Services
As a medical biller, we play a crucial role in the health system by ensuring that mental health providers receive proper compensation for the services they provide to patients. Our services include but are not limited too:
Claim Submission
We are responsible for submitting claims to insurance companies on behalf of our providers. This involves preparing and sending accurate and detailed claims that include the services rendered, diagnosis codes, and patient information.
Insurance Verification
Before submitting claims, we verify patient insurance coverage to ensure that the services provided are eligible for reimbursement. This involves checking patient insurance details, coverage limits, and any pre-authorization requirements.
Billing Inquiries
We handle billing inquiries from patients, insurance companies, or other third parties. They may assist with resolving billing discrepancies, answering questions about charges, and providing explanations of benefits (EOBs).
Payment Posting
We are responsible for recording and posting payments received from insurance companies and patients. They ensure that payments are properly allocated to the correct patient accounts and service dates.
We have a keen eye to help navigate appropriate medical codes (such as CPT, ICD-10, and HCPCS codes) to the services provided during patient visits. Accurate coding is essential for insurance claims to be processed without delays or rejections.
Coding
Insurance Follow-Up
We follow up on unpaid or denied claims with insurance companies to facilitate timely reimbursement. This involves identifying reasons for denials, resubmitting claims with corrections, and appealing claim denials if necessary.
Compliance
We ensure that billing practices comply with healthcare regulations and coding guidelines, such as HIPAA and CMS rules. To stay updated on changes in regulations to prevent compliance issues and potential penalties.