Best Practices for Mental Health Billing

1. Confirm eligibility and benefits prior to the patient’s first visit.
2. Specifically request mental health benefits
3. Confirm name and address of the mental health payor
4. Obtain authorizations prior to the patient’s first visit
5. Confirm deductible or co-payments responsibility for the patient.
6. Advise new patients of their own mental health benefits prior to their first visit
7. Collect patient’s demographic and insurance information prior to patient’s first appointment.
8. If the patient is a minor, obtain complete guarantor (especially birth-date and Social Security Number)
9. Follow up with insurance every 30 days to keep accounts receivable balance low
10. Make patients aware of balances as you are seeing them
11. Collect co-pays at the time of service.
12. Create a schedule for submitting insurance claims
13. Submit electronic claims wherever possible to have proof for appealing time filing limit
14. Check your electronic claims reports to ensure that claims are successfully transmitted to the right carriers
15. Print and mail patient statements monthly
16. Document insurance and patient payments regularly to keep accounts reflect the most current balance due
17. Verify that bank deposit totals equal the amount entered into your billing system via day sheet

Sounds like a lot to do? Well, it is but Sharp Management Group can help with all of the above leaving you to care for your patients.

We are experts at what we do because that’s all we do!