PSYCHIATRIC BILLING SERVICES
Billing Services Tailored for Your Specialization
Psychiatry is a very specialized field of medical care, and psychiatric billing services must be very attentive to detail. . METACARE 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.
Complex Coding
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.
Referrals are Usually Required
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.
Complicated Rules for Coverage
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.
Seamless Billing, Happy Patients: Optimize Your Practice with Our Billing Services
Psychiatry serves a high-need population that can be taxing for medical staff as well as doctors. Administrative stress on top of that just doesn’t make sense when it can be avoided, and outsourcing revenue cycle management to METACARE provides that relief.
Certified Coders and Billers Manage Your Claims
Our coders and billers are certified and experienced in providing psychiatry 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.
Outsource Your RCM To METACARE
You can outsource whatever mental health billing services you need to METACARE—our services are customized to meet your needs. Our billing services for mental health providers cover all aspects of RCM. We also incorporate new coding into our proprietary software to keep your billing up to date and free up your time, so you can focus on taking care of patients. Give us a call today to find out how we can optimize your revenue management.