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Accurate billing isn’t just about submitting claims. It starts long before services are ever provided. One of the most crucial steps in the revenue cycle is Verification of Benefits (VOB). Unfortunately, it’s also one of the most overlooked. Skipping or rushing through this step can lead to denied claims, unexpected patient bills, and major revenue setbacks.

As a mental health provider, your priority is helping people heal. This requires a great deal of time, focus, and compassion, things that are hard to give when you’re busy chasing reimbursements, dealing with denials, or navigating changing payer requirements. The good news is that you don’t have to let the business side of your care pull you away from your purpose. With the right revenue cycle management (RCM) company, you can improve your practice and your patients’ access to care.

Claim denials can be incredibly frustrating and costly for providers, especially those who work tirelessly to support individuals with mental health and substance use disorders. Unfortunately, behavioral health billing is one of the most complex areas of healthcare revenue cycle management (RCM), and claim denials are all too common. In 2020, approximately 20% of the 765,000 behavioral health claims deemed medically necessary were denied by insurers.

Clear communication can make or break your revenue cycle, as it ensures all parts of the process, from patient intake to final payment, run smoothly. Without communication, even small missteps can lead to big financial consequences, such as claim denials. Did you know that one of the most common (and avoidable) reasons for claim denials is failure to report important updates to your revenue cycle management (RCM) company?

Running a behavioral health facility comes with many responsibilities, and one of the more important ones is having accurate coding in the billing department. Accurate and strategic coding isn’t just a matter of compliance; it’s critical for maintaining financial health and sustainability. With insurance requirements becoming more complex and reimbursement delays more common, it’s vital for behavioral health facilities to adopt precise coding practices.

At Integrity Billing, we specialize in optimizing revenue cycle management (RCM) for substance use and alcohol treatment facilities. To maintain the streamlined efficiency we're known for, our team stays ahead of emerging trends and regulatory changes.