Expert Billing for Mental Health Providers

As often as you choose to! We personally recommend, however, that our clients send us their new billing consistently on either a daily or weekly basis.

We require the following...

• New Patient Information Form
• A copy of the patient's insurance card or WC ID card (front and back
• A copy of the patient's written prescription (if applicable)
• The patient's first super bill (treatment form)

We must receive a completed super bill (treatment form), which has been signed by the physician rendering the services. This form must contain:

• Patients name
• Name of the insurance carrier
• CPT codes
• ICD-10 code(s)
• Referring physician's name and the referral #
• Any/all applicable modifiers

Yes! It is vital to your practice that we receive this information, so that we can enter the insurance carrier's payments and generate the necessary patient statements for those accounts which still may have a balance due.

You will receive a report indicating that the claim does not contain enough information to be processed by the carrier, listing exactly what is missing, which is normally faxed to your office immediately. We do this as a courtesy to you and your staff, to assist in gathering the information quickly, and to avoid timely filing deadlines that are imposed by many insurance carriers.

You can easily report a patient's co-payment, made at the time of service, on their super bill (treatment form) for that day's treatments.

You can also report all the patient's payments, received in the mail, by keeping a Payment Log. A payment log enables you to report all payments received in your office, using one simple form. If you do not already use this type of form in your practice, we can custom-design one for you.

You can also report all the patient's payments, received in the mail, by making a copy of the check and attaching it to their patient statement remittance (if returned).

Any patient in our system will receive a bill for any balance due, once a payment has been received by their insurance carrier, if you have contracted for this service. Patients are billed bi-monthly. Payment Plans can also be easily accommodated.

We must first determine if the denial, whether in part or in full, is valid. If the denial is valid, it must be written off. If the denial is not valid, as in many of the cases, we will request that the carrier reprocess the claim. Unfortunately, many carriers will require that the claim be resubmitted on paper via snail mail, and additional charges may be invoiced to your account as a result.

We will send out no more than four statements, and make follow-up phone calls. After 120 days, we recommend that the account be turned over to collection and that the patient be denied future treatments until their account has been paid. If you are not already affiliated with a collection agency near you, please let us know.
We strongly recommend that an additional fee be applied to each account that has not received a payment within a 30-day period.

We sure do! Please keep in mind, however, that patient billing is best performed by your biller, who already has access to all account balances and other additional information. If we are already handling the insurance end of things, it only makes common sense to let our system automatically generate the claims on an as-needed basis!

We can provide you with our Remote Access/Viewing software, which is updated regularly, for an additional fee. This will enable your staff to view patient balances and generate their own statements, among other things.