Strategies to Improve Behavioral Healthcare Billing

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This webinar covers:
• Reasons for Bringing Billing In-House
• Key Features
• Denial Management
• Importance of the Right Platform Partner
• Tips to Drive Efficiencies
Meet the Panel:
• Angela Schreiber - Owner/Founder, MedPro Billing & Consulting. A Southwestern Indiana company providing Custom Billing Solutions for the Independent Private Practice up through Multi-Provider Treatment Facilities. MedPro serves clients of all sizes throughout the United States with over 90% of them being Behavioral Health Organizations, including AZZLY clients.
• Gail Hannigan - Office Manager for Merrimack Valley Counseling Association in Nashua NH, a multi-specialty mental health group. Gail brings over 30 years of billing experience and billing software knowledge. She has implemented In-House billing to many medical practice offices.
• Heather Junkins - Revenue Cycle Management (RCM) Specialist, AZZLY, Inc. With over 15 years of Revenue Cycle Management experience. Heather is an expert medical coder. She joined AZZLY in 2022 to train your billing staff on the AZZLY Rize Billing and Claims platform and provide transitional billing with her team for those organizations that want to take billing in-house.
• Alexis McCall - Strategic Partner Manager, Global Payments Integrated (GPI), an AZZLY preferred vendor partner and a leader in healthcare integrated payments technology and acquiring services. GPI is focused on streamlining patient payment acceptance across all healthcare specialties.
• Moderator: Coletta Dorado - Founder & CEO of AZZLY, Inc. Coletta is passionate about increasing access to Mental Health services at the community level. She founded AZZLY back in 2009 and knows the challenges that treatment programs face in getting started. AZZLY has created a culture that is passionate about establishing a solid foundation for growth built on technology as a service.
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About AZZLY:
AZZLY® provides an all-in-one electronic health record (EHR), patient management (PM), and revenue cycle management (RCM) solution called AZZLY Rize™, “purpose built” for your specialty.
We serve mental health, behavioral health and substance use disorder (SUD) programs across all levels of care, all over the USA.
Contact us at [e-mail] or [phone] with any questions.
Schedule a live demonstration with an AZZLY Solutions Consultant to see AZZLY Rize for yourself.

[@ZAMGAMINGZONE512]

04:40 I am not clear therefore asking, as you mentioned in your webinar that there are codes which during the license you take permission for or you get permission to work in all codes related to the speciality, here we are talking about pertinent to Behavioral Healthcare Billing

[@AZZLY]

Hi, thank you for your questions. I will answer to the best of my ability. AZZLY Licenses on behalf of our subscribers the DSM5-TR codes, the CPT and ICD-10 codes and these are updated at annually within our database.
If you want to have a more in-depth billing conversation with one of our Solutions Consultants, reach out at [phone] or [e-mail] and we will gladly discuss with you!
-Andrew

[@ZAMGAMINGZONE512]

14:45 When we talk about the PR or Co-pay, how a biller contact to convey the PR amount? I need a little detail to grab the scenario, please?

[@AZZLY]

Co-pays are determined by the eligibility check and most patients are aware of an associated copay per their policy's guidelines. Co-pays are collected upfront, prior to services rendered. Patient Responsibility is an amount that is determined after a claim has processed and paid. If an amount is remaining after the claim is paid, that is considered patient responsibility. However, Medicaid policies and contracted providers will not bill out for patient responsibility due to contract limitation as an in network provider.

[@ZAMGAMINGZONE512]

29:45 as Gail mentioned there are less authorization is required in mental health? how much do you agree?

[@AZZLY]

Pre-authorizations vary widely across the board for mental health and substance abuse, with most being payer specific. While most substance use facilities do see a greater need for pre-authorizations, that does not eliminate the requirement for mental health pre-authorizations as prior authorization is required for many mental health services, including but not limited to: Outpatient therapy and Peer Recovery Support. The best protocol for all clients would be to monitor all CPT codes for services rendered as pre-authorization requirements at the payer level are often updated and/or revised.

[@ZAMGAMINGZONE512]

27:15 What is meant by GPI mentioned by you Coletta?

[@AZZLY]

GPI stands for Global Payments Integrated. That company is a preferred vendor partner for AZZLY, providing integrated merchant services for our clients. We had Alexis McCall from GPI on this webinar to discuss.
You can learn more about the connection between AZZLY and GPI in these documents:
- Key Benefits: 4598047.fs1.hubspotusercontent-na1.net/hubfs/4598047/AZZLY%20and%20Global%20Payment%20Integrated%20Key%20Benefits.pdf
- FAQs: 4598047.fs1.hubspotusercontent-na1.net/hubfs/4598047/AZZLY%20and%20Global%20Payments%20Integrated%20FAQ.pdf

[@ZAMGAMINGZONE512]

16:02 What is meant by adapt note as Gail mentioned?

[@AZZLY]

I believe she's saying "a DAP note" at that point. A DAP note is a 'Data, Assessment, and Plan' note. AZZLY uses a color coded circle icon in the auto-generate claims tab to let billers know when all notes have been finalized and/or signed so the billing team knows when claims may be submitted on a compliance level.
We appreciate all your questions! If you want to have a more in-depth billing conversation with one of our Solutions Consultants, reach out at [phone] or [e-mail] and we will gladly discuss with you! You can grab some time on their calendar here if that works better for you: azzly.com/schedule-a-consultation/
-Andrew