• Increase First-Pass Claim Resolutions Rates to 90% & Above: Quest’s medical billing solution is reducing data entry errors & clearinghouse rejections below national average. By consistently analyzing and optimizes claims procedures, Quest National Services is ensuring our mental health practices are getting paid First Pass rates, and getting paid faster.
• Increase Net Collection Rates To 95%-99%: Leveraging an efficient submission process, and following up on outstanding amounts from patient and carrier means that Quest National Services is ensuring that rightly due claims do not go uncollected.
• Increase Reimbursements by 10% – 20%: With an increase in FPA & decrease in overdue and outstanding revenue, Mental Health Physicians are seeing a 10-20% increase in cash flow almost immediately. Reduce your stress by outsourcing to Quest.

For practices and clinics, the medical billing of mental health services can be very involved and a truly meticulous process. The adept medical biller needs to evaluate benefit issues, determine authorization requirements, delineate claims as medical versus mental health and more. Whether the diagnosis is anorexia, acute schizophrenia, major depression or generalized anxiety, we can handle all aspects of your mental health billing & claims with confidence and revenue boosting results.

In the current economic climate wherein employers may be severely limiting the benefit packages that they provide to employees, adjustments to the level of mental health services that they offer via their health insurance plans have been significantly affected. Whereas previously an employee may have been allowed 40 mental health visits a year with only a $20 copay each time, this is shifting to something more along the lines of 20 annual visits and an increasing patient financial responsibility. This is where the expertise of a skilled and experienced medical biller will be critical. We are comfortable and proficient at billing for the services of Licensed Clinical Social Workers (LCSW), Clinical Psychologists, Psychiatrists, Substance Abuse Counselors and all other mental health professionals.

Further, we will be certain to examine each claim carefully to determine whether the services that were provided fall under the realm of mental health or under medical. Although stringent limitations may apply to mental health services, these same restrictions likely do not apply to the member’s medical plan. Therefore, if a child is seen by a psychiatrist in order to adjust their ADHD medication dosage this claim will be medical and we will be certain to make sure that this is paid properly and not applied against any mental health visit limitations.

Obviously, most of the diagnoses that fall under the mental health umbrella may be very sensitive in nature. Both patients and practitioners would like to keep this information strictly confidential and we can assure you that we respect these desires and are thoroughly HIPAA compliant. If it is necessary to contact the patient directly, this will happen with absolute sensitivity and patience. At no time will we make the patient uncomfortable, yet at the same time we will make sure that your practice receives all revenue that is legitimately owed.

If authorizations are required for mental health services, we will assist with that as well. We will work with the patient, the referring physician as well as the insurance carrier to make sure that the proper paperwork is in order for the services that have been rendered. If a claims appeal is required due to denial or underpayment, we will be persistent, diligent and professional in our efforts. Attention to detail is one of our many hallmarks and this in turn will result in maximized income for your mental health practice.