Medical Billing and Coding Service
EDS Inspire Consulting, LLC offers comprehensive Medical Billing and Coding services designed to streamline healthcare providers' revenue cycles and ensure accurate, timely reimbursement for services rendered. Our expert team handles
all aspects of medical billing and coding, from assigning the correct codes for diagnoses and procedures to submitting claims to insurance companies and following up on denied or rejected claims.
Mental Health Care providers can focus on patient care by entrusting your billing and coding needs to us. At the same time, we ensure that their revenue cycle operates smoothly, efficiently, and in compliance with all regulatory standards.
Our services are tailored to meet the needs of practices of all sizes.
Key Features
Accurate Medical Coding
We assign precise ICD-10 (International Classification of Diseases), CPT (Current Procedural Terminology), and HCPCS (Healthcare Common Procedure Coding System) codes to ensure accurate and compliant documentation of diagnoses and procedures.
Insurance Claim Submission
We submit insurance claims on behalf of healthcare providers, ensuring the accurate coding of services rendered to maximize reimbursement and reduce claim denials.
Claims Follow-Up
Our team actively follows up on claims, addressing any issues that may arise, submitting appeals, and resolving billing disputes to ensure timely payment.
Compliance Assurance
We adhere to HIPAA (Health Insurance Portability and Accountability Act) regulations, ensuring the privacy and security of patient data. We also keep up-to-date with billing and coding regulations changes to ensure full compliance.
Revenue Cycle Management
From coding and billing to payments and collections, we manage the entire revenue cycle, optimizing cash flow and reducing the risk of underpayments and financial discrepancies.
Detailed Reporting
We provide regular reports to healthcare providers, including detailed breakdowns of submitted claims, payment status, denials, and outstanding accounts. This helps practices stay informed about their financial health and track progress.
Tailored Services
Our services are customizable to meet the specific needs of your practice in Mental Health.
Core Services Included
Medical Coding
- ICD-10 Diagnosis Coding: Assigning the correct diagnosis codes to reflect patient conditions and medical history.
- CPT Procedure Coding: Accurately coding medical procedures and services provided to patients during clinical visits.
- HCPCS Coding: For outpatient care, durable medical equipment, and additional services that fall under HCPCS codes.
- Coding for Mental Health: Specialized mental health coding, including psychotherapy, psychological evaluations, and counseling services.
Medical Billing
- Claim Creation & Submission: We create and submit claims to insurance companies, ensuring accurate information for reimbursement.
- Insurance Verification: We verify insurance coverage for patients before services are rendered, minimizing errors in billing.
- Patient Billing: We handle invoicing for out-of-pocket expenses such as copays, deductibles, and coinsurance.
- Payment Posting: We post payments from insurance companies and patients to ensure all accounts are accurately updated.
Claims Follow-Up & Denial Management
- Claims Tracking: We monitor the status of submitted claims to ensure timely payment.
- Denial Analysis & Appeal: We work to identify the reasons for claim denials and proactively submit appeals to secure payment.
- Dispute Resolution: Our team handles disputes with insurance companies, addresses billing issues, and ensures that the healthcare provider is paid promptly.
Accounts Receivable Management
- Aging Reports: Regularly track overdue accounts and follow up on outstanding payments to reduce delays and improve cash flow.
- Patient Account Management: We ensure patient balances are handled transparently.
Compliance Audits
- Internal Audits: Regular audits of billing and coding practices to ensure compliance with all healthcare regulations and identify any discrepancies or risks.
- Regulatory Updates: We stay up-to-date with changes in healthcare regulations, including HIPAA, CMS (Centers for Medicare &Medicaid Services), and payer-specific guidelines, ensuring your practice remains compliant.
Benefits & Outcomes
Increased Revenue
By ensuring accurate coding and submitting clean, compliant claims, we help healthcare providers secure timely reimbursements, reduce claim rejections, and improve cash flow.
Fewer Claim Denials
Our experienced team focuses on accurate and complete documentation, significantly reducing the chances of claims being denied or delayed by insurance companies.
Improved Operational Efficiency
With expert billing and coding, providers can streamline their administrative processes and focus more on delivering quality patient care instead of managing the billing complexities.
Regulatory Compliance
Our billing and coding practices are always aligned with the latest healthcare regulations, helping your practice avoid costly fines and penalties due to non-compliance.
Time Savings
Outsourcing your medical billing and coding allows you to
allocate more time to patient care and other essential business functions, reducing the administrative burden on your staff.
Enhanced Financial Transparency
Healthcare providers better understand their revenue cycle and financial performance with detailed, up-to-date financial reports and transparent billing processes.
Our Billing & Coding Services Is Ideal For
Independent Mental Healthcare Providers
Physicians, therapists, and other practitioners needing reliable billing and coding services.
Small to Medium Medical Practices
Group practices, clinics, and outpatient facilities that want to streamline their billing and coding processes and maximize reimbursement.
Specialized Healthcare Providers
Practices such as mental health providers who need specialized coding and billing for their unique services.
Healthcare Consultants
Medical billing and coding services for consultants who need assistance with practice management and revenue cycle optimization.
Why Choose EDS Inspire Consulting’s Mental Health First Aid Training?
At EDS Inspire Consulting, LLC, we are committed to delivering accurate, efficient, and compliant medical billing and coding services that ensure your practice’s revenue cycle runs smoothly. With our experienced team of coders and billing specialists, we handle every aspect of the billing process—so you can focus on providing exceptional patient care. We aim to optimize your reimbursement, reduce denials, and ensure your practice is financially stable and compliant with all regulations.
