BLOG • Feb 19, 2025
Unlocking Revenue Potential: Why CARC Codes Are Essential for Denial Management
RCM Medical coding
🟢 Mental Health Billing Services
Transforming Mental Health Billing Challenges into Solutions
We thrive on finding practical solutions to billing challenges. Our commitment is simple: to turn every billing obstacle into a strategic solution
Schedule a Call$4.2M
Total Claims Submitted
89%
Claim Approval Rate
28 Days
Avg Reimbursement Time
Overview
ASP‑RCM – Billing Solutions for Your Mental Health Practice
ASP‑RCM handles all aspects of mental health billing, from evolving payer guidelines and coverage mandates to fee schedule reimbursements. By staying current on regulatory changes, we ensure you can focus on what matters most—delivering patient‑centric care
Navigating Changing Payer Guidelines
Payer directives and regulations are always in flux. Our team diligently monitors new policies and state or federal coverage requirements so that your mental health practice never misses an update, ensuring timely, accurate reimbursements
Managing Insurance Complexities
Clean claim submission is at the heart of our approach. Our billing specialists undergo continuous training and audits to avoid errors and reduce claim denials. By guaranteeing accurate and complete claims, we help secure faster insurance payouts
Comprehensive RCM for Varied Disorders
Our AAPC-certified coders handle mental health billing with expertise in therapy codes and 10+ years of RCM experience
Streamlined Pre‑Billing Process
We manage patient intake, benefit verification, prior authorization, EMR charge review, and efficient claims transmission, achieving a 95% first-pass acceptance rate to boost reimbursement and reduce DAR
Optimized Payment Reconciliation
From ERA/EOB posting to self-pay tracking, our post-billing process ensures accurate payment reconciliation, flags discrepancies, and delivers transparent patient invoicing to prevent revenue leaks.
Operations
Accelerate Your Collections with Our Post‑Billing Processes
Is your top goal reducing bad debt and uncollectible claims? Our structured Accounts Receivable strategy identifies and rectifies denials promptly maximizing your net collections and keeping your revenue cycle healthy
Denial Review and Appeal Management
Our AR specialists are trained to scrutinize every unpaid or denied claim. By pinpointing root causes and utilizing strategic appeals, we minimize lost revenue and maintain strong payer relationships
Accounts Receivable Resolution
We proactively manage outstanding balances and follow up on all overdue payments. This focus on timely resolution prevents cash flow interruptions and ensures a constant revenue stream
Insurance Correspondence
Staying in sync with insurance providers is crucial. We handle all correspondence, clarify policy requirements, and expedite approvals—keeping your claims moving forward without delays
Extensive Insurance Follow‑Up
Through consistent and methodical follow‑ups, our team ensures claims are processed correctly. We communicate with payers to address inquiries quickly and avert unnecessary denials
Secondary Billing & Continuous Improvement
When primary insurance falls short, we initiate secondary billing to capture every legitimate reimbursement. Meanwhile, our Process Excellence Team reviews denied or delayed claims to drive continuous refinement across your revenue cycle
Testimonials
Client Success Stories
FAQ
Frequently asked questions
Once we have securely received your patient and encounter data, we code, review, and submit claims to payers. We manage appeals and denials, track payments, and provide regular updates. Our process is designed to be efficient and transparent.
Our certified coders and billing specialists review every claim carefully. We use quality‑control checks, regular coding audits, and payer‑specific validation to reduce coding errors and the risk of denials.
Our denial‑management team reviews each denied claim to identify root causes. We correct issues, resubmit claims promptly, and, when needed, pursue appeals with payers to maximize reimbursement.
We offer flexible pricing tailored to client needs — including fixed fees, per‑claim pricing, or percentage‑of‑collections models depending on volume and services required. Contact us for a custom quote.
Yes. We specialize in seamless transitions from in‑house systems or other vendors. To ensure secure data migration, our team works closely with you and provides training as needed.
Resources
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