About Medisys Data Solutions
Medisys Data Solutions is a leading medical billing outsourcing company providing medical coding, billing, revenue cycle management, accounts receivable management, and provider credentialing services. These services are designed to help healthcare providers maximize their revenue, reduce costs, and improve their overall efficiency and effectiveness. We have a team of experienced professionals who are trained in medical billing & coding and are certified by the American Academy of Professional Coders (AAPC) and the American Health Information Management Association (AHIMA). Medisys Data Solutions is committed providing high-quality services to its clients and has a strong focus on customer satisfaction. Let’s explore mental health billing and credentialing services provided by Medisys Data Solutions.
Our Mental Health Billing Services
Receiving accurate and timely insurance reimbursement for mental health services can be challenging. Limited mental health insurance coverage; high co-pays & deductibles; and frequent pre-authorization requirements makes it challenging to collect mental health insurance reimbursements. Through our comprehensive mental health billing services, we assist providers to receive accurate insurance reimbursements from various insurance companies. Our mental health billing services include,
- Benefits verification: Prior to a patient’s visit, we communicate with their insurance provider to verify the patient’s coverage status. This allows us to understand the type of mental health services that are covered and the benefits that are available including, any out-of-pocket expenses, visit limits, deductibles, and other such details.
- Coding: When a mental health provider submits patient data, we review the documentation to determine the appropriate CPT (Current Procedural Terminology) codes to assign to the services provided. To assign the correct CPT codes, we look for information in the patient documentation, such as the type and length of therapy provided, any additional services provided (such as testing or assessments), and any diagnoses or symptoms mentioned by the patient.
- Claims processing: We will create a claim form that contains all of the necessary information about the patient, the services provided, and the associated costs. The claim form is typically submitted electronically to the insurance company. The crucial information like the patient’s demographics, insurance information, and treatment details is cross-checked before submitted the claims.
- Payment posting: Once the insurance company approves the claim, they will send payment to the mental health practice or the providers’ account. We will posts the payment to the patient’s account and generates a report for the mental health practice.
- Claim follow up: Medisys follows up with the insurance companies to ensure that the claim has been received and processed. We will take follow up on every single submitted claim and will mark every claim as paid or denied. In case of any issues or denials, we work to resolve them and resubmits the claim if necessary.
- Reporting: We create multiple reports after the completion of a monthly billing cycle. These billing reports enlist total payments received and charges for an entire year till date. These reports can be leveraged to determine and analyze payment trends. This will help you to identify areas in your service plan that can be improved to maximize revenue generation.
Our Mental Health Credentialing Services
Credentialing is a critical step for the mental health providers who wants to start billing various insurance companies. Provider credentialing involves verifying and evaluating the mental health provider’s education, training, certification, and licensing to ensure that they meet the standards and criteria of the insurance company, regulatory bodies, and other organizations. In our credentialing services we assist you in entire credentialing process for all insurance companies including Medicare and Medicaid. The key steps of provider credentialing are as follows:
- Verification of credentials and qualifications: This includes checking the provider’s education, training, licensure, certifications, and any other credentials.
- Background checks: This includes checking for any criminal history or disciplinary actions against the provider.
- Review of work history: This includes reviewing the provider’s employment history, clinical experience, and any references or recommendations.
- Compliance with insurance company requirements: This includes ensuring that the mental health provider meets the specific credentialing requirements of the insurance company, including participating in the network, maintaining malpractice insurance, and complying with billing and coding guidelines.
- Ongoing monitoring and maintenance of credentials: This includes regular monitoring and updating of the provider’s credentials and licensure status, ensuring compliance with regulatory bodies and insurance company requirements, and managing any updates or changes to the provider’s information.
Benefits of working with Medisys
We understand that mental health care providers face unique challenges when it comes to billing and coding. That’s why we offer specialized services to help mental health practices optimize their revenue cycle management and streamline their billing and coding processes. Here are just a few reasons to choose Medisys Data Solutions for your mental health billing and credentialing needs:
- Expertise: Our team of billing and coding professionals has extensive experience working with mental health providers, so we understand the specific requirements and nuances of this field. We stay up-to-date with the latest industry changes and regulations to ensure that your claims are accurately coded and submitted in a timely manner.
- Efficiency: We have knowledge of all leading billing softwares and processes that minimize errors, reduce claim denials, and speed up reimbursements. Our streamlined approach allows mental health providers to focus on delivering high-quality care to their patients while we handle the administrative tasks.
- Customization: We recognize that every mental health practice is unique, with its own set of billing and coding needs. That’s why we offer customizable services that can be tailored to fit your practice’s specific requirements. We work closely with our clients to ensure that our services are aligned with their goals and priorities.
- Transparency: We believe in transparency and open communication with our clients. We provide regular reports and updates on the status of your claims, so you always know what’s happening with your revenue cycle.
- Affordability: We offer competitive pricing for our mental health billing and coding services, with no hidden fees or charges. Our services are designed to help mental health practices maximize their revenue while minimizing their administrative burden.
At Medisys Data Solutions, we’re committed in helping mental health providers achieve their financial goals and improve their bottom line. Hope this article has given you basic understanding of our mental health billing and credentialing services. To know more about how we can support your mental health practice’s billing and credentialing needs, contact us at info@medisysdata.com / 888-720-8884
