Practice Management Professionals (PMP) supports behavioral health professions in starting and expanding their private practices so they can focus on promoting healing and hope.
About Practice
Management Professionals
PROFESSIONAL CARE
PMP provides insurance claims processing, credentialing/contracting services, and business consultation for individual and group behavioral health practices.
Our ideal clients are independent or small private mental health practices that desire to spend more time providing psychotherapy and less time on administrative duties.
The insurance market can be plagued by complex processes and rules that make processing insurance claims difficult without extensive investment in specialized administrative staff and systems. Frustrated practitioners might find themselves giving up on rejected claims or accepting partial payment, simply because they don’t have the time to navigate arcane rules, codes, terminology, and technology. However, the right behavioral health billing company can help behavioral health professionals achieve and sustain a stronger revenue stream and create a higher level of practice profitability.
Practice Management
Professionals Services & Pricing
- PMP offers credentialing and contracting services
- PMP offers Full Service Insurance Claim Processing
- PMP offers Electronic Health Records (EHR) and Patient Portal system
- Business consultation services
PMP offers credentialing and contracting services:
From CAQH to contract execution, let our account managers handle your entire credentialing and contracting needs. We assist behavioral health professionals complete all the necessary forms, obtain the proper documents, and follow up on the progress of your contract on your behalf. We have 17+years of experience and have executed contracts for mental health providers like yourself with a variety of insurance carriers.
For many mental health counselors, therapists and psychologists, one of the most complex aspects of owning a practice may be dealing with insurance companies, and specifically joining insurance panels or networks. PMP’s full-service therapy credentialing and contracting services are available in conjunction with our other services. Our team works in a timely and professional manner on your behalf to ensure your contracts are executed in an efficient time frame. From setting up your CAQH profile and the entire credentialing process from start to finish, we work on your behalf to complete every letter, form, application, and contract, ensuring that you can join the right panels without having to complete endless applications and endure constant calls to insurance representatives.
PMP offers Full Service Insurance Claim Processing which includes:
- Verification and Eligibility for new patient and/or existing patient insurance changes, including initial pre-certifications/
authorizations. - Insurance Claim Submission – claims are sent electronically (paper claims are filed for carriers who do not accept electronic submissions).
- Follow up on all denied/unpaid claims.
- Authorization tracking.
- EOBs available directly from our portal for carriers providing ERAs.
- Patient invoices available via EHR portal or sent via email.
- Billing and receiving reports (upon request).
- Dedicated account manager.
- Monthly patient statements sent
- In-house therapy billing expertise
- Out-of-network therapy billing
PMP offers Electronic Health Records (EHR) and Patient Portal system
Practice Management Professionals utilizes Office Ally as its EHR and patient portal system. This system contains the features you need to be successful. These include claim management, statement creation, easy scheduling, appointment reminders, HIPPA compliant and secure internal messaging system, credit card processing platform, and simplified documentation. Feel free to visit them at OfficeAlly.com for more information about their platform and system design.
The montly fee for the Office Ally EHR is $29.95 per month. (Extra fees apply if a practitioner desires texting or email reminders for patients).
PMP offers business consultation services for behavioral health practice owners and operators
PMP offers business consultation services for behavioral health practice owners and operators
Practice Management Professionals was born out of an active and thriving private practice – Hope Enrichment Center, PC. Its owner and founder, Carrie Ann Carr, MA, LCPC, started this practice in 2004 and it has expanded to three states with four locations. Since we have over 17+ years of experience in starting and growing private practice in the mental health arena, we decided to offer our administrative expertise to other private practitioners.
- We are happy to offer business consultation services in order to:
- Increase referral sources.
- Improve administrative HIPPA compliance and reduce risk management.
- Discuss fruitful business plans and order of operations in growing your practice.
- Determine other fruitful streams of income in your area of expertise and demographic area.
- Design efficient and effective forms and policies for your practice.
PMP Frequently asked questions
What makes accurate medical billing so important for behavioral health specialists?
Medical billing is an essential part of any medical practice. However, the task of billing for your services can be a time-consuming and tedious activity. Most practitioners desire to spend their time on their area of expertise versus learning a new set of skills to ensure payment for their services. Practice Management Professionals assist behavioral health professions by improving billing accuracy and efficiency; allowing for your revenue streams to flow freely and expand quickly.
What does a medical billing account manager do for me?
Medical billing is a complex system that ensures that behavioral health professionals get paid for their work. Your Practice Management Professional’s account manager focuses on consumers, the healthcare providers, and the insured’s insurance company. Their job is to make sure each service is correctly applied, entered into the appropriate billing system, and paid for through the insurance carrier, the client, or a combination of both in a timely and efficient manner.
How does the billing process work?
The behavioral health specialist sees a client for a session or evaluation. This service is equated with a Current Procedural Terminology (CPT) code. This code is used to report medical and diagnostic procedures and services to the client’s insurance carrier. This code is sent to your billing account specialist or outlined in our electronic health record system.
The billing specialist then contacts that client’s insurance carrier and verifies that the insurance policy is currently active, ensures that the client is seen for services is covered by the policy, and determines if the insurance carrier covers the services outlined via the CPT codes provided by the practitioner. The biller then outlines the CPT procedures and services codes that are covered by the insurance carrier and enters them on a specialized form (CMS 1500 Form; 2/2012 ), along with the other required client information, and sends them either electronically, or traditional mail, to the third party insurance carrier for processing and payment.
The turn around time in receiving payment for most third party carriers is about three (3) weeks. However, on occasion, there can be a delay in payment for services sent to the insurance carrier. If this occurs, the billing specialist will communicate with the insurance company and reconcile the claim until it is paid to the fullest extent.
Our billing specialists send out bills for providers within forty-eight (48) hours of receiving the information from the provider (excluding weekends and holidays). This allows our customers to obtain payment for services quickly.
What are the benefits of outsourcing my medical billing?
- It increases the time a behavioral health professional can spend on the things they enjoy doing! Outsourcing your medical billing frees up your resources for healing your clients and for creating programming materials. Let our medical billing professionals spend time on the phone with insurance carriers, figuring out denied claims, and creating monthly statements.
- It decreases funds towards human resourcing activities (e.g., hiring an administrative staff member, payroll taxes, etc.).
- It can improve overall cash flow for your business. Have a skilled billing professional overseeing your claims and service fee payments could ensure more expeditious payment from third-party payors and clients alike.
- It could decrease overall costs for office space to house an administrative staff person for billing.
- It affords clinicians to be free of having to enter into the role of “bill collector” with their patients.
What systems do you use for billing and electronic health record systems?
Practice Management Professionals (PMP) uses Office Ally as its billing clearinghouse and electronic health records system. Depending on the level of electronic record support you desire, PMP can direct you towards the best plan and services for your size practice and professional needs.
Do I need to sign a contract?
We keep our contracts to a minimum of six (6) months to ensure continuity and accuracy of services for both the client and PMP staff. The client will be asked to pay a one-time startup fee of $249.99 (two hundred forty-nine dollars and ninety-nine cents US currency) to ensure proper establishment of the Client’s consumer’s records to provide ongoing accuracy of medical billing and accounting ledgers. Client’s pay $4.99 (four dollars and ninety-nine cents US currency) per claim; with a $199.60 (one hundred ninety-nine dollars and sixty cents US currency) monthly minimum. This is paid monthly via credit card directly to PMP.
