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Mental Health Billing Services California, CA

Our billers ensure that the Documentation for individual Psychotherapy includes the patient's capacity to participate in and benefit from Psychotherapy. The estimated duration of treatment in terms of number of sessions are specified. The medical record documents that the treatment is expected to improve the health status or function of the patient. Target symptoms, goals of therapy, response to therapy, and methods of monitoring outcome have been documented.

Our billers ensure that the Documentation for group Psychotherapy indicates that cognitive skills, such as behavior modification, supportive interactions, and discussion of reality were applied to produce therapeutic change. The record documents the person's participation and an evaluation of its benefit or lack thereof.

Running a medical practice in California can be quite challenging when it comes to medical billing and coding. Our billers and coders in all the major cities of California including Los Angeles, San Diego, San Jose, San Francisco, Fresno can help you settle your requirements here are some of the services which our expert medical billers and coders specializes in:

  • Tracking and follow-up on unpaid claims
  • Preparing Patient statements and payment posting
  • Customizing billing reports for better control
  • Primary and secondary insurance claims filing

Value Our California Billers Bring:

Our medical billers and coders are not limited to just the big cities such as Fresno, San Francisco, and San Diego but also all other smaller cities and towns in California. Moreover our billers are compliant with HIPAA guidelines and are updated with all industry updates through medicalbillerandcoder.com. This makes sure that your practice is run in the most efficient and legally safe conditions. Our Billing specialists also ensure that your patients are hassle free and their billing queries are answered well.

The expertise of our billers is vast and includes but is not limited to Past Due Collections, Electronic Medical claim filing, Medicare Audit Protection, coding and diagnosis analysis for maximum allowable reimbursement, customized accounts receivable and revenue cycle financial analysis, electronic claims submissions, denials management and payment posting, dedicated and relentless insurance follow-up, patient statements and patient-centric support, provider enrollment support, and standardized reporting.

Our Specialties:

Our medical billing specialists are committed to improving your productivity by utilizing finest processes and health care information technology such as Electronic Medical Records. These medical billers and coders maximize your revenue, ensure timely compensation, and offer medical billing and coding services in specialties including Family Practice, mental health , pain management, Physical Therapy, radiology, Internal Medicine, neurology, orthopedic, and numerous other areas.

Our Software Experience:

The fact that physician shortage is set to quadruple in the next decade according to AAMC (Association of American Medical Colleges) makes it vital that physicians utilize professional and accurate medical billing and coding services. The various software that we provide in addition to the value added services mentioned above ensures that physicians are capable of keeping up-to-date with the healthcare IT sector reforms and improvements. Some of the medical coding and billing software that our billers have experience on include Medisoft, Misys Tiger, Eclinicalworks, Advance MD, GE Centricity, and Altapoint.

Difficulties & Challenges California physicians Face:

The most common challenges faced by physicians in big cities such as San Jose and Los Angeles are underperforming accounts receivables or collections and claims denial. Both these situations along with other errors may lead to decreased revenue. Our billers provide the solutions to these problems by making the denial management efficient and offering services such as integrated medical billing with EMR along with numerous other value added services like sending patient statements and processing refunds to Medicare in order to preserve your practice from RAC audits.

As a physician in California, it becomes difficult to keep track of all the changes taking place in the legislation related to your practice. This is where the expertise and experience of our medical billing specialists can be of immense help. It almost seems that payers are in the business of claim denial and can afford to make mistakes at your expense. Although the new HIPAA guidelines would ensure a smoother process, the amount of patient-doctor encounters would increase in the future making it difficult to extract time for coding, billing, claim denial and compliance with HIPAA regulations. Specialized medical billers and coders such as ours can ensure that your practice not only flourishes but is also HIPAA compliant.

Pain Points -

There are three categories of errors most commonly noted in psychotherapy review; Non- documentation, Non-covered services, and Not Medically Necessary services. Listed below are examples of errors we see under each category.

1. Non-documentation / Insufficient Documentation

  • No medical records received for services billed.
  • Insufficient documentation to support level of care billed.
  • No documentation of face-to-face time spent with patient.
  • No documentation of Psychotherapy interventions used and the patient's response to those interventions.
  • Billing provider’s active participation in the service rendered not clearly documented.

2. Non-covered Services

  • Unlicensed individuals performing Psychotherapy services

3. Not Medically Necessary Services

  • No documentation of the patient's capacity to participate in and benefit from Psychotherapy medical record does not indicate expected improvement in the health status or function of the patient.

With years of experience in handling Mental Health Billing, our billers are professionally trained to handle billing processes for all Psychiatrists, Psychologists, Psychiatric Social Worker, and Psychoanalysts.

So no matter which of these your practice specializes in, our billers will be able to cater to your Billing requirements. They understand the nitty-gritty of Mental health billing and support claims for

  • Both initial visits & established visits
  • Family therapy with the patient present
  • Family therapy without the patient present
  • Marriage counseling
  • Group therapy
  • Nursing home visits
  • Medication management

Their expertise in Billing Medications, Psychological Testing, EAP Visits, using appropriate Modifiers can not be questioned for practicing Mental Health billing for several years. Our billers have a history of servicing mental health organizations with their Authorizations and referrals and participating in Medicare & Medicaid as well as commercial insurance payers.

These billers are attuned to submitting and tracking workers comp claims and handle all ICD10 codes & CPT Codes for Mental Health practices. Our billers have come together and deciphered reasons for the most common denials for mental health practices which help practices like yours to optimize their revenue cycle management.