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Mental Health Billing Services Texas, TX

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.

Maximizing your office’s efficiency and cutting your costs are some of the priorities of our medical billing and coding specialists located in Texas. Like everything in Texas our database of Medical Billers and Coders is huge in texas, these billers cater to various specialties and software exposure.

With extensive medical billing knowledge coupled with their years of experience, they help providers and practices in and around the state to maximize their reimbursements and minimize their costs.

Our billing professionals are present in major cities in Texas such as Houston, San Antonio, Dallas, Austin and Fort Worth. Some of the services they provided are:

  • Data entry of all charges
  • Submission of electronic as well as paper claims to both primary and secondary insurers
  • Accurate ICD-10 and CPT code audits
  • Payment postings after receiving from insurance companies as well as patients
  • Excessively customized Monthly financial reports
  • Comparing payer fee schedules and updating your practice about it

The state of Texas is known for its clean claim law which is considered to be one of the most helpful and powerful in terms of clean claim violation and can make the payer to pay billed charges. The law states that the payer has to pay a clean claim within 30 days, with the option of 45 days if the claim is not submitted electronically, thus our Texas billers will be able to reduce your AR days noticeably.

Our professional billers in Texas are trained to handle all aspects of Revenue Cycle Management which specially includes denial Management and helps you recover rejected claims by appeals and resubmission of claims.

Our Billers in the state of Texas 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 Texas 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 Texas 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.