Sep 6, 2021

Behavioral Health Treatment Centers and Claim Services

Stethoscope lays next to a pen on top of a sign in sheet at a doctor's office

The medical billing and claims process can be overwhelming for behavioral health treatment centers. As a result, without a suitable behavioral health billing application or software, your staff will spend more time handling billing disputes and insurance claims rather than focusing on the patients’ needs.

So, this is where our team of experts at Nextus Billing Solutions comes into play. Our goal is to help behavioral health treatment centers stay focused on providing quality care for their patients while we take care of all their medical billing and claims processing needs. 

Furthermore, we work tirelessly to ensure that every claim gets processed on time, so you are reimbursed quickly. At Nexus Billing Solutions, we offer bill review services to make sure your providers get paid correctly for what they’re owed by insurance companies each month. This helps keep your cash flow strong and prevents any interruptions in coverage for your facility as well as reimbursement from insurance providers so you can focus on your patients’ needs.

Here are 5 ways medical billing and claims management services can help your behavioral health treatment center:

  • Documentation Assistance
  • Negotiations 
  • Claims Processing
  • Insurance Billing
  • Consulting Services 

Documentation Assistance

Documentation is one of the most important components of revenue cycles. Our trained and highly skilled team of professionals will assist your facility or practice in obtaining proper information. Documentation is critical for:

  • Credentialing
  • Claim submissions
  • Re-submissions
  • Charting
  • Records requests from insurance companies

At Nextus Billing Solutions, we can help you navigate these requests and handle them promptly and efficiently.

Negotiations

Behavioral health treatment centers have to negotiate with third-party payers directly for reimbursement, which is time-consuming and costly. So, Nextus Billing Solutions helps behavioral health treatment centers to eliminate this problem by negotiating on their behalf.

We are established with a long-running precedent, with the majority of major third-party administrators, to help ensure maximum reimbursements for out-of-network claims. Also, we can assist your behavioral health treatment center with single-case agreements, and in-network contracts/rate negotiations as needed.

Claims Processing

Claims processing for behavioral health treatment centers is a huge challenge. Our clients are dealing with complex coding, billing rules and regulations, and insurance companies that don’t pay claims on time.

Nextus Billing Solutions was built to solve these problems, with a 99 percent first-pass claim acceptance. The feedback of our valued clients has developed the internal systems and processes. We help our customers avoid manual data entry issues by offering an automated solution that is easy to use and saves them time and money. Also, we’re HIPAA compliant, which gives you peace of mind when using our medical claims software.

Insurance Billing

The healthcare industry is a complex and ever-changing environment. So, it’s difficult to stay on top of all the changes, regulations, and requirements that you need to meet to provide quality care for your patients. 

However, Nextus Billing Solutions has developed a state-of-the-art, intuitive proprietary software program that simplifies the process by…

  • Eliminating unnecessary steps 
  • Maximizing outcomes through improved efficiency in coding and documentation processes 
  • Enhanced communication between providers, payers (insurance companies), patients/families/guardians

We designed our framework for simplicity. So, you will have full visibility into every step of your claim from beginning to end.

Consulting Services

The best way to ensure your behavioral health center gets paid is by doing everything right, but it’s hard to know what “doing everything right” means. Every facility has unique needs and requirements for its billing practices, making it difficult to keep up with the latest regulations and industry standards in a fast-paced environment.

Our team at Nextus Billing Solutions offers comprehensive consultations and long-term solutions for medical billing and claims services to behavioral health treatment centers across the country. Also, we have mastered the navigation of credentialing and understand the ins and outs of setting up a new facility or practice. So, it is our goal is to help you realize your maximum potential by helping you avoid costly mistakes, streamlining processes, reducing costs, and maximizing reimbursements from insurance companies every step of the way.

In conclusion, we will continue to evolve and respond to industry changes to provide our clients with the best medical and billing claims. Transitioning to Nextus Billing Solutions is smooth and painless. Contact us for a free consultation or call us at 844-4-UR-BILL to chat with one of our team members.