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Mental Health Billing Services Pennsylvania, PA

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.

Our Pennsylvania billers and coders offer a whole range of medical billing solution from physicians looking to manage their small to medium scale practices, their compliance to HIPAA guidelines, can actually streamline your processes better.

Located in cities such as Philadelphia, Pittsburg, Allentown, Erie and Reading, in fact many Pennsylvania billers also take care of medical billing processes of surrounding states where billers are not available with the required experience.

They are a dedicated to improving your collection ratios, saving money in software updates and maintenance, time and effort of your multi-tasking staff with the help of accurate electronic processing. Some of the services in which they are proficient are:

  • Electronic as well as paper claims submission
  • Filing of primary and secondary insurance claims
  • Electronic claims tracking
  • Posting of insurance payments
  • Follow up on rejected and under-paid claims
  • Handling patient queries

These Pennsylvania Billers and coders consider your patients as their own clients, hence the service they offer them, often makes your patients feel very comfortable in dealing with them. Analyzing the loopholes in your revenue cycle is the first job of these billers and fixing them appropriately a priority.

They strive to meet all HIPAA and privacy guidelines and at the same time update themselves of new laws and regulations affecting your practice’s reimbursement.

Our Billers in the state of Pennsylvania 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 Pennsylvania 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 Pennsylvania 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.

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.