How to Handle Appeals and Audits of Your Medical Billing System

How to Handle Appeals and Audits of Your Medical Billing System

by | Jan 3, 2023 | Uncategorized

If your behavioral health practice hasn’t received payment from a patient or their insurance company, you might be wondering what is delaying the process. Often, this may mean you are being audited by a provider. You want to receive the proper payment that you deserve, and CA Billing has a team of medical billing specialists that will help you receive payments and navigate the audit process through appeals. Learn more about how to handle an audit, and contact our team today for more guidance.  

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Why is Your Behavioral Health Facility Being Audited?

Medical billing appeals and audits can be a daunting thing for any practice or behavioral health facility, so understanding why this is occurring is the first step in handling the situation. If a patient or their insurance company disagrees with an item or service that was provided by your medical team, they may withhold the reimbursement payment. 

How Can An Appeal Help You Receive Payment?

If a claim is problematic and you wish to receive payment, you will want to appeal a demand for payment. When it comes to the appeals process in the medical billing system, you must be confident that there was an error in the appeals process. Each provider will have a different appeals procedure, and you’ll want to comply with those details. 

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Hire a Team Dedicated to Handling Appeals and Audits

Navigating audits and appealing requires attention to detail on provider processes and understanding the medical billing system you are working with. Finding the right team of certified medical coders can help! At CA Billing, we are a medical billing agency that will fight for you to receive the payment you deserve. Contact our team to get started

Avoid Audits and Appeals in the Future

Once our team of medical billing specialists and legal experts help you resolve any audits of your system, we’ll help you avoid future audits! Our main goal is to help your practice continue to provide the best care possible while receiving optimum reimbursement. Staying up to date on the latest coding and billing information, keeping detailed documentation of your billing process, and working with your staff to help them understand the process will all help you avoid audits in the future. 

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Don’t handle medical billing audits on your own, reach out to our team of medical billing specialists at CA Billing and we will help you navigate the process and receive payments! For more information about appeals, or our professional and legal expertise, contact CA Billing today. 

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4 Reasons to Choose CA Billing For Your Behavioral Health Billing Needs

4 Reasons to Choose CA Billing For Your Behavioral Health Billing Needs

by | Oct 26, 2022 | Uncategorized

Behavioral health providers across the country have been discovering the benefits of using a third-party billing provider to help care for their patients. CA Billing caters exclusively to mental and behavioral health professionals and organizations, utilizing our extensive knowledge and relationships with local insurance companies to save you time and money. Here are four reasons to give us a call today!

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We Hold Ourselves to the Highest Standard

Client data is incredibly sensitive, and nobody takes that more seriously than CA Billing. With data security standards always being raised higher, we continuously work to provide elite-level data protection. We’re HIPAA-compliant, and we focus on training for new policies and procedures so that you can focus on growing your practice. We worry about secure payment collections so you can focus on your services!

Outsourcing Can Be a Major Benefit

Medical billing has grown into a field unto itself, and it requires specific skill sets to handle on a professional level. While it can be handled internally, you do spend a lot of money on taxes, office space, salaries, and training, as well as keeping your systems updated. When you outsource your billing with CA Billing, we take all of these requirements off of your shoulders so you can spend your time where it matters most.

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We’re Dedicated Specialists

CA Billing will always strive to provide your behavioral health practice with personalized service so that you can maximize your bottom line. Each claim will be tracked from the moment it’s processed to the point when it is paid in full. We’ll ensure that all denials are kept track of and that appeals are filed and completed. Our knowledge of the healthcare billing industry and its standards is second-to-none.

Focus On Your Practice

At the end of the day, the less time, energy, and money that you have to spend on billing, the more you can focus on your professional mental health services. This has always been our mission — to help our clients succeed, grow, and lower their bottom line so they can focus their energies where they matter the most.

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Are you ready to make the switch to CA Billing for your billing needs? Contact us today to get started and speak with one of our billing experts!
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4 Reasons to Work With a Third-Party Medical Billing Service

4 Reasons to Work With a Third-Party Medical Billing Service

by | Oct 26, 2022 | Uncategorized

All healthcare providers, including those working in mental healthcare fields, are looking for better solutions when it comes to fast and efficient reimbursement from payers for services rendered to patients. In-house billing can be time-consuming and complex, and your practice may be better off utilizing a reliable and trusted third-party medical billing service like CA Billing! Here are four reasons to give us a call today.

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Enhance Your Revenue

When you handle billing in-house, that also means that you’re responsible for software upgrades and maintaining the means for processing billing — which can be expensive. Save time and money with our third-party billing service and lower your overhead costs while also getting timely submission of claims and increased reimbursement!

Streamline Your Billing Process

A streamlined billing process goes a long way toward gaining the confidence of your mental healthcare patients and makes your practice more efficient. Having a bad reputation for poor billing practices could end up costing you patients and clients. Avoid those potential problems altogether with CA Billing — we’ll provide an uninterrupted flow of professional billing services.

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Allow Your Team to Focus On Their Strengths

Instead of your staff spending their valuable time chasing claims from delinquent accounts or undergoing extensive training for coding requirements, trust CA Billing to handle everything! We’ll manage all of your patient billing data so that you can focus on providing and improving the services your healthcare practice was created for.

You’ll Have Happier Patients

When you trust a professional third-party billing company with the financial side of your practice, your team can focus on gaining customer satisfaction through your services and client-staff relationships. When billing issues are handled by our professional team, you don’t need to worry about resolving them yourself. That means everyone’s role will be completed more efficiently and effectively!

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If you’re looking for a behavioral health billing or medical billing third-party provider, we encourage you to try CA Billing! Contact us today to get started.
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Top Services Provided By CA Billing

Top Services Provided By CA Billing

by | Jun 27, 2022 | Industry News

As a medical provider, you have a lot on your plate. Not only are you responsible for providing exceptional patient care, but your staff is also required to have a deep understanding of medical billing systems to avoid unpaid or denied patient medical claims. While most, if not all, medical providers would like to only focus on patients — the truth is you cannot have a medical practice without having some sort of medical billing system in place.

At CA Billing, we help to alleviate some of the stress and mess that comes with medical billing in the behavioral health sector. As an independent, boutique third-party billing company, our goal is to advocate for your patients and get the optimum reimbursement so you can grow your revenue and continue to provide the care they deserve. Our experienced team and innovative software handle a wide variety of comprehensive medical billing services. In today’s post, we will go over our top four services while addressing how each of these will allow your medical practice to thrive and continue to care for patients. Enjoy this summary of our services and reach out to our qualified team to request a free consultation!

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Verification Of Benefits

Accurate medical billing services start with the verification of patient benefits for optimal practice reimbursement. Before insurance companies will pay on a medical claim, a verification of benefits is usually performed on the account to ensure the agency of legal responsibility. While many medical billing systems leave medical practices hanging with no conclusive answers. CA Billing a verification of benefits within the hour of receiving a request. Accurate verification is critical to proper billing, medical reimbursement, and a reduced number of disputed claims.

Utilization Reviews

As a medical provider, your goal is to provide the best, optimal care for your patient, but it is also important that your facility get reimbursed for services so you can continue providing services to others. As your partner, our utilization review team and clinical teams work together to gather all pertinent information and ensure that correct procedures are followed. You don’t want to have a claim dispute keeping your patients from receiving the care they need. Keep your relationship focused on the patient’s care, while your utilization review specialist handles their insurance provider.

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Billing & Collections

Medical billing can get confusing quickly. With medical codes changing every day, your medical billing software must be adaptive and responsive to industry trends. As a medical billing agency, we stay up-to-date on all billing and collection protocols that affect our behavioral health sector. Our goal is to provide accurate billing to reduce denied claims and collection accounts, keeping more cash flow in your business.

Third-Party Negotiations

Negotiating reimbursement payments can be very time-consuming. Let our team of experts handle all your third-party negotiations as your medical billing advocate. Our unique expertise allows us to quickly navigate fair negotiations and provide compelling agreements, including global agreements, so third parties are happy to find a solution that works for both sides. Services we include:

  • Legal contract review
  • Expert negotiation
  • Conversations with companies on your behalf
  • High probability of maximum reimbursement
  • Time saved, so you can focus on clients
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Along with these services, CA Billing also provides in-depth reporting and analytics, helping you keep an overview of your entire medical billing system. Our medical billing software lets you generate patient reports when you need them, shedding valuable light on your billing department and keeping you as a medical provider in the loop on all business aspects. And if your business is experiencing a slow down in provider payments, our expert appeals and audits team has a proven track record of success in taking the appropriate channels to remedy a solution in your interest. No matter your medical billing situation, it is never too late to get on top of the industry trends with a new medical billing partner. Contact us today for a free consultation!

4 Important Qualities Of Medical Billing Software

4 Important Qualities Of Medical Billing Software

by | Mar 7, 2022 | Industry News

4 Important Qualities Of Medical Billing Software

If you are a healthcare provider, then you know how important it is to have a good medical billing system in place. Not only does this make the billing process easier for you, but it also helps ensure that your patients’ bills are processed correctly and on time. That’s why CA Billing has put together a medical billing system that has been shaped using data accumulated over the years of working with a variety of clients. Here are just a few qualities our medical billing software provides your business to make your life easier and avoid the hassle of inaccurate bills.

Ease of Use

Ever-changing billing codes make billing patients a frustrating and difficult process. You have to stay up to date on industry trends to ensure you are charging clients fairly. With CA Billing, we take care of all the hassle so you can focus on getting your patients the care they need. However, we understand that outsourcing your billing can cause anxiety, as you are not directly in control of this major part of your operations. That’s why our medical billing system comes with CA Analytics, where you can easily access and track the various transactions of your business.

Accuracy 

Medical billing is a complex process, and even the slightest mistake can cause inaccuracies in bills. This can lead to higher claim denials, loss of revenue, federal penalties, and fines. Often these detrimental billing mistakes are not caught until it is too late, as the law does not require intent to be a factor when determining the impact of an inaccurate medical bill. With the CA Billing team on your side, you can rest easy knowing our team stays up to date on the latest billing code information to keep your bills as accurate as possible. 

Security 

Many businesses have fallen victim to cybercrime that breaches their data and collects sensitive customer information, effectively ruining the business’s reputation. While these types of crimes may be out of your control, measures can still be taken to thwart any attempts of data theft. CA Billing takes data security and compliance seriously, as we understand the importance of protecting your patients’ information. That’s why we are HIPAA compliant and use the highest level of encryption to protect your data.

Flexibility

Every business is different, that’s why we made sure our medical billing system is adaptable to fit the unique needs of your medical institute. We translate our years of industry experience, and the data that comes with it, directly into effective strategies for our clients. Combining our data-driven approach with our boutique billing style, we create tailor-made solutions that meet our clients’ needs while staying in front of the changing industry landscape. Don’t fall out of date with your billing, or spend large amounts of time ensuring your medical billing system works for your business model. Instead, get CA Billing Software to maximize your revenue and take the stress out of billing.

Medical billing software is an important tool for any healthcare provider. But not all software is created equal. With CA Billing, our medical billing software for small businesses takes the anxiety out of billing patients and can help maximize your revenue. Our team takes data security and compliance seriously, so you don’t have to worry about your patients being impacted by a data breach. We are also adaptable to fit the unique needs of your business, so you can maximize revenue while keeping up with industry changes. We even give you a full overview of the process with our CA Analytics, where you can track and review the billing process. Stop dealing with the hassle of medical billing software, and leave the work to the team at CA Billing!

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