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.
Our Tennessee medical billers and coders have been helping local healthcare professional in and around the state for many years now. They all seem to have collected their knowledge with years of practice of dealing with local payers.
They work towards eliminating your outstanding accounts receivables and make your reimbursement process seamless. They have been catering to major Tennessee cities like Memphis, Nashville, Knoxville, Chattanooga and Clarkesville and are willing to travel to your clinic anywhere in Tennessee.
These proficient billers provide customized services to meet the requirement of your practices. Some of the services our professional medical billers can help you with:
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Accurate and prompt verification of benefits
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Scheduling appointments
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Complete charge entry for claims
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Posting Payment regularly
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Electronic Claims transmitted through carriers or clearing house
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Thorough audit before transmitting claims
Specialized Medical Billing Services in Tennessee
Our specialized medical billing services in Tennessee support healthcare providers across Memphis, Nashville, Knoxville, Chattanooga, and Clarksville. We deliver comprehensive solutions including benefit verification, appointment scheduling, claims processing, and strategic payment management.
Understanding that denied claims have grown to 18% nationally, our experts implement thorough pre-transmission audits and systematic follow-up processes. Our team maintains strong relationships with local payers and insurance companies, ensuring efficient claim resolution while optimizing revenue cycles across multiple specialties, from Family Practice to Hospitalist Billing.
Tennessee Medical Billing Specialists Drive Practice Growth
Our Tennessee medical billing specialists address the state's unique challenges, particularly the growing physician shortage and increasing patient volumes. Through advanced EMR platforms like Medisoft, Eclinicalworks, and GE Centricity, we help practices streamline operations and maintain efficiency.
Our certified team combines expertise in medical terminology, coding, and HIPAA compliance with a thorough understanding of revenue cycle management. This comprehensive approach typically improves practice collections by 20% while reducing administrative burden.
By providing end-to-end billing management and regular financial oversight, we enable Tennessee healthcare providers to focus on patient care while maintaining strong financial performance across the state's diverse healthcare landscape.
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.