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.
Specialized Medical Billing Services in Pennsylvania
Our specialized medical billing services in Pennsylvania extend across Philadelphia, Pittsburgh, Allentown, Erie, and Reading, supporting healthcare providers throughout the state and neighboring regions. Our experts conduct thorough revenue cycle analyses to identify and address efficiency gaps while maintaining strict HIPAA compliance.
With a deep understanding of state regulations and reimbursement policies, our team ensures practices optimize their billing processes while providing superior patient service. We continuously monitor legislative changes affecting healthcare reimbursement to maintain optimal revenue flow for practices of all sizes.
Pennsylvania Medical Billing Specialists Drive Practice Success
Our Pennsylvania medical billing specialists deliver comprehensive solutions for practice revenue optimization. Through strategic coding, proactive claims management, and systematic follow-up processes, we help practices improve collections by 20%.
MBC’s certified team combines advanced software expertise with proven billing strategies to streamline operations and reduce administrative burden. By maintaining rigorous privacy standards while maximizing reimbursement efficiency, we enable healthcare providers to focus on patient care while ensuring sustainable financial growth. This focused approach helps Pennsylvania practices navigate federal cost-reduction initiatives while maintaining strong revenue performance.
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
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No medical records received for services billed.
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Insufficient documentation to support level of care billed.
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No documentation of face-to-face time spent with patient.
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No documentation of Psychotherapy interventions used and the patient's response to those interventions.
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Billing provider’s active participation in the service rendered not clearly documented.
2. Non-covered Services
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Unlicensed individuals performing Psychotherapy services
3. Not Medically Necessary Services
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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
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Both initial visits & established visits
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Family therapy with the patient present
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Family therapy without the patient present
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Marriage counseling
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Group therapy
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Nursing home visits
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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.
