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1625 S. Congress Ave, Ste 313, Delray Beach, Florida 33445

Call 561.672.8345

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Resubmissions

ReliaBill resubmits a number of claims to determine correct CPT and revenue Code, type of bill preferred.

Behavioral health is a little different. We’ve found that most facilities are out-of-network and shrouded in secrecy, with very minimal transparency. Getting your hands on accurate billing information is often comically complex and time-consuming.

 

Insurance carriers are certainly not inclined to provide information on exactly how to bill a claim. It’s dfficult to find  CPT codes, identify appropriate claim forms and the type of bill being submitted, bundling preferences and more. And it changes all the time.

 

The successful ReliaBill resubmission strategy.

Every carrier is different. They seem to all play by different rules. And those rules can -- and will -- change without notice. We regularly resubmit a portion of claims, in order to determine the correct CPT and Revenue codes and billing preferences. That’s how we can GUARANTEE higher collections and we deliver them to you FASTER. We understand the current trends, benchmarking for billing/collections and as Auth days. We have VOB experts, and  professionals with years of experience in UR, billing and collections.  Maximum billing. Maximum collections.Behavioral health is a little different. We’ve found that most facilities are out-of-network and shrouded in secrecy, with very minimal  transparency. Getting your hands on accurate billing information is often comically complex and time-consuming. 

 

The successful strategy. Every carrier is different.

They seem to all play by different rules. And those rules can -- and will -- change without notice. We regularly resubmit a portion of claims, in order to determine the correct CPT and Revenue codes and billing preferences. That’s how we can GUARANTEE higher collections and we deliver them to you FASTER. We understand the current trends, benchmarking for billing/collections and as Auth days. We have VOB experts, and  professionals with years of experience in UR, billing and collections.  Maximum billing. Maximum collections.

Billing Success Tip: Get a signed AOR form.

We have noticed a trend with insurance companies requesting a signed AOR form when Medical Records are requested. Have each patient sign an AOR Form during the admissions process  (Appointment of Authorized Representative) - Reliabill uploads these to your Kipu instance. The main company that requests this form is UHC/Optum.

 

Billing Success Tip: The Common Codes:

•  Detox – H0010

•  Residential -H0018

•  Partial Hospitalization – S0201

•  Intensive Outpatient -H0015

•  Out Patient – 90837, 90846, 90853 •  Plus Ancillaries

•  Urine Analysis - 80305

It’s Easy and Fast. Start Now! Let us review your current VOB Authorization, Billing, Collection, and Utilization Review Diagram at no cost to you. We’ll come back with a specific report tailored to you with recommendation, good, bad, or ugly.