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Thursday, 12 October 2017

5 Ways To Streamline Your Behavioral Health Billing

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If time is money, you must make every process related to managing revenue as efficient as possible, from the moment you set appointments until payments arrive. Effective revenue management means you get paid as much and as quickly as possible. Because mental health and substance abuse agencies face unusually complex billing and reporting requirements, streamlining operations is especially important.

Here are five ways a sophisticated EHR/billing package can save you time and money:

Automated overrides. A system with automation rules allows you to create codes for numerous payor/payment situations – a common challenge for mental health and substance abuse practices. Say you’re a day treatment hospital that needs to bill for the facility on an institutional claim but bill for services by an individual on a professional claim. Look for an EHR that can automate these situations: “For this payor, these rules apply.”

There’s no sense setting up appointments you won’t be paid for. An EHR system that allows appointment restrictions tracks insurance companies’ rules and CPT code rules. If the insurance requires a set amount of time between appointments, limits coverage, or does not cover certain treatments, you’ll know that up front. The system should include default prices so you always know how much you will collect and when you can expect reimbursement.

Automated overrides should include payor-specific fee schedules. Once a clinic becomes affiliated with an insurance company to accept third-party reimbursement, the program recognizes usual and customary services. An EHR system that uses a payor-specific fee schedule can override the default fee schedule.

Clearinghouse integration. Sending claims to multiple payors takes time. With clearinghouse integration, you won’t need to connect with individual payors; you create one batch of claims, and the clearinghouse disseminates all of them. Many clearinghouses can create payor-specific edits: “We know this client always requires that.”

Using a clearinghouse also streamlines your revenue cycle by scrubbing the claims. That means it looks for errors or missing information – like a diagnosis code or date of birth – that will cause denials and send them back to providers. A clearinghouse/EHR partnership eliminates the need for clinic staff to try to decipher rejection reports and resubmit claims.

Using a clearinghouse integrates insurance eligibility verification. Even before your client sets foot in your office, the system tells you what, and how, you will collect fees. What’s the co-pay? Deductible? Who’s the payor? Does the client have more than one form of insurance coverage? Which gets billed first? What’s covered? Eligibility verification is especially helpful to ensure that Medicaid coverage is still valid.

Patient statements. To save time printing and sending patient statements, use an EHR that integrates with a clearinghouse. Many clearinghouses will print and mail patient statements for a small fee. Patient statements and bills are available online through ClinicTracker’s Patient Portal, which also allows patients to pay online.

835 transactions. Healthcare insurance plans use electronic remittance advice (835) to make payments to healthcare providers, provide explanations of benefits (EOBs), or both. Manually entering information into EOBs is time consuming and prone to human error. Using 835 transactions eliminates data entry errors and saves time. This feature, which is built into ClinicTracker’s Billing Tracker, provides an easier way to accomplish this task.

Collections integration. Collecting healthcare debt is tedious, time consuming, and frustrating. Integrating with a collections agency allows you to forward bad debt claims with a few clicks. That expedites the payment process, lowers internal costs, and increases your cash flow. An integrated service eliminates the time and effort of manually adding information. Instead, your reports are created quickly and securely. Centralized reporting allows you to track payments so you always know your cash flow.

ClinicTracker provides all these functions and more. Our partnerships with industry leader TriZetto Provider Solutions and other clearinghouses allow you to manage cash flow and track the claims process in an intuitive, customizable format. We’ll help you create an EHR tailored to your practice’s workflow and designed to maximize your revenue. BillingTracker manages your entire financial operation. It creates claims from appointment records, adjusts balance responsibility over multiple payors at once, and sets claims to bill using payor-specific methods. ClinicTracker’s eligibility verification automates the entire process. This prevents claim denials, which can delay payment up to 45 days

We know time is indeed money. We’ll help you spend less time on tedious tasks so you can spend more time with clients, confident that revenue will keep flowing.

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ClinicTracker is a robust, future-proof mental health and substance abuse EHR. Michael Gordon, a respected clinical psychologist, and Joshua Gordon, an award-winning software engineer, founded the company in 2000. ClinicTracker EHRs powerful software empowers your agency to succeed. ClinicTracker will automate many of your clinic routines, boost staff productivity, increase billing efficiency, and provide the tools you need to manage your clinic effectively. While mental health and substance abuse agencies are our main focus, our software is compatible with foster care agencies, social services, equine assisted therapy, university clinics, academic counseling, family counseling services, and eating disorder clinics.


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