Understanding Behavioral health billing
In a general medical billing scenario, it is often a simple task to bill the services to health insurance, because they are frequently under one general charge. On the other hand, for Behavioral health services, a wide range of factors such as length of the session, the location of services, age of the patient etc. contribute to the differences in these services.
This makes Behavioral health billing complex for the providers and many health insurance plans also require pre-authorization, which can prolong the billing process. Lack of knowledgeable resources combined with limited administrative support can lead to unintentional errors and can also cause delay in the billing process.
Behavioral Health billing – Best Practices
A successful Behavioral health business
Revenue collection for Behavioral Health services is a complex task. Visibility into every aspect of your revenue cycle with an action plan is inevitable in order to identify and fix the problems before they cost you. If you are falling short of experienced hands at your end then outsourcing to capable and experienced personnel is the key for running a successful Behavioral Health business.
By outsourcing you can:
How can Practolytics help?
Practolytics is your one-stop solution for all the medical billing, practice management, patient management, and revenue cycle management activities a healthcare practice needs to carry out. A Platinum partner amongst 850+ billing companies, Practolytics is a 20+ year-old healthcare technology and revenue cycle management services company, providing medical billing service solutions to 180+ practices of all sizes spreading across 31 states and serving more than 28 critical specialties.
If you are looking for a trusted billing partner for your Behavioral Health facility billing operations, Practolytics with its diverse background in every aspect of healthcare is your best bet. We can help you streamline your billing processes so that you can focus on your primary responsibility – patient care.
Optimize Your Behavioral Health Revenue
Practolytics expertise can help you in maximizing your Behavioral health clinic revenue.
Get In Touch
Three years ago I started a dermatology practice. Six month into my start up I had received approximately $15,000 and I had $115,000 in my accounts receivables. I had put my wife’s and my entire savings and every penny we had into this practice, not forgetting to mention, our hearts and souls. We were three weeks from not making payroll when Practolytics contacted us.
One of the most “Can Do” companies I’ve ever worked with. They personally take it upon themselves to see to it that my company thrives. Very responsive to the nuances of my small company, yet always make me feel just as important as their larger clients.
We have outsourced our billing to Practolytics for the last 5 years. They have been very helpful and instrumental in our continued growth. They are always available to answer any questions that we have and assist our team. Their response time is great, and I would recommend them to anyone who would like to see their business revenue increase.
Behavioral health FAQs
How is Behavioral health billing different from Medical billing?
In a medical setting, patients are billed for specific treatments such as Xray, labs etc. In Behavioral health, patients and Insurers are billed for psychological therapies and there are rules pertaining to the length of the session the Insurance can pay for, maximum number of treatments that will be paid for a day or week etc.
Is Pre authorization required for all sessions?
This varies from Insurance to insurance. Generally, Pre Authorization is not required for a regular office visit or few initial sessions. Elaborate services like therapies or psychological sessions may require pre authorization by the insurer.
Does filing the claim have a time limit?
This varies from Insurance to insurance. Usually 90 days is the limit for filing but some Insurers like Medicare allows a year to 18months also for filing. The best way is to check with your Insurer.
How long do behavioral health reimbursements take?
In most of the cases, the reimbursement is done in an average of 30 days from the date the claim is received at the Insurance’s end.
Can the same patient be billed for multiple sessions on the same day?
The rule is normally one session for a patient in a day. If you contact the Insurance you may be able to get authorization for multiple services in a day.
Stay in the loop
Sign up for our monthly newsletter