Services Offered by Medical Billing Services
We provide a comprehensive, end-to-end revenue cycle management suite designed exclusively for mental health, counseling, and faith-based practices. We adapt completely to your existing workflow—no new software required.
Full-Service Claims Management
Electronic Claim Scrubbing & Submission: We review every mental health claim for accuracy, tracking modifiers and diagnostic codes before submitting them via your Electronic Health Record (EHR) or clearinghouse.
Electronic Claim Scrubbing & Submission: We review every mental health claim for accuracy, tracking modifiers and diagnostic codes before submitting them via your Electronic Health Record (EHR) or clearinghouse.
- Secondary Insurance Billing:We manage complex secondary and tertiary coordination of benefits to ensure you get paid completely when a client has multiple coverage plans.
Denial Resolution & AR Recovery
Denial Appeals:
When insurance companies unfairly deny a session code (like 90837 or crisis codes), we handle the entire formal appeal process on your behalf.
Denial Appeals:
When insurance companies unfairly deny a session code (like 90837 or crisis codes), we handle the entire formal appeal process on your behalf.
Patient Billing & Statements
- Co-pay & Deductible Management: We track patient responsibilities to ensure accurate invoicing.
- Monthly Statements:We generate and distribute clean, professional statements to your clients for their out-of-pocket balances, deductibles, or co-insurance.
Superbill Generation:
For out-of-network or strictly pastoral clients, we create accurate, compliant superbills that they can easily submit to their own insurance providers for reimbursement.
Eligibility Verification & Credentialing Support
Real-Time Benefits Verification:
We verify a new client's behavioral health benefits, deductibles, and co-pays before their first session to prevent surprise out-of-pocket costs.
Provider Panel Management:
We assist in linking your independent contractors and licensed clinicians to your group contracts inside CAQH and insurance portals.
Performance. -Based Pricing Model
We believe in a true partnership:
- We do not charge a setup fee.
- Our service fee is a straight percentage of your successfully collected insurance revenue (typically ranging from 6% to 9%, depending on your practice's monthly volume).
"You spent years learning how to help people heal—not how to fight insurance companies for your hard-earned revenue."
We handle your end-to-end claims lifecycle directly inside your existing EHR network. Our administrative staff performs rigorous electronic claims scrubbing, verifying that all diagnostic modifiers, provider credentials, and facility parameters are flawless prior to clearinghouse submission. This drastically reduces initial front-end rejections and keeps your cash flow completely steady.
Standard corporate billing providers often mismanage specialized clinical codes, resulting in costly delays. Our team possesses deep, specialized expertise in navigating behavioral health codes (including intensive 90837 and 90834 sessions), telehealth interactive modifiers, and home-health/hospice billing parameters. We ensure your specific clinical field is billed with total accuracy.
- We do not simply resubmit rejected claims; we actively appeal them.Our firm specializes in aggressive denial recovery, tracking down outstanding or underpaid accounts receivable and managing the backend appeal track directly with insurance payers. We audit the paper trail to recover the revenue your facility has rightfully earned.