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Behavioral Health Billing Services Georgia, GA

Owing to its interdisciplinary nature – integration of knowledge in the biological, behavioral, psychological, and social sciences relevant to health and illness – Behavior Medicine physicians hardly find time to manage their medical bills filed and reimbursed efficiently. 

Outsourced Excellence

Alternatively, our Behavior Medicine Billing Advisory – comprising AAPC certified medical coders, who are proficient in generating diverse behavior medicine bills on advanced software such as Lytec, Medic, Misys, Medisoft, NextGen, IDX, etc., and applying specific CPT, ICD-10, & HCPCS; complying with HIPAA privacy norms; and processing the prepared bills with leading private insurance carriers such as United health, Wellpoint, Aetna, Humana, HCSC, Blue Cross Group, and Government sponsored Medicare and Medicaid as well – has been able fill in the void successfully, and ensure greater revenue generation for Behavior Medicine physicians, patient inflow and referrals, and medical efficiency.

With a vast experience in medical billing and coding, our Georgia medical billers accommodate physician’s individual needs and provide value added services. They have more than 10 years of medical billing experience and have provided back office operations like billing and collections to physicians in major cities like Atlanta, Augusta, Columbus, Savannah and Athens and also are updated with the ever changing rules and regulations in billing. They have proven their expertise in billing functions like:

  • Electronic and paper claims submission
  • Follow up on denied claims
  • Usage of CPT, ICD-9 and HCPCS codes
  • Tailor made monthly financial report
  • Accounts receivables management

Our billers in Georgia have significantly decreased the number of denied claims and also decreased the amount of days it takes to receive payment either from your patients or from the insurance payer. They can take care of the complexities that befall in the billing process like rejected claims, past due accounts and at the same time send invoices to patients, thus streamlining your medical billing process.

Physicians in Georgia are already aware of the shortage of physicians in the state and one of the best ways to attend to it is focus on patient care while experts focus on your billing.

Our Billers in the state of Georgia are specialized to service medical practices as per the regulations of the state government. Their knowledge and experience has been acquired by years of efforts in perfecting medical billing procedures which they now leverage to help your practice collect more revenue.

The federal government’s effort to reduce healthcare cost can only be supported by physicians in the state of Georgia by optimizing costs and enhancing revenue. Letting a specialist handle your medical billing can help you improve collections by 20%.

Accurate Coding and code audit along with timely insurance follow up and account receivables are the basis on which thesebillers in Georgia guarantee higher profitability for your clinic. Their experience in various software and certification in the medical billing processes will support your practice to grow steadily.

Extensive Coverage of Behavior Medicine Procedures

Our billing advisory has been able to cater to a majority of Behavior Medicine professionals comprising of psychologists, physicians, and qualified nurses by employing a comprehensive billing and coding approach that covers the whole gamut of behavior medicine procedures including:

  • Biofeedback, hypnosis, and bio-behavioral therapy of physical disorders
  • Aspects of occupational therapy, rehabilitation medicine, and physiatry
  • Preventive medicine

Enabling Accurate and Refined Medical Billing

A thorough knowledge of the Current Procedural Terminology (CPT) coding system covering the comprehensive health and behavior assessment and intervention of medical services has been pivotal in enabling accurate and refined medical billing on our clients’ behalf. Following list of CPT codes used in coding Behavior Medicine procedures is a valid endorsement of our integrity in compliant coding system:

CPT Codes Corresponding Behavior Assessment and Intervention Medical Services
96150 For initial assessment of the patient to determine the biological, psychological, and social factors affecting the patient’s physical health and any treatment problems
96151 For re-assessment of the patient to evaluate the patient’s condition and determine the need for further treatment; a re-assessment may be performed by a clinician other than the one who conducted the patient’s initial assessment
96152 For interventional service provided to an individual to modify the psychological, behavioral, cognitive, and social factors affecting the patient’s physical health and well being
96153 For interventional service provided to a group; an example is a smoking-cessation program that includes educational information, cognitive-behavioral treatment and social support
96154 To code interventional service provided to a family with the patient present
96155 To code interventional service provided to a family without the patient being present

Infusing Modifiers for Mitigating Delay/Denial

Coupling a competent coding regimen with timely and accurate modifiers, our Behavior Medicine Billing Advisory has been able to mitigate undesirable delay/denial of its clients’ medical reimbursements. Modifier 22 for Extended Service and Modifier 52 for Reduced Service (where in the provider reduces or eliminates a portion of the service or procedure, which results in a reduction in reimbursement. The reduced service is identified by its CPT code and the addition of the modifier-52) are prime examples of Modifiers adopted in our billing management.

Multiple Benefits

The Behavior Medicine physicians, who lent preference to our billing and coding competencies – complete with accurate charge-capture, intricate procedure coding, electronic filing of claims, patient billing, multi-tiered appeal process, denial elimination initiatives, and compliance standards – have been able to witness simplification of revenue cycle, appreciable increase in collection rates, more patient inflow and referrals, and Increased avenue for medical research and development.