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Our Process

Our End-to-End Billing Process

Twelve defined steps, each with a clear owner and a clear output. You always know where a claim is and what happens next.

  1. 1

    Practice Assessment

    We review your specialty mix, payers, current billing workflow, open AR, and denial history to establish a baseline.

  2. 2

    System Setup

    Access is configured in your EHR or practice management system, clearinghouse, and payer portals, with roles kept to the minimum needed.

  3. 3

    Eligibility Verification

    Coverage and behavioral health benefits are confirmed ahead of the visit, including copay, deductible, coinsurance, and session limits.

  4. 4

    Authorization Verification

    Authorization requirements are checked, requests submitted, and approved units tracked against scheduled sessions.

  5. 5

    Charge Entry

    Charges are entered from provider documentation with correct service, modifier, place of service, and rendering provider details.

  6. 6

    Claim Review

    Each claim is scrubbed for payer-specific requirements and common front-end errors before it ever leaves the system.

  7. 7

    Electronic Claim Submission

    Clean claims are transmitted electronically in daily batches to keep the revenue cycle moving predictably.

  8. 8

    Clearinghouse Monitoring

    Acceptance and rejection reports are reviewed daily, and rejections are corrected and resubmitted immediately.

  9. 9

    Payment Posting

    ERA and EOB payments are posted and reconciled, with adjustments, write-offs, and patient responsibility applied accurately.

  10. 10

    Denial Management

    Denials are researched to root cause, corrected or appealed with documentation, and tracked until resolution.

  11. 11

    AR Follow-Up

    Aging is worked by payer and bucket with documented, persistent follow-up on unpaid and underpaid claims.

  12. 12

    Revenue Reporting

    Recurring reports show submissions, collections, denial trends, and AR aging, with recurring issues flagged for correction.

Workflow

How a Claim Travels

From the moment a patient is seen to the moment the balance is resolved.

  • Patient Visit
  • Eligibility
  • Authorization
  • Charge Entry
  • Claim Submission
  • Clearinghouse
  • Payer
  • ERA/EOB
  • Payment Posting
  • Denial/AR Follow-Up
  • Resolution

Want This Process Running in Your Practice?

We start with a practice assessment and show you exactly what the first 30 days would look like.

info@mentalhealthmedicalbillingusa.com