Patients will usually have to see a general practitioner to get a referral to see a psychiatrist, so it is important to make sure the referral has been filed with the payer prior to seeing the patient. Collecting billing information from patients on the same day of their visit is crucial to streamline the collections process and ensure all necessary documentation is addressed promptly. Doctors’ offices often try to keep things simple for patients by referring to specialists in the same insurer’s network so treatment will be covered, which means that psychiatrists need to be credentialed with as many insurers as possible in addition to the government payers
All plans offered in the Health Insurance Marketplace are required to include mental health services and substance use disorder services by the Affordable Care Act (ACA), but it does not detail what must be covered, so coverages vary greatly between plans and the same carrier may have different policies from state to state.
Medicare covers mental health services under separate parts: Part A for hospital insurance, Part B for Medical insurance and Part D for prescription drug coverage. Since patients may be enrolled in different options for each—and have supplemental insurance—offering psychiatry medical billing is very complicated and requires specialized training and experience. Professional billing companies are aware of these variations so we can file your claims correctly. It is crucial to get bills paid quickly, and working with a reliable mental health billing service ensures you don’t miss timely payments.
Our coders and billers are certified and experienced in providing psychiatry practice medical billing services, so they know what to look for and how to handle claims issues promptly. The money we save you by eliminating lost staff time spent appealing claims, and successfully getting payment on denied and rejected claims more than covers the small percentage of collections that make up our fee.
Accurate CPT (Current Procedural Terminology) coding is the foundation of efficient and compliant medical billing. For behavioral health and other medical providers, expert knowledge of CPT codes ensures that every service rendered is properly documented, coded, and reimbursed without delays or denials.
At MedCare MSO, our certified coders specialize in CPT code assignment across a wide range of specialties, with a strong focus on mental and behavioral health. We stay updated with the latest AMA coding updates and payer-specific requirements to ensure your claims are accurate, compliant, and optimized for maximum reimbursement.
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