SAMH

Business Consultant Services

Policy Manuals, Employee Training, HR Outsourcing and more for DCF, JCAHO, NARR, FARR Compliance, AHCA and CARF Accreditation
 

How To Get Insurance Payment and Listed On Insurance Panels?

Getting on insurance panels can be a long tedious job, however it is a very important to place yourself strategically amongst various reimbursement panels in order to survive in today's industry. Some clinicians/agencies choose to take this task on himself while others outsource to special companies. In today's business world outsourcing can be beneficial. We strongly suggest that you  apply for a NPI number.

The NPI or National Provider Identifier number is a unique identification number for health care providers. There is no cost to obtain an NPI number. The NPI is used when filing medical claims, including Medicare. Without an NPI number, you claim will be rejected

The NPI Website info https://nppes.cms.hhs.gov/NPPES/Welcome.do

Yes, you need an NPI# if you do any of the above (refer patients, bill insurance companies or write prescriptions) and are a

  • Medical Provider
  • Nurse Practitioner
  • Social Worker
  • Mental Health Counselor
  • Marriage Counselor
  • Massage Therapist
  • Chiropractor
  • Addictions Counselor

Once have a NPI number can be listed in the CAQH database system and this will allow you to be eligible for additional insurance panels.

A good medical billing company should bring you a return rate of 95-97% reimbursement on all medical billing . If you feel as an agency you have the infrastructure to do this, then make sure you have a very experienced utilization and review (UR) personnel. One that understands ASAM (www.ASAM.org) language and can justify admission, continuing stay protocol for reimbursement. Remember most of the insurance companies will argue the dimensions and levels care.

The Infinity Benefit

As a provider in behavioral health services, you dedicate your time to breaking the cycle of self defeating behaviors in your clients, day in and day out. Allow us to do the same for your facility or practice. Infinity can streamline your back-end processes, increase revenue and get you back to focusing on what you do best – providing care for your clients.

At Infinity, we are experts in maximizing your client’s insurance benefits to obtain higher levels of care and longer length of stays. We are experts with ASAM and other criteria set forth by major insurance carriers. We can help you wade through the confusion of managed care and assist your clients in accessing the care that they deserve.

Infinity Behavioral Health Services uses the experience of industry professionals, combined with state of the art software for efficient billing on both UB04 and HCFA-1500 forms. We can handle your claims submissions, tracking and payment posting to simplify your revenue streams.

Give us a call today 754-201-2263 or 954-861-7260
www.infinitybehavioral.com





\






2101 Vista Parkway, West Palm Beach FL, Ste. 124 A

Tel:561-939-4869 | Email: officemgr@silvernailconsultantservices.com


Powered by Wild Apricot Membership Software