Behavioral Health Billing and Coding Services in Massachusetts by ALICE CARLOS

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BEHAVIORAL HEALTH BILLING SERVICES IN MASSACHUSETTS, MA

Owing to its interdisciplinary nature – integration of knowledge in the biological, behavioral, psychological, and social sciences relevant to health and illness – Behavior Medicine physicians hardly find time to manage their medical bills filed and reimbursed efficiently. Outsourced Excellence Alternatively, our Behavior Medicine Billing Advisory – comprising AAPC certified medical coders, who are proficient in generating diverse behavior medicine bills on advanced software such as Lytec, Medic, Misys, Medisoft, NextGen, IDX, etc., and applying specific CPT, ICD-10, & HCPCS; complying with HIPAA privacy norms; and processing the prepared bills with leading private insurance carriers such as United health, Wellpoint, Aetna, Humana, HCSC, Blue Cross Group, and Government sponsored Medicare and Medicaid as well – has been able fill in the void successfully, and ensure greater revenue generation for Behavior Medicine physicians, patient inflow and referrals, and medical efficiency. Massachusetts, the state with one of the highest taxes is considered one of the most affluent states, but the cost of healthcare is considered as one of the basics and physicians across the state are trying to reduce healthcare costs. Experts working on your reimbursement make sure

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you have better collections. Since the last 10 years our medical billers and have been providing medical billing and coding as well as accounts receivables follow up and practice management service to Massachusetts physicians. Certified medical billing and coding professionals who have an extensive experience in all specialties, are available in all cities such as Boston, Worcester, Springfield, Lowell and Cambridge. They have shown skills for lowest claim denials and fastest reimbursement. Some of the services which our medical billers are proficient in are;     

Electronic claims submission Tracking of claims Patient statements Payment posting Customized monthly report

Our medical billers and coders look into the complex requirements of medical billing and help physicians to maintain their cash flows. They are experts in reducing overhead costs in terms of medical and other specialties. Our Billers in the state of Massachusetts are specialized to service medical practices as per the regulations of the state government. Their knowledge and experience has been acquired by years of efforts in perfecting medical billing procedures which they now leverage to help your practice collect more revenue. The federal government’s effort to reduce healthcare cost can only be supported by physicians in the state of Massachusetts by optimizing costs and enhancing revenue. Letting a specialist handle your medical billing can help you improve collections by 20%. Accurate Coding and code audit along with timely insurance follow up and account receivables are the basis on which thesebillers in Massachusetts guarantee higher profitability for your clinic. Their experience in various software and certification in the medical billing processes will support your practice to grow steadily. Extensive Coverage of Behavior Medicine Procedures Our billing advisory has been able to cater to a majority of Behavior Medicine professionals Call now 888-357-3226 (Toll Free) info@medicalbillersandcoders.com

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comprising of psychologists, physicians, and qualified nurses by employing a comprehensive billing and coding approach that covers the whole gamut of behavior medicine procedures including:   

Biofeedback, hypnosis, and bio-behavioral therapy of physical disorders Aspects of occupational therapy, rehabilitation medicine, and physiatry Preventive medicine

Enabling Accurate and Refined Medical Billing A thorough knowledge of the Current Procedural Terminology (CPT) coding system covering the comprehensive health and behavior assessment and intervention of medical services has been pivotal in enabling accurate and refined medical billing on our clients’ behalf. Following list of CPT codes used in coding Behavior Medicine procedures is a valid endorsement of our integrity in compliant coding system: CPT Codes 96150

96151

96152

96153 96154 96155

Corresponding Behavior Assessment and Intervention Medical Services For initial assessment of the patient to determine the biological, psychological, and social factors affecting the patient’s physical health and any treatment problems For re-assessment of the patient to evaluate the patient’s condition and determine the need for further treatment; a re-assessment may be performed by a clinician other than the one who conducted the patient’s initial assessment For interventional service provided to an individual to modify the psychological, behavioral, cognitive, and social factors affecting the patient’s physical health and well being For interventional service provided to a group; an example is a smoking-cessation program that includes educational information, cognitive-behavioral treatment and social support To code interventional service provided to a family with the patient present To code interventional service provided to a family without the patient being present

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Infusing Modifiers for Mitigating Delay/Denial Coupling a competent coding regimen with timely and accurate modifiers, our Behavior Medicine Billing Advisory has been able to mitigate undesirable delay/denial of its clients’ medical reimbursements. Modifier 22 for Extended Service and Modifier 52 for Reduced Service (where in the provider reduces or eliminates a portion of the service or procedure, which results in a reduction in reimbursement. The reduced service is identified by its CPT code and the addition of the modifier-52) are prime examples of Modifiers adopted in our billing management. Multiple Benefits The Behavior Medicine physicians, who lent preference to our billing and coding competencies – complete with accurate charge-capture, intricate procedure coding, electronic filing of claims, patient billing, multi-tiered appeal process, denial elimination initiatives, and compliance standards – have been able to witness simplification of revenue cycle, appreciable increase in collection rates, more patient inflow and referrals, and Increased avenue for medical research and development.

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