Psychiatric

Your Specialists in Psychiatric Billing

We at Capital Care Solutions, offer tailored billing services for therapists and mental health providers covering all aspects of revenue cycle management. Our team ensures to incorporate new coding into our proprietary software to keep your mental health medical billing up to date, thus freeing up your precious time, so you can focus on your core task i.e. taking care of patients.

We understand that psychology billing is distinctly different from other types of medical billing. One of the major reasons for this is that mental health or psychology payers are usually different from other medical payers. Moreover, reimbursement may be handled by a third party that may have their own billing or authorization criteria. 

We have a trained and experienced staff that understands billing criteria, ICD and CPT coding for various services including, therapy, academic testing, evaluation and neuropsychological evaluation, and management claims. Collaborate with Capital Care Solutions and let us put our experience to work for you.

Key Features of Our Psychiatric Billing Services

Verification of Benefits

Our team calls insurance companies to verify the eligibility and mental health benefits of the patients before submitting claims. We also confirm the amount of co-payment, maximum visits allowed per year, deductible, claims mailing address, any authorization requirements, and other significant details.

Payment Posting

The payment posting regarding our psychologist billing services encompasses the entry of payments and adjustments derived from Electronic Remittance Advice (ERAs) and Explanation of Benefits (EOBs).

Patient Billing

Our team is adept at handling various aspects of patient account management. We ensure to provide exceptional customer mental health billing services by promptly addressing patient inquiries through our toll-free hotline.

Follow-up and Appeals

We claim to provide fail-proof medical billing for psychiatrists. Our team achieves reimbursement success by calling insurance companies to check on the status of unpaid claims; refilling unpaid claims as needed; reviewing denials, and resubmitting denied claims. 

Financial Reports

We provide detailed reports about the financial health of your practice including, patient aging, insurance aging, daily and monthly summaries, and reimbursement analysis for different payers.

Online Access to data

We provide 24/7 online access to our clients enabling them to check the status of unpaid claims, and financial reports and look up balances. 

Claims Processing

We at Capital Care Solutions, have a vision to provide advanced psychiatry billing services to our clients. Therefore, we submit claims electronically and if you have an in-house billing system in place, we offer the flexibility to seamlessly integrate with your software, enabling effortless data export and direct billing to provide you with an efficient, hassle-free, and seamless billing experience. 

Cost and time-efficient billing solutions

We provide time and cost-effective billing mental health services for your practice including appointment reminder calls/text messages, and an on-line appointment calendar. 

Challenges Psychiatrics Face

Referrals Requirement

Psychiatry patients have to get a referral from a general physician to see a psychiatrist, so it is critical to ensure that the referral has been filed with the payer before seeing the patient. Often doctors try to refer patients to specialists in the same insurer’s network offices to keep things simple for patients. 

Complex Coding

Psychiatry medical billing involves different codes for similar services which often leads to mistakes and claim denials. Coders must know what these codes are, to avoid claim denial.

Complicated Coverage Rules

In the Health Insurance Marketplace, coverages vary greatly between plans. Moreover, policies for the same carrier may also vary from state to state. Professional billing companies like Capital Care Solutions are well aware of these variations and can help file your claims correctly.

Benefits of Our Psychiatry Billing Services

Reduced Overhead

Outsourcing your billing services to us helps cut down staff costs because you don’t pay payroll taxes, workmen’s compensations, and other benefits. We can seamlessly integrate your existing software or allow you to access PBA’s online system, which saves you from overhead costs including scheduling software, maintenance, and training costs.

Enhanced Collections

With aggressive follow-up on unpaid claims and timely claims filing, we at Capital Care Solutions can boost your collection ratio and improve your cash flow.

More time for patients

Less time spent on complex billing will give you more opportunity to focus on your patients. It will also provide you peace of mind to work on expanding your practice without being overwhelmed by hectic administrative tasks.

Capital Care Solutions 

The Best Mental Health Billers

We at Capital Care Solutions, take pride in being the best mental health billers. Our exceptional billing services help you to focus on your patients and not paperwork. Our mission is to maximize patient collections or reimbursement rates. We have a skilled team ready to take on your psychiatric medical billing, saving you from handling chaotic administrative tasks.

Our coders and billers are experienced and certified in providing psychiatry billing services. They know what to look for and how to handle any rejected or denied claims issues.

Let’s Connect

We help medical practices save money by eliminating lost staff time spent appealing claims, and successfully reimbursing all the rejected and denied claims. So, what is the wait for? Contact us today to learn more about how we can optimize your revenue management.