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Behavioral Health Billing Services in California, CA

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.

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

Expert Medical Billing Services in California

Managing a medical practice in California presents unique challenges. However, a Top medical billing Company in major cities like Los Angeles, San Diego, San Jose, San Francisco, and Fresno helps physicians have smooth billing operations.

Skilled Medical Billing and Coding Service Provider specializing in streamlining revenue cycles, ensuring accurate data entry, coding, and payment review, and maximizing clean claims for faster reimbursements. MBC is your partner for financial growth, focused on optimizing your cash flows and alleviating your administrative burden.

Comprehensive Billing Services by MBC Experts

Medical Billers and coders (MBC) offer an extensive range of services designed to optimize operations for healthcare providers, including:

  • Tracking and follow-up on unpaid claims

  • Electronic and paper claim submissions

  • Payment and adjustment posting

  • Primary and secondary insurance claims filing

  • Customizing billing reports for better control

With expertise in accurate coding, detailed code audits, and consistent insurance follow-ups, we help mitigate underperforming accounts receivables, collections, and claims denials that frequently affect practices in cities like San Jose and Los Angeles.

Physicians in California face evolving legislation, payer denials, and increasing patient-doctor encounters, making billing and coding a difficult task. Our coding specialists ensure practices remain compliant with HIPAA regulations, addressing:

  • Claims Denial Management

  • RAC audit protection

  • Revenue cycle optimization

  • Patient statement services and patient-centric support

Expert medical Billing and Coding Service Providers in California ensure compliance with state and federal regulations, improve collections by up to 20%, reduce costs, and optimize operations. By outsourcing to MBC, practices can focus on patient care while achieving steady growth and higher profitability.

Value Our California Billers Bring:

Medical Billers and Coders are not limited to the big cities such as Fresno, San Francisco, and San Diego but also all other smaller cities and towns in California. Moreover, our billers comply with HIPAA guidelines and are updated with all industry updates through medical billers and coding. This ensures your practice is run in the most efficient and legally safe conditions. Our Billing specialists also ensure that your patients are hassle-free and that 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 enrolment support, and standardized reporting.

Our Specialties:

Medical Billers and Coders (MBC) is committed to improving your productivity by utilizing the finest processes and healthcare 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 including Family Practice, mental health, pain management, Physical Therapy, Radiology, Internal Medicine, Neurology, Orthopedics, and numerous other areas.

Our Software Experience:

According to the AAMC (Association of American Medical Colleges), the physician shortage will quadruple in the next decade, so physicians must utilize professional and accurate medical billing and coding services. The various software we provide and the value-added services mentioned above ensure that physicians can keep up-to-date with healthcare IT sector reforms and improvements. Some of the medical coding and billing software our billers have experience with include Medisoft, Misys Tiger, eClinicalWorks, Advance MD, GE Centricity, and Altapoint.

Difficulties & Challenges California Physicians Face:

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

As a physician in California, tracking all the legislation-related changes to your practice becomes difficult. This is where the expertise and experience of our medical billing specialists can be of immense help. 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 number of patient-doctor encounters would increase, making it difficult to extract time for coding, billing, claim denial, and compliance with HIPAA regulations. Specialized medical billers and coders like ours can ensure that your practice flourishes and is HIPAA compliant.

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.

Real Physicians, Real Results

Discover how physician groups thrive with us

We had no visibility into whether our IPA capitation payments were accurate. MBC's reconciliation process identified $138,000 in underpayments in the first quarter. That's revenue our prior vendor never even looked for.

Dr. S. Larsen
Dr. S. Larsen
Wound Care Practice — San Diego, CA

“I appreciate your prompt results on my Medicare inquiry. Dr. Ingrid Arnold and I appreciate the quality work that you and your team have provided to her practice. We had tried a couple of different insurance posting options, before we contracted with your company. We are delighted that we found your company to assist us. We find your reports timely and informative. I will recommend your services, without reservation, to any of our physician friends, who might be looking for a more reliable billing service”

Dr. Ingrid Arnold
Dr. Ingrid Arnold
DO | Mesquite, Texas

“I want to thank you for your professional help during the past two years with our accounts receivable. I have absolutely nothing but appreciation for your company in helping us out with the jam we were in when our office manager suddenly quit. Since that time we have enjoyed an absolutely non-problematic relationship. Our experience with claims injury, handling insurance rejections, posting our payments, the account receivable process, patient statements, and the excellent service provided to my patients are greatly appreciated. I also sincerely appreciate all the help that you have given me and my staff and I wish you the best of luck in future endeavors.”

Dr. Larry C. Watson
Dr. Larry C. Watson
MD | Houston, Texas

“For the last 4 years, MBC has been an integral part of growing our counseling and Intensive outpatient programs. My team and I appreciate MBC's commitment to exceptional customer support, credentialing, and billing services.”

Dr. Allen
Dr. Allen
Texas

Record high collections this month for our Chiropractic Practice! Thank you MBC!

Dr.Faulds
Dr.Faulds
Alabama

I just wanted to take a moment to say a big thank you for all the hard work you've put in over the past two years! Your efforts have really helped us transform our old accounts receivable into the impressive numbers we see today. I truly appreciate everything you do to keep our operations running smoothly all year round. Let’s keep up the great work together as we continue to tackle past claims and stay on top of the current ones.

Vadim Vartanov
Vadim Vartanov
Internal Medicine Associates of Jacksonville, FL

“We truly appreciate the exceptional work you are doing. Dr. Martha and I are grateful for your dedication and commitment. Your availability, regardless of the time, has been invaluable to us. The outstanding results we've achieved are a testament to your efforts, and we hope to continue this successful journey together. Thank you for all that you do!”

Judith Cedeno
Judith Cedeno
Podiatry Office Manager, FL

“Just a note of thanks in appreciation of all your help. The credentialling process can be daunting but you and the team at MBC were awesome every step of the way. Communication was clear, the process moved efficiently and the service was stellar. Thanks again and I look forward to working with you on this journey.”

Dr. Michael Lacqua
Dr. Michael Lacqua
Plastic & Reconstructive Surgeon, NY

“Our billing was poorly organized with a poor collection rate before you took on our account, and you have worked diligently to find what can be paid and have organized our billing process, including the sometimes difficult workers comp cases which compose a lot of my billing. Your unflinching attitude to constantly find ways to improve our billing is beginning to pay off. We are optimistic that with continued improvements and refinements we will see a big boost in our collections, and we are looking forward to a big turnaround in our finances in 2025 working with you. Thank you for your unstoppable attitude.”

Dr. James Baker
Dr. James Baker
Orthopaedic Surgeon | Knee and Hip - Stryker, TX
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