Mental Health Billing Services in the USA
Do you face challenges that slow down your reimbursements? Are you tired of continuous denials, but can’t find any way to resolve them? eClaim Solution has got your back! We offer the best mental health billing services across the USA to ensure every professional receives payments faster and smoothly. With automation and technology, we process every claim error-free and constantly monitor it until you receive your payment.
Want to identify revenue leaks in your practice? Book your free consultation today!
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What Challenges Mental Health Providers Face in the Billing Process
Billing for mental health providers is not just submitting claims; it becomes more than that. As patient volume increases, they face difficulties handling both billing and patient care at once. Moreover, due to administrative burdens, a shortage of trained medical coders, and strict payer policies, healthcare professionals frequently lose revenue.
Common billing challenges that could stop your revenue are;
- Missing patient information (DOB, insurance ID, and policy number), claims can’t be processed.
- If the claims are not submitted within a specific timeframe, they may be rejected or even denied.
- Usage of outdated or mismatched CPT and ICD-10 codes can invalidate a claim.
- Misuse of modifiers (-95, -GT) can confuse payers about the service and cause delays.
Expert Mental Health Billing & Coding Services
In the entire mental health billing process, the most complex part is medical coding, because a minor coding error can lead to underpayments, rejections, or revenue lost. That’s why behavioral and mental health doctors need to connect with experts who handle the complex coding process and streamline the revenue cycle. At eClaim Solution, we offer mental health coding and billing services to ensure every claim is processed without delay.
Whether you’re a therapist, psychiatrist, or psychologist, our team of experts specializes in valid billing codes for mental health services, ensuring clean claim submissions and increasing revenue by up to 10%-20%. From diagnostic and evaluation management to therapeutic services, we use valid CPT, ICD-10, and modifiers to help facilities receive payments quickly and efficiently, while focusing on patients’ mental health.
In mental health billing services, some payers require pre-authorization checks that involve a patient’s insurance plan, gathering necessary information, and developing a treatment plan before delivering services. Our team of experts collects essential documents and maintains clinical notes to accelerate the process.
To speed up the mental health billing, our medical coders ensure they use the correct CPT and ICD-10 codes. Whether it’s psychiatric, behavioral, or psychological billing, our mental health billing specialist knows how to use exact therapy or service codes to achieve first-pass claim submission and improve revenue flow.
With years of experience, our RCM experts know how to use modifiers to ensure quick, smooth billing. Whether it’s modifier 95, GT, AJ, AH, or for telehealth billing, we use it accurately to ensure timely reimbursements.
When it comes to mental health billing, our experts ensure claims are submitted on time (within 90 – 180 days) and include proper documentation and clinical notes. So, every claim is processed, not denied.
Our RCM team audits, monitors, and tracks each submitted claim to ensure fast, accurate payments. In case of denials, our team identifies the root cause, fixes it, resubmits the claim, and continuously tracks it until the payment is posted to EHR.
How We Help Mental Health Providers Improve the Overall RCM Process
Managing billing for mental health practices is difficult due to the frequent changes in payer policies, compliance rules, and complex medical coding. But our mental health billing solutions have made it easier and smoother than ever. With 10+ years of industry experience, we help behavioral therapists, psychiatrists, and psychologists recover every dollar they deserve.
Along with coding and billing for mental health services, we offer comprehensive revenue cycle management so you can get everything under one roof. Moreover, our team of experts ensures that every step of the billing process is fully compliance with payer rules, boosting cash flow and reducing claim errors.
From Medicare and Medicaid to any commercial insurance plans, we help mental health specialists enroll quickly so you can handle your patients stress-free.
03. Medical Billing & Coding
Whether you’re performing an evaluation or offering therapy services to patients, we use correct medical codes, ensuring each claim is processed quickly.
02. Verify Insurance Coverage
By verifying patients’ insurance coverage plans, including co-pays and deductibles, we ensure an accurate and smooth billing process.
Our denial experts identify the root cause of denials, resolve them, and resubmit claims within the timeframe to help you get reimbursed for the services you provide.
From Medicare and Medicaid to any commercial insurance plans, we help mental health specialists enroll quickly so you can handle your patients stress-free.
02. Verify Insurance
Coverage
By verifying patients’ insurance coverage plans, including co-pays and deductibles, we ensure an accurate and smooth billing process.
03. Medical Billing &
Coding
Whether you’re performing an evaluation or offering therapy services to patients, we use correct medical codes, ensuring each claim is processed quickly.
Our denial experts identify the root cause of denials, resolve them, and resubmit claims within the timeframe to help you get reimbursed for the services you provide.
Advantages of eClaim’s Mental Health Billing Services
Whether you’re a solo practitioner, own a small clinic, or work in a mental health organization, we handle your revenue efficiently and smoothly. By using AI in billing, we automate processes, lower denial rates, and boost cash flow.
EHR Integration
To ensure your data is secure, we offer EHR integration to our billing software. Whether you own a small clinic or a large organization, we transfer data smoothly and efficiently.
Automate Administrative Tasks
To help all practices grow smoothly, we use advanced tools and technology that automate every step of the billing process by detecting claim errors.
Trained Medical Experts
With us, you’ll get access to trained medical experts who have a specialization in mental health billing services, so the claims are processed accurately and maximize revenue.
Proactive Denial Prevention
Our billing team double-checks every claim before submission, uses accurate modifiers, and continuously monitors claims, which reduces the risk of denials.
Better Patient Experience
For every provider, a patient’s satisfaction matters the most. We handle everything with precision and care to ensure patients’ data is secure, build trust, & maximize revenue.
Billing Support
Whether you need assistance or have a billing concern, our support team is here to help you 24/7.
What Makes You Trust Us
Stay Ahead with Our HIPAA-Compliant Billing Services
With us, you’ll never need to worry about data breaches or compliance issues, because our experts ensure each step of the billing process is fully HIPAA-compliant, follows payer-specific rules and data security standards, so your practice grows faster and more smoothly.
Data Protection You Can Trust
Boost Revenue Accuracy
Minimize Financial Loss
Results that Speak for Themselves
Boost Revenue
First-Pass Claim Rate
Denial Reduction
A/R Days
HIPAA-Compliance
Specialties We Cover
Along with the mental health billing services, we serve a wide range of specialty providers to help them strengthen cash flow and grow faster across the USA. From patient registration to the payment posting, we have a deep knowledge of specialty-specific rules, ensuring every practice improves revenue while focusing on patient care.
We Serve All States in the USA
Our mission is to help every healthcare provider get paid fast and accurately for every service they deliver to patients. That’s why we serve the RCM services across the USA. Whether you’re in Texas, New York, Michigan, Pennsylvania, or any other state in the USA, our team of experts is always available to assist. From urgent care billing to rehabilitation therapy billing services, our experts handle everything in between accurately and smoothly.
Why Choose Us
Outsource Mental Health Billing Services to eClaim Solution
In-house mental health billing can cost you more, increase administrative tasks, and incur salary expenses for the training team while they handle patients. That’s why outsourcing behavioral & mental health billing services is the best option. It helps reduce administrative workload and speeds up the reimbursement process. At eClaim Solution, we ensure to submit claims timely, use accurate codes and modifiers, helping psychiatrists, psychologists, and therapists receive payments on time.
98% Clean Claim Submission
Over years of experience, we submit millions of claims and achieve a 98% clean claim ratio by submitting them on time, using accurate coding, and following payer-specific rules.
Increase Revenue by 10 to 20%
By staying up to date on insurance coverage policies and changes to mental health billing codes, our experts submit claims correctly, increasing revenue by 10-20%.
Need Free Consulting Services?
Connect Now!
Do you want to know how you can increase revenue and prevent denials while focusing on patient mental health? Book a free consultation by reaching out to us at info@eclaimsolution.com or by calling (888) 337-3406, and our experts will be happy to assist you throughout the process.
Frequently Asked Questions
Mental health medical billing services differ significantly from general medical billing for physicians, solo practitioners, or clinics due to their payer-specific policies and therapy-based codes. For mental health facilities, it is mandatory to use time-based and service-based codes for each therapy session, i.e., 30 or 45 minutes. Hence, therapy providers must use valid CPT, ICD-10, DSM, and modifiers to get reimbursed for each therapy session they deliver to a patient.
To find the best mental health billing company across the USA, you should consider whether they stay updated with every policy and offer real-time reporting for each claim submission. At eClaim Solution, our team of professionals stays up to date on HIPAA regulations to avoid penalties and follows payer-specific conditions for timely submissions. Moreover, we constantly monitor, track, and analyze every claim to submit reports to our clients, keeping them updated on the practice’s financial performance.
Regardless of your practice’s size, we offer exceptional billing services that increase financial workflow while reducing administrative burden. No matter who you are, a solo therapy provider, working in a small clinic, or a large hospital, we are always available to assist and offer the best services that improve your cash flow.
Yes, we know the hurdles teletherapy providers face due to complex coding and changing insurance coverage policies. Our certified medical coders use proper CPT & ICD-10 codes along with modifiers, whether it’s (95 for audio-video) or (93 for audio-only), and POS (Place of Service) codes. It ensures every claim is processed, accelerates the cash flow.
From Texas, Michigan, California, and Pennsylvania to Michigan, Indiana, and across all states in the USA, we offer our billing services to help therapy providers receive payments quickly.
