Behavioral Health Billing Services
Behavioral health billing is the process of managing payments for mental health and addiction treatment services. It includes creating bills, using special codes for the services provided, sending claims to insurance companies, and following up to make sure payments are made. Our team manages all parts of behavioral health billing, including insurance claims, tracking payments, and handling denials. We work to make sure your claims are processed smoothly and that you receive payments quickly. By simplifying the billing process, we help you focus on providing care to your patients without worrying about financial details.
Challenges in Behavioral Health Billing
Billing for behavioral health is difficult. Here are the main problems that providers face:
- Documentation is Hard
Doctors need to write a lot of details. They must explain why treatments are needed and show progress. This takes a lot of time and effort. - Technology Problems
Using computers and billing software can help, but setting them up is expensive and requires training. Sometimes, these systems stop working, which slows everything down. - Complicated Codes
There are many codes for different treatments. Only an expert can pick the right one. Choosing the wrong code can cause billing problems. - Low Payments
Many insurance companies do not pay much for mental health treatments. Sometimes they don’t cover these treatments at all. This creates problems for doctors and patients. - Many Services
Behavioral health has many different treatments, like therapy or medication management. Each treatment has different rules and payment amounts. Doctors must track and record every service carefully.
Authorization Rules
Getting permission from insurance companies takes a lot of time. Even if providers do everything right, their requests can still be denied. This makes it hard to continue care for patients.
How MZ Medical Billing Solves These Challenges
At MZ Medical Billing, we make billing easier for you. Here’s how we help:
- Better Documentation
We check all the documents to make sure they
- Technology Made Simple
We use advanced systems to handle your billing. You don’t need to worry about training or fixing software issues – we handle it for you. - Expert Coding
Our team knows all the codes. We choose the right codes for your services so claims are correct. - Help with Insurance
We work with insurance companies to make sure you get paid. We handle low payment issues and try to maximize your reimbursements. - Tracking Services
We organize all your services properly. This stops underpayment and helps you follow the rules. - Easy Authorizations
We manage permission requests and fight denials for you. This allows you to focus on treating your patients.
Behavioral Health Billing Process with MZ Medical Billing
We begin by gathering the patient’s demographics and insurance details, including policy numbers, names of carriers, and primary coverage details.
Next, we verify the patient’s insurance coverage. We call the insurance provider to confirm benefits for behavioral health services. We check details like deductibles, co-pays, and whether pre-authorizations are needed. This step helps us give your practice clear guidance on coverage and costs.
When pre-authorization is required, we handle it for you. We will prepare and submit the necessary forms to get approval for services like therapy or counseling. With this step, we help you avoid delays or issues with claims later on.
We prepare and submit claims with the correct CPT codes for the services provided. Our team makes sure the claims meet all payer requirements, reducing rejection rates. By focusing on accuracy, we ensure that you get paid quickly and in full.
Specialized Billing Services for Behavioral Health Specialists
Psychiatry & Psychology Billing
We manage billing for services provided by psychiatrists and psychologists. This includes billing for evaluations, therapy sessions, psychological tests, and medication management.
Behavioral Health Coordination Billing
We take care of the billing for assessing patients with psychiatric or substance use challenges and coordinating their care in primary healthcare settings.
Substance Use Billing
Our team handles billing for services related to stopping, diagnosing, or treating substance use problems. Some commonly used billing codes are H0001, H0020, and H0050.
Psychiatric Collaborative Billing
We manage billing for team-based care where a primary care doctor, a behavioral health manager, and a psychiatric specialist work together to support patients with behavioral health issues. Common billing codes for these services include 99492, 99493, and G2214.
Mental Health Billing
We manage payments for services that treat mental health issues like depression, anxiety, bipolar disorder, or schizophrenia. Typical billing codes are 90785, 90870, and 90875.
Behavioral Specialist Billing
We handle the billing for services offered by behavioral specialists, which may include behavioral analysis, behavior assessments, and creating behavior action plans. Common codes used are 0362T, 0373T, and 97172
Discover the Top Benefits of Partnering with MZ Medical Billing for Insurance Eligibility Verification
Accurate and Real-Time Eligibility Verifications
Partnering with MZ Medical Billing ensures accurate eligibility and benefits verification, reducing errors and improving claim processes. Our real-time coverage checks provide instant clarity, helping your practice confirm patient coverage details without unnecessary delays or surprises.
95% Reduction in Claim Rejections
With advanced error reduction mechanisms and manual oversight, we help eliminate claim discrepancies. By ensuring accurate insurance information and compliance with payer guidelines, your practice can enjoy faster approvals and higher revenue collection rates.
Seamless Integration with Over 200 EHR Systems
Our services fit effortlessly into your existing workflow by updating your Practice Management System (PMS) and medical billing systems. With compatibility across more than 200 EHR systems, you can count on smooth data transfers and hassle-free automation.
Cost-Effective Scalability for Any Workload
MZ Medical Billing offers flexible pricing with no long-term contracts, making it easy for your practice to manage fluctuating workloads. Whether tackling individual verifications or handling batch processing, our services are designed to scale with your needs while staying budget-friendly.
Improved Care and Revenue Cycles
By verifying insurance details like deductibles, co-pays, and co-insurance, we enable accurate billing and prevent unnecessary delays. This not only helps your practice boost cash flow but also allows your team to focus on delivering the best possible care to patients.
Speak to Our Behavioral Health RCM Experts
FAQS
Frequently Ask Questions.
Behavioral health billing services typically work with a wide range of insurance providers, including private health insurance, Medicaid, Medicare, and managed care organizations. They are experienced in handling claims for various payer types specific to mental health and substance abuse services.
Experienced billing services reduce claim rejections by ensuring that all required codes and documentation are accurate, complete, and compliant with payer requirements. They also perform regular follow-ups to correct any issues and ensure claims are accepted promptly.
The key to getting claims paid on the first submission is accurate coding, proper documentation, and timely submission. Working with experienced billing professionals who understand the complexities of behavioral health insurance policies can significantly reduce the risk of rejections.
