Behavioral Health Billing Is Simple with Synergy Bill Pro
While behavioral health is a crucial aspect of healthcare, its administration and billing process often receive less attention. It gets complicated, as providers and insurers don’t bill behavioral health services like other medical services. This disconnect causes certain difficulties for mental health providers, but there are some simple solutions from support teams like Synergy Bill Pro.
What sets behavioral health billing apart? Our professionals have the answers, and we can take care of all of your billing needs so that you can focus on what matters—the patients you’re helping.
What Is Behavioral Health Billing?
Behavioral health billing covers various mental health services, such as:
- Cognitive behavioral therapy
- Dialectical behavior therapy
- Exposure therapy
- Psychological testing
As a field of medicine, behavioral health focuses on diagnosing and treating mental health concerns so that people’s quality of life improves. Still, many insurance plans don’t cover it, which leaves professionals navigating billing and coding to try and help patients receive the coverage they need.
The Billing Steps for Behavioral Healthcare
The Synergy Bill Pro team can take the troublesome billing process for mental health providers and simplify it at every stage of the process. If you find your precious time spent trying to pin down pre-authorization or submit claims, you’re losing vital patient care moments. Let Synergy Bill Pro take care of your billing process instead!
We’ll handle each step in the billing process, including the following:
- Insurance verification: Verifying insurance coverage becomes necessary before attending any appointments or receiving any treatments. That way, your practice can then confirm the patient has adequate coverage.
- Pre-Authorization: Some health insurance plans require pre-authorization before a patient can receive your service or undergo a procedure. You may need us to contact the patient’s insurance company with their information to check things.
- Claim submission: Once your patient receives your care, you might find submitting claims time-consuming. Synergy Bill Pro makes it simpler, making it more likely that you’ll get a full reimbursement for your behavioral health services.
While other billing specialists provide basic verification of benefits, Synergy Bill Pro offers a full analysis of these benefits, as well. From out-of-pocket responsibility to estimates on possible reimbursements, our specialists go above and beyond to give behavioral health practitioners a detailed breakdown of patient coverage, expected profits, and much more.
Frequently Asked Questions About Behavioral Health Billing
What Is Behavioral Health Billing?
Behavioral health billing includes bills for mental health services, therapy, medical management, and psychological testing services.
How Is Behavioral Health Billing Different From Medical Billing?
Behavioral health billing is different from medical billing because of insurance restrictions. Most insurance providers have limits for behavioral health claims.
What CPT Codes Are Used for Behavioral Health Billing?
Common procedural terminology codes for behavioral health billing include the following:
- 90837 (psychotherapy)
- 90791 (psychiatric diagnostic evaluation without medical treatment)
- 90847 (family psychotherapy)
What Is a Modifier in Mental Health Billing?
A modifier in mental health billing consists of one to two-letter codes indicating the procedure or the type of service. The modifier may also indicate the evaluation, management, or identity of a service provider.
