Case Study: Behavioral Health Billing
Behavioral Health Billing Case Study Type of Practice: Behavioral Health Group The Challenge: A successful behavioral health practice approached Medwave to manage their billing process. Up until now, they were performing their own billing in-house using various staff members who had had some formal training. However, they were finding that these staff members were spending an inordinate amount of time with billing, insurance regulations and collections than they were with patients. The process was ugly and it wasn’t streamlined very well. Additionally, they wanted us to address claim-related glitches that included a lack of follow-up on claims, delays due to coding errors, issues causing claim underpayments or no payments and claims denials due to lack of prior authorizations . The Response: At the onset, our billing experts followed up on several of the client’s unpaid, underpaid and denied medical claims . Next, we quickly fixed the cl...