Psychiatric Billing Services

Psychiatry is a very specialized field of medical care, and psychiatric billing services must be very attentive to detail. . The sure ways solutions offers full revenue cycle management (RCM), including processing claims and handling rejections and denials, which greatly reduces administrative responsibilities and allows psychiatrists and medical staff to focus on patient care. Outsourcing RCM and related administrative tasks, such as payer credentialing and compliance reviews has proven to be a winning solution for practitioners and medical institutions across the country.. We provide behavioral health billing solutions that help you get reimbursement from payers without any complications.

Within the codes for psychiatry, there are many different codes for similar services. For example, you are required to enter a different CPT code to indicate whether an evaluation was done by a medical or non-medical provider. This makes it difficult for inexperienced coders to properly fill out claim forms because they are not able to remember all those details. Add-on codes are also common, and are required, but can only be used with a primary code. Psychiatry medical billing experts must know what these codes are, so they can be sure that both are present, otherwise the claim will be denied.

All plans offered in the Health Insurance Marketplace are required to include mental health 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 care 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 behavioral health billing services is very complicated and requires specialized training and experience. Professional billing companies are aware of these variations so we can file your claims correctly.

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. 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.

The sure ways solutions is an industry leader and trusted name in medical accounts receivable collections because we know how to get results. Our mastery of complex medical coding and AR management services sets us apart. But it’s our breadth of knowledge that allows us to shine. Our medical billing company successfully serves healthcare facilities of all types and sizes, and we specialize in medical billing for physicians, laboratories, radiology & imaging centers, and hospitals. We know it’s difficult to remain entirely focused on patient care when you’re worried about your bottom line. If you’re spending valuable time and energy trying to diagnose finances, then perhaps it’s time to enlist the aid of a professional medical billing company like The sure ways solutions.