- Posted by Adam
- On December 20, 2016
- 0 Comments
- behavioral health billing, behavioral health billing services, behavioral health business services, elevated billing solutions, insurance billing, medical billing
5 key qualities to look for in a billing company
-Look for a company with a knowledge base specific to Behavioral Health.
Many behavioral health treatment facilities will attempt to hire a low cost solution for their medical billing needs. This is often through established medical billing company’s that are in the area of the treatment center. It is crucial to understand the differences in processes from medical billing vs. behavioral health billing. If your billing company or in house biller does not have the knowledge base of insurance processes specific to the behavioral health field you are at risk for:
-Failed claim management methods
-Decreased and/or lost revenue
-Poor quality of care to patients
-Minimal to no transparency into your revenue cycle
-Deteriorating peace of mind
-Can the billing company handle your current patient census?
It is important to analyze and understand how the billing company operates. Many billing companies have come about over the past year or two and aside from being relatively new to the industry they also do not have the workforce or technology to effectively manage multiple facilities with high patient occupancy. Ask questions such as “How will you manage my facilities current patient cases? How many staff members do you have?” Ensure that the billing company has adequate staffing and also ask what happens if they have turn over in staff? Keep in mind the billing company becomes and outsourced extension of your program. Confirm that if the billing company has employee turn over they have enough staff to ensure your claims and insurance processes will not suffer.
-Does your billing company understand standardized social work ethics and billing practices?
Billing companies and treatment centers alike have formed many new entities over the past 3-5 years. Through this we have witnessed a number of severe issues in relating to ethical revenue cycle management and treatment methods. You want to ensure your outsourced billing solution understands ethics and legalities of the behavioral health industry and feel confident that they carry the expertise to bill accurately and ensure you are receiving accurate guidance from your outsourced behavioral health billing company.
-Does your behavioral health billing company provide transparency into the work they perform?
Understanding exactly the work that is being performed on your behalf when it comes to your revenue cycle management in behavioral health is absolutely paramount to a successful partnership. You billing company should be able to produce notes on all work that is being performed on your behalf and should also be in line with your policies and procedures.
-Do they provide Advanced analytics and tracking for your behavioral health organization?
Without analytics of your behavioral health organizations key performance indicators there is no possible way to project growth or effectively operate your business. Your outsourced billing solution should have the capability to crunch your facilities data and provide you with valuable insight into your organization. Ask for examples and discuss the reports you require.
To find answers to these questions or to learn more please contact Elevated Billing Solutions at
(385) 212 – 4004