In the world of psychology and Behavior Therapy Insurance Billing, mastering insurance billing is a vital skill for success. However, the process is fraught with complexities and nuances that can overwhelm even seasoned providers. From insurance industry jargon to claim rejections, diagnostic codes and so much more, it’s no wonder why many therapists consider this aspect of their work one of the most challenging.
How to Improve Efficiency with ABA Therapy Billing Services
The Insurance Jargon
Often, behavioral healthcare providers don’t understand the terminology that insurance companies use when processing a claim. For example, ICD codes correspond to a client’s diagnosis while CPT codes identify the type of treatment provided. Using the incorrect code will result in a rejected or denied claim. Similarly, submitting a claim with the wrong amount will result in underpayment.
Another area of confusion is how to verify a client’s coverage and obtain pre-authorization. Getting a scan or photo of the front and back of a client’s insurance card will make checking coverage and filing claims much easier. Also, keeping up to date with each insurance company’s preferred filing method will keep you from experiencing payment delays and denials. This requires a proactive approach on the part of behavioral health providers.