You treat your patients.
We'll handle the rest.

PRE-INTAKE INSURANCE VERIFICATION

First things first.

We perform Insurance verification for mental health services prior to a patient's initial appointment to ensure active coverage is in place. We provide co-payment, co-insurance, and deductible information. We determine whether prior authorizations or referrals are required. We confirm whether the provider is appropriately contracted or credentialed with the insurance plan. We provide the client with a document containing all pertinent information.

Ensure payment

Avoid surprises

Provide clarity

PRIOR AUTHORIZATION AND REFERRAL TRACKING

Tracking is key.

We track prior authorizations and referrals for mental health services to guarantee claims are paid and/or processed appropriately. We collaborate with the client by providing reports to be utilized as tools for managing this process effectively.

Get the go-ahead to perform mental health services

Establish treatment plans without interruption

Ensure payment

CHARGE ENTRY

Ready, set, charge.

Charges are entered into our practice management system within three business days of receipt. Clients are encouraged to provide their billing data in its entirety, legibly, and consistently. This process ensures a more steady revenue flow.

Entering charges efficiently

Timely charges result in

timely payments

Maintain good revenue flow

CLAIMS SUBMISSION

It's electronic.

We submit claims primarily through electronic submission. Once claims are uploaded, they are transmitted to a clearinghouse where they are scrubbed. This is the process by which errors are identified and opportunities are created to fix claims prior to submitting them to the payers for processing.

Claims processed quickly

Errors identified quickly

Fixes made quickly

PAYMENT POSTING

Just got paid.

We post all insurance and patient payments as we receive them. The appropriate adjustments and transfers to either secondary payers or patient balances are performed. Patient balances are noted as detailed by the explanation of benefits (EOBs) which include co-pays, co-insurances, and deductibles.

Keep accounts reconciled

Ensure payments are correct

Identify patient balances

PATIENT STATEMENTS

Making a statement.

We generate and issue patient statements at the end of each monthly billing cycle. Each statement details the method by which payments can be made including where payments can be mailed. It includes the contact phone number for inquiries and billing questions.

Providing patients with a clear record of services performed

Enabling patients to make payments with ease

Establishing consistency

PATIENT INQUIRIES

Inquiring minds.

We readily respond to all patient inquiries to discuss their non-clinical billing concerns and account balances.

Available to answer every question

Being that source of information

Professional and responsive

REPORTING AND ANALYSIS

Being in the know.

We generate a number of reports at the end of each monthly billing cycle. The reports include charge and payment totals including year-to-date. Additional reports are provided as tools to be utilized for identifying and analyzing trends, for areas in need of improvement, and for opportunities to maximize revenue.

Knowing where you stand

at all times

Information that can help you with making the next decision

What you need to know to maximize revenue

ACCOUNTS RECEIVABLE MANAGEMENT

We're accountable.

Claims are consistently reviewed to ensure payment is received or appropriately reconciled. Clients are notified of any denials requiring their input. Claims follow up is performed regularly. Claim resolution is our goal. This is where our expertise and problem solving skills are well demonstrated.

Simplifying billing and collection cycles

Completing financial transactions between patients, providers, and payers

Denial management

You treat your patients. We'll handle the rest.