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BEHAVIORAL HEALTH BILLING SERVICES

5 smart ways to get your behavioral health claims paid faster!

Behavioral health professionals face unique and complex billing challenges. The nature of the patient population, the needs of the patients at various stages, and the norms for insurance coverage add to the challenges the providers face to keep the practice running.

Billing insurance companies and getting paid fairly is no easy task. Being aware of rules and regulations is vital. Here are a few ways to become adept at behavioral health services billing and get paid quickly. (more…)

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5 podiatry coding mistakes that impact your cash flow!

Podiatry as a specialty is quite different and coding professionals need to be aware of the complexities in this specialty to reduce denial of claims. Medicare and commercial payors insist on medical necessity for foot care and thus, podiatry coding and revenue cycle management (RCM) is an area where confusion reigns. Most of the payors will reimburse if there is a foot condition but not for its preventive care. Hence podiatry coding procedures need to be dealt with carefully. (more…)

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Effective Denial Management with rigorously tested strategies

Denial of claims is a source of stress and a drain on the revenues of a practice. Therefore, denial management is a vital component of the Revenue Cycle Management and consists of four stages, namely, Identifying, Managing, Monitoring and Preventing claim denials.

Medical professionals submit millions of claims every day to payors. Most claims are reimbursed fully by payors. As per the AMA reports, claims denied on the first submission amount to 1.38% to 5.07% of the total claims. Even the best-performing practices see a denial rate of 5%. Denied claims represent delayed or lost revenue to a practice. (more…)

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