Streamline Credentialing for Your Behavioral Health Facility: Easy Tips

by | Aug 14, 2023 | Behavioral Health, Credentialing, Revenue Cycle Management

Billing Solutions Team
Billing Solutions provides medical billing services for behavioral healthcare practices.

Credentialing for a residential treatment center is an extremely arduous and costly process. Unfortunately, it’s not one that you can skip. Lacking the correct accreditations will stunt your facility’s growth for the long term, and could even give you a bad reputation in the industry. With that in mind, here are some tips to make the process as streamlined as possible.

Why is Accreditation So Important for Behavioral Health Facilities?

National accreditation is becoming more time-consuming, costly, and difficult to achieve, but the value it confers in terms of authority is significant. For example, when a potential patient is reviewing residential addiction treatment facilities, they are more likely to choose one that prominently displays an accreditation seal. In that way, a lack of accreditation can directly impact your revenue.

Online, facilities without accreditation face another significant hurdle: LegitScript certification is required in order to run any type of paid advertisement on Google, Facebook, Instagram, and other platforms. However, you cannot get that certification without accreditation.

Finally — and perhaps most importantly — national accreditation is often required by health insurance companies in order to contract with your facility. Without accreditation, you will remain “out of network,” meaning insurance companies will deny reimbursements to your facility. Those three words are often a major deterrent to potential patients as well.

Ultimately, a lack of accreditation is not sustainable for any behavioral health facility. You don’t, however, have to handle it all on your own.

Billing Solutions offers credentialing services, so you can outsource the stress of compiling all of the required materials, and speed up the process significantly. Here’s how it works.

Our Proven Accreditation Process for Behavioral Health Facilities

Every behavioral health facility is different, and we offer unique solutions to help maximize your growth. First, we’ll work together to assess your current situation and define your goals for your treatment center. Then, our accreditation experts will determine the level of credentials you’ll need and come up with an action plan. We’ll then review the insurance providers you would like to be contracted with and help you make a plan to comply with any specific regulations that are required by those partners.

This is what the credentialing process looks like from there.

List of Documentation

We’ll provide a list of necessary documentation, so you can send all documents over to us in one batch. We won’t waste your time going back and forth.

Filling Out & Submitting Applications

Billing Solutions will fill out your credentialing applications and submit all paperwork, so you don’t have to worry about errors or rejected applications. We have the experience to get it right the first time.

Manage Correspondence With Insurance Companies

We don’t have to tell you that when you run a behavioral health facility, your time is precious. That’s why our accreditation experts will navigate all correspondence with the insurance providers’ credentialing departments.

Ensuring Compliance

Filling out an application may sound easy, but it’s not. At Billing Solutions, we ensure that all paperwork and documentation comply with all insurance policies.

Managing Contract Negotiations

Our team has more than 50 years of combined experience working with behavioral health insurance and will manage additional contract negotiations that may be necessary. We can even remove unwanted insurance providers from your plan.

In short, our proven process for credentialing will allow your behavioral health facility to secure accreditation without taking valuable time away from you or your clinicians. Simply focus on your patients and let us do what we do best.

Reach out to our insurance and accreditation experts today to learn more.