Despite your increasing census at your behavioral health facility, have you noticed the lack of an increase in revenue? This could be a sign of a detrimental leak in your revenue cycle due to clinical team errors or lack of training. How do you prevent potential claim denials and this loss of revenue? Here’s a guide to help polish your procedures and help maintain a long-term efficient billing system.
Detailed Clinical Note Taking
Depending on the state, insurance coverage has many laws and regulations to manage not only how treatment at a behavioral health facility is administered, but also how it’s reimbursed by insurance carriers. That’s why it’s a necessity that your clinical team takes copious notes and detailed documentation. Patient authorizations and claim denials strongly rely on these details for the insurance provider to determine proper reimbursement.
Having to submit claim appeals due to incorrect or insufficient information being originally submitted will take even more time away from your clinicians and a delay in your reimbursement.
A lack of communication between your staff members can cause insufficient evidence to be recorded for your insurance reimbursements. If staff don’t communicate their responsibilities to manage claim appeals through the entire adjudication process, underpayment may go unnoticed or you risk not being paid at all.
Correct Billing Codes
With insurance regulations constantly changing and the window to submit claims decreasing, it can be hard to keep up with changes in billing codes and enter them correctly the first time around. If staff is improperly trained on these codes, it can create both an influx of claim denials and a syphon in your revenue cycle management.
Clinical Staff Training
To help stream-line your revenue cycle and avoid billing errors, Billing Solutions offers staff training. Our team is comprised of licensed clinicians that are also financial experts, who know all of the ins-and-outs of the ever-changing insurance policies. We’ll provide training sessions on a regular basis, so all employees are knowledgeable on and understand the subtleties in behavioral health language used in note-taking, correct billing codes, and timely follow-ups.
Outsourcing Your Revenue Cycle Management
Maximize your revenue and take the enormous weight of managing your billing in-house off of your shoulders. Billing Solutions is a customer service entity first, and a billing company second. We will listen to your facility’s needs and assess all areas in your revenue cycle that may be causing you to leave money on the table. With outsourcing your billing and revenue cycle management to Billing Solutions, you and your clinicians can put all efforts into what’s really important — quality care for your patients. Reach out to us today and read our guide on billing for a behavioral health facility.