws in Medicare
payments to CMHCs for PHPs. Furthermore, a few of
the practices were convicted of fraudulently
charging Medicare roughly 200 million for
medically unnecessary PHP procedures from 2002 to
2010.  Thats why it is always recommended to
know about the billing for community behavioral
health clinics in detail to avoid fraud and low
reimbursements. Or, you can also avail of
community behavioral health services to enhance
your revenue. 
HTTPS//WWW.247MEDICALBILLINGSERVICES.COM/
INFO_at_247MEDICALBILLINGSERVICES.COM
3
Billing For Community Behavioral Health Clinics
  • Lets have a look at a few of the crucial aspects
    of community behavioral health clinics billing
    and coding 
  • Certified Community Behavioral Health Clinic
    (CCBHC) is a community-based behavioral health
    care paradigm that strives to increase service
    quality and accessibility. It performs the
    following functions
  • offer the complete range of CCBHC-required mental
    health, substance use disorder (SUD), and primary
    care screening services 
  • Provides integrated, evidence-based,
    trauma-informed, recovery-oriented, and
    person-and-family-cantered treatment.
  • Have formed collaborative ties with other
    physicians and healthcare systems to ensure care
    coordination.

HTTPS//WWW.247MEDICALBILLINGSERVICES.COM/
INFO_at_247MEDICALBILLINGSERVICES.COM
4
Electronic Billing
  • Check and verify the status of active provider
    enrolment.
  • Verify program eligibility for one or more MHCP
    members.
  • Request authorization for medical or dental
    treatments or supplies.
  • Request service agreements (SAs) for home care
    services.
  • Retrieve your authorization and service agreement
    letters.
  • Make a claim (including claims with Medicare and
    other insurance)
  • Copy previously filed MN-ITS claims or replace
    paid claims that were wrongly submitted.
  • Determine whether a claim has been paid or
    denied.
  • Submit a Payment for Performance Results.

HTTPS//WWW.247MEDICALBILLINGSERVICES.COM/
INFO_at_247MEDICALBILLINGSERVICES.COM
5
Outsource Community Behavioral Health Billing
  • Community behavioral health billing outsourcing en
    compasses the mechanisms that behavioral health
    systems utilize to charge for treatments and earn
    revenue. It records all time and services
    supplied to all patients, creates process for
    each step, and accepts the final payment from the
    payor. 
  • Outsourcing community behavioral health billing
    to 24/7 Medical Billing Services ensures managing
    all the aspects a streamlined procedure that
    includes medical billing, coding, and other
    non-provider-related responsibilities. This will
    help you in precise coding, increased cash flow,
    timely revenue collection, and financial
    viability. It allows for more emphasis on patient
    care and practice expansion. 

HTTPS//WWW.247MEDICALBILLINGSERVICES.COM/
INFO_at_247MEDICALBILLINGSERVICES.COM
6
About Us
We are a medical billing company that offers
24/7 Medical Billing Services and support
physicians, hospitals, medical institutions and
group practices with our end to end medical
billing solutions. We help you earn more revenue
with our quick and affordable services. Our
customized Revenue Cycle Management (RCM)
solutions allow physicians to attract additional
revenue and reduce administrative burden or
losses.
HTTPS//WWW.247MEDICALBILLINGSERVICES.COM/
INFO_at_247MEDICALBILLINGSERVICES.COM
7
Media Contact
24/7 Medical Billing Services 28405 Osborn Road,
Cleveland, OH 44140 2028 E Ben White Blvd,
240-1030 Austin TX, 78741 Phone no 1
888-502-0537 Email us
info_at_247medicalbillingservices.com
HTTPS//WWW.247MEDICALBILLINGSERVICES.COM/
INFO_at_247MEDICALBILLINGSERVICES.COM
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