Mental and Behavioural Specialty Billing and Coding
Mental and behavioral healthcare billing and coding services need extensive knowledge of clinical care and the intricate insurance landscape. The goal is simple: making sure the services offered are reimbursed well in time. Be it dealing with therapy sessions, psychiatric evaluations, or counseling services, each stage demands carefulness to avoid errors. Decreased errors maximize reimbursement.
Instapay Healthcare Services understands the particular needs of the mental and behavioral healthcare field. With this understanding, we give you personalized billing and coding solutions. Designed specifically to meet your practice needs, Instapay Healthcare Services streamlines the complete billing and coding process. From patient admission to receiving complete payment, your focus on practice remains intact as we take care of internal operations.
Contact us
Scheduling Patient Appointment
The billing and coding process starts even before the patient enters your office. Beginning with appointment scheduling, Instapay Healthcare Services offers your practice multiple ways to be able to visit you-
- phone
- online booking
Irrespective of how patients decide to visit you, we ensure our in-house appointment scheduling system streamlines everything. Helping reduce wait times by integrating your availability, minimizing human error with automated software, and providing patients with a seamless scheduling experience with a self-schedule option.
In cases of panic attacks and self harm, urgent care is needed. Keeping this in mind, our same-day appointment options accommodate all the needs efficiently.
Patient Registration and Record Keeping
Once the patient arrives at your healthcare facility, collecting all the needed information for good coding and billing is important. Our team at Instapay Healthcare Services collects every bit of essential patient information. This includes
All details are entered in a practice management system (PMS). This system adheres to industry standards, complying with all regulatory mandates.
By maintaining concise records, your each patient encounter is well-documented. This is critical for right billing and reimbursement.
Insurance Verification and Patient’s Eligibility
Before mental health providers start providing their care, Instapay Healthcare Services verifies a patient's eligibility for insurance coverage. Reviewing policy for mental health benefits, co-pays, deductibles, and the scope of covered services, all of this is taken care of in this step. Our detailed review of the patient's insurance plan and eligibility status ensures there are no shocks during the practice process.
Instapay Healthcare Services’ team keeps a check on coverage restrictions that may affect a patient’s ability to receive care and the level of reimbursement a provider can expect for the services rendered. This approach avoids costly rejections, and smooths out billing for providers as well as the patients.
Diagnosis and ICD-10 Coding
Correct diagnosis in mental and behavioral health leads to near-to-perfection billing. Working with your clinical team, we ensure most accurate ICD-10 codes are applied to each patient's condition. Be it depression, anxiety disorders, PTSD, bipolar disorders, OCD, ADHD, or phobias, with our expertise we select right diagnosis codes.
Nuances like severity and chronicity that affect treatment plans and reimbursement process is also taken into account by us.
CPT Coding for Mental Health Services
CPT codes are as important as diagnosis codes in receiving appropriate reimbursement. To better reflect the services provided in mental and behavioral health, Instapay Healthcare Services aims at using the accurate CPT codes
-
90832 – Individual Psychotherapy, 30 minutes with patient.
-
90846 – Family psychotherapy (without patient present), 50 minutes
-
90853 – Group psychotherapy (other than a multiple-family group)
-
96136 – Neuropsychological testing, first hour
-
90792 – Psychiatric diagnostic evaluation (with medical services)
-
G0444 – Annual depression screening, 15 minutes
We also use modifiers when needed to show that a service is separate from other services provided during the same session. This helps in getting the highest possible reimbursement for the complexity of care rendered.
- Modifier -76 : Repeat Procedure by Same Physician
- Modifier -52 : Reduced Service
- Modifier -53 : Discontinued Procedure
Coordinating with Other Mental Health Providers
It is important to coordinate care if the patient is seeing multiple providers- primary care physicians, specialists, etc. Instapay Healthcare Services sees to it that billing reflects only the services provided by you. This eliminates duplication, minimizes errors and avoids any confusion.
Capturing and Entering Charge
Charge entry done with clarity and in a timed manner is important. Instapay Healthcare Services ensures charges are captured with accuracy, has correct codes and modifiers. We integrate practice management systems (PMS) and electronic health records (EHR) to streamline the mental and behavioral healthcare billing and coding process.
Claims Audit
Regular internal audits are needed to prevent fraud and billing errors. Instapay Healthcare Services conducts thorough audits of diagnosis codes, procedural codes, and treatment plans. Ensuring accuracy before claims are submitted, we lower the risk of rejections and penalties.
Claim Submission
Once all the captured information is confirmed for accuracy, Instapay Healthcare Services submits claims electronically via clearinghouses or handles paper claims as needed. For paper claims a CMS-1500 form is used. We ensure that all documentation is complete and that the claims meet payer requirements, reducing the risk of rejections. Working with us means timely submission is prioritized to avoid late filing denials.
Patient Billing and Collections
After claims receive successful payment, we generate clear and concise patient statements. These have details outlined such as insurance coverage and patient responsibility of co-pays, deductibles, etc. With streamlining the process, Instapay Healthcare Services improves patient satisfaction
Reports and Analytics
Our detailed reports focus on performance metrics- reimbursement rates, claim acceptance rates, and outstanding balances. With this data you make informed decisions about your practice’s financial health, adjust billing practices as needed for optimal performance. .
Get Pricing
Contact us
At Instapay Healthcare Services, we prioritize compliance with HIPAA, insurance regulations, and the latest ICD-10 and CPT coding updates. Our billing and coding services aim at minimizing administrative burden, increasing accuracy, and improving the cash flow of your mental and behavioral practice. By partnering with us, you ensure that your mental and behavioral health services are reimbursed well. This allows you to focus on providing top-tier care to your patients.
Contact us : +1646-851-2115Email Address : sales@instapayhealthcareservices.com