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.
For over 10 years now, our medical billers and coders stationed in New Mexico have built a reputation of helping providers and practices ranging from small to medium to large clinics. They have proved their capability by maximizing the clinic’s cash flow and streamlining their billing and collections processes.
They are actively following the payers in all major cities such as Albuquerque, Las Cruces, Rio Rancho, Santa Fe and Roswell. More than just providing medical billing and coding services, our professionals help you offload tasks from your multitasking staff by providing services such as:
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Credentialing with public and commercial payers
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Post charges and payments on a daily basis
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Electronic submission of claims
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Code utilization with CPT, ICD-10 and HCPCS
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Accounts receivable management
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Insurance follow-up and in-house collections
Specialized Medical Billing Services in New Mexico
Our specialized medical billing services in New Mexico support health providers in Albuquerque, Las Cruces, Rio Rancho, Santa Fe, and Roswell. For ten years running, we've boosted income for practices big and small.
The MBC team excels in seamlessly managing critical revenue cycle tasks, including securing insurance approvals for physicians, processing daily charges with precision, submitting claims electronically, and ensuring prompt payment follow-ups.
We are aware of New Mexico's financial picture in its totality - we know that federal dollars pour in at $2.03 for every tax dollar, mostly feeding the state's vital Medicaid programs. Our richly experienced coders keep practices running smoothly while making sure they get their fair share of these healthcare funds.
Growing Practices in the Land of Enchantment
Our New Mexico medical billing specialists know every corner of state healthcare rules. We use the right codes, track insurance claims like hawks, and keep practice money flowing - often boosting collections by 20%. Think of us as the financial growth partners for your practice - we know the technology, we know the regulations, and we certainly know how to get results.
While physicians keep New Mexico healthy, we keep their practices financially fit and growing. That's vital where federal healthcare dollars make up such a big piece of the pie. From solo practitioners to busy large-scale clinics, we help practices spend less time on paperwork and more time healing people.
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:
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Biofeedback, hypnosis, and bio-behavioral therapy of physical disorders
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Aspects of occupational therapy, rehabilitation medicine, and physiatry
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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:
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CPT Codes |
Corresponding Behavior Assessment and Intervention Medical Services |
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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 |
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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 |
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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 |
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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 |
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96154 |
To code interventional service provided to a family with the patient present |
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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.
