Services & Solutions - Synergy Concepts Behavioral Health Medical Billing

Whether you’re a new facility or looking for a better medical billing partner, we are the optimal choice. We are all here for the same reason: to help people. At Synergy Concepts, we believe in handling the stress of claims and collections so that you can focus on helping your patients get better. Let our services give help you operate your addiction treatment facility with ease.

Our Insurance Billing Services & Solutions

Problems suck, especially when insurance companies are playing games with paying your claims. Let Synergy Concepts deal with the insurance companies so that you don’t have to.

Aging Accounts Receivable in Behavioral Health Clinics

At Synergy Concepts, we have found that many addiction treatments and behavioral health facilities have large dollar amounts of outstanding accounts receivable. We encounter this problem many times even when the facility has a billing solution partner. We have solutions and systems to help you significantly reduce or even eliminate your aging accounts receivable.

How Our Accounts Receivable Works

Probability of Reimbursement
Research Claims
Determine a Plan
Provide Comprehensive Reports

Our senior analyst will provide an honest and no-risk evaluation of your accounts receivable and provide input about the probability of reimbursement. Synergy Concepts will perform investigational research on each claim to determine the best course of action to obtain resolution. We will provide our process and plan to obtain a resolution with realistic projections. Comprehensive reports will provide transparency into your accounts receivable throughout the entire process.

Submit Claims on a Daily Basis

Synergy Concepts wants you to get paid as quickly as possible, so we submit claims daily. We want a fast turnaround for your claims so that you get paid.

By submitting claims either the day of the appointment or within one business day, we maintain a constant flow of claims in order to get them paid promptly.

Let’s Talk About Increasing Your Revenue

Let’s discuss your aging accounts and come up with a solution that works for you so that you can get paid. Contact us now!

Medical Billing Solutions

Working with Synergy Concepts will help you maximize collections, reduce time to payment, and decrease expenses by taking the unpredictability out of behavioral health medical billing and collections.

Our bottom line is improving our clients’ bottom lines, which means getting revenue in the door faster. We help behavioral health practices achieve this by improving their insurance billing and patient invoices, collections methods, and payment validation and posting processes to reduce average A/R days outstanding.

Stress-Free Behavioral Health Collections

Are you dealing with increasingly complex payment contracts, frequent industry mergers, and ongoing compliance updates? These can require significant changes to your payment and EHR platforms. When you partner with the experts from Synergy Concepts, you will have an easier time successfully managing your billing systems.

Our skilled team of coders and collectors can turn the process of behavioral health billing into a seamless procedure. This allows payments to come more quickly so that you can spend more time caring for your patients

Synergy Concepts billing services make things easier for your staff and increase revenues.

How We Increase Revenues

Accurate coding and claims management
Thoroughly documented claims collections
Expert payment processing and posting
Dependable, easy-to-use software tools
Seamless integration with EHR applications

Talk with us today about how we can increase your revenue with our expert behavioral health billing solutions.

Medical Billing and Claim Management

We know that the billing and insurance management processes are complex, frustrating, and time-consuming. Let us take these burdens off your shoulders.

Insurance Management Process

As your behavioral health billing partner and extended team, we offload these burdens with our experienced insurance and claim management team’s skills that are refined and perfected. As a result, you can expect decreased denials, overturned claim denials, and full transparency for improving your revenue and cash flow management outcomes.

The specialist experts at Synergy Concepts understand and keep pace with the evolving behavioral health billing and insurance management processes. Our cost-effective billing solutions help you to achieve better billing and claim results.

Better Medical Billing & Claims

Electronic claim submission results in 99.9% clean claims
4% of paid claims process under 60 days with an average of 23 days overall
6% claim denial rates
44.8% overturned denials through written appeals

Behavioral Health billing experts you can trust

Behavioral health medical billing is not a “one size fits all” solution. Finding the right partner that understands your practice, specialty, and billing needs can be difficult. We specialize in behavioral health medical billing so that we can focus our efforts on your facility.

Insurance Billing Consulting and Training

Synergy Concepts offers consulting services and training services for a myriad of behavioral health billing and insurance management processes. We have over 20 years of historical data and professional behavioral health insurance billing experience. Our goal is to help you gain a deep understanding and knowledge of the relevant ethics and laws in the behavioral health industry that will enable you to offer a higher quality of care for your patients.

Full-Service Behavioral Health Medical Billing

We are passionate about the billing services we provide our clients. Our mission is to help you achieve maximum reimbursement while allowing you to focus on patient care and treatment.

We currently provide fully outsourced medical billing services for behavioral health addiction treatment facilities and rehab centers. No matter where our full-service clients are, we recommend scheduled face-to-face meetings to discuss collection results and practice performance.

Choose Full Cycle Medical Billing or Customize Services

Choose the level of service that is best for you. We provide services for all areas surrounding behavioral health medical billing.

Behavioral Health Insurance Billing Services

Contact us for a quote for outsourcing your behavioral health medical billing. We welcome the opportunity to work with you.

Consulting Services

Whether you have an in-house behavioral health medical billing team or you are looking for help with a specific area of your practice, we are here to help. We can provide an in-depth analysis of your facility’s revenue cycles. And, beyond the basic behavioral health medical billing services, we offer comprehensive consulting services including:

Credentialing & Contracting
Coding & Chart Auditing
Collections & Billing Process Improvement
Internal Controls Assessment & Improvement
Fee Schedule Analysis
Benchmarking

Collaborative Effort

Our in-house compliance team is available to help your program achieve full compliance with insurance provider requirements, as well as applicable state and federal laws.

Facility licensing and insurance company requirements
Credentialing and negotiation: Our team will facilitate the application and follow-up process to become a participating provider
Clinical curriculum: Initial and ongoing training for your clinicians

Industry trends

Our team will keep you informed of major behavioral health industry trends and changes that affect your program. We stay up to date so that your facility is using the latest and greatest.

Traditional Accounting & Consulting Services

As you look for a behavioral health medical billing partner, you will find that we will offer you the best services. We have a dedicated Behavioral Health Care Services team with expertise in the issues facing behavioral health treatment and substance abuse care communities.

Put Our Consulting Expertise to Work for Your Facility

Are you ready to start seeing increased revenues? Synergy Concepts’ expertise and commitment to service can get you there.

Learn more about our behavioral health billing services and the many other ways that we can help you increase your insurance revenues.

Contact Synergy Concepts for Consulting & Training

For more information about our behavioral health billing and coding consulting services, please contact us using the form below.

Financial Reporting

Synergy Concepts simplifies the insurance management process for you by providing accurate financial reporting of your addiction treatment and behavioral health program’s performance. The report of claims is updated daily and is accessible when you need it.

Track your data

Our reporting is made possible through our advanced technical data system, which is viewable with updated reports of claims status via our enhanced portal. Our team is continuously working to refine and improve the means of providing you the analytics and reports you need to monitor your key performance areas.

Performance Areas Include

Verification of benefits
Conversion rates
Average allowed
Paid amount for each insurance carrier at each level of care
Current and trending payer mix
Census trends
Average authorized days at each level of care
Revenue tracking and trends

Stay Competitive in Behavioral Health

For a treatment facility to remain in business in today’s competitive world, it is crucial that its management team is aware of the state of its finances at all times. That’s why we give complete and comprehensive financial reporting which is necessary for the well-being of your behavioral health care organization.

Monitoring and managing a facility’s revenue can often be tedious, complex, and time-consuming. Which is why we will take that headache off your hands.

Behavioral Health medical financial reporting can provide insight into how a treatment facility is performing on measures such as the number of insurance claims awaiting payment, and how often and well your business is reimbursed by various insurance companies.

Let Us Improve Your Financial Reporting

Synergy Concepts financial reporting specialists make it simple for your practice by providing customized financial reports. We deliver the most relevant and important information directly to you.

We offer a number of different customizable financial reports and key performance indicators.

Accounts Receivable Reports: Monthly A/R reports detail how old open claims are – by patient and insurance company.
Balance Report: These monthly reports are a line-by-line account of open insurance claims, including helpful information regarding your facility’s average reimbursement based on insurance type and level of care.
Practice Analysis: A pie chart of services rendered, this monthly report identifies where you’re spending most of your time.
Billing Report: A weekly report of insurance claims billed the previous week and status of each outstanding claim. Billing reports offer total transparency to behavioral health facilities on where the money is going.
Negotiations Report: Case by case rate negotiations including monthly and yearly comprehensive cost analysis reports focused on trending data generated through higher payments obtained through negotiations from insurance companies, including MCR2 reimbursement rates, and third party pricing companies.

Financial reports are key to helping behavioral health medical care providers understand the health of their business operations. Connect with us to discuss ways to improve your financial reporting.

Insurance Pre-Authorization & Utilization Review

Insurers are increasingly contracting with third-party vendors of utilization management programs, or “UM,” to administer the rehabilitation benefit. This can create both challenges and opportunities for behavioral health addiction treatment centers.

Before insurance companies will agree to pay for some medications, medical procedures, and medical equipment, they require advance notice. Utilization management programs are also an essential part of a provider organization’s revenue cycle, helping to prevent unnecessary costs and claim denials.

Expert Advocates, Effective Appeals

At Synergy Concepts, our utilization review specialists are passionate professionals with experience specific to the behavioral health field.

Our pre-authorization and utilization review services are conducted by our team of qualified insurance management process experts to ensure your patients receive the best advocacy and treatment possible.

We work closely with our addiction treatment and behavioral health providers to make sure they understand the key elements of the authorizations process, including but not limited to; superior clinical documentation, medical necessity guidelines for each insurance carrier, intricacies of the authorizations, and utilization review processes.

Quality Services

Our team has developed a solid reputation as ethical and caring for you and your patients. We know what information is needed and work closely with clinical staff to monitor and review behavioral health services rendered, provide clinical data on diagnosis, diagnostic test results, symptoms, and conditions supporting the requested services in order to obtain the highest number of authorized days.

Our Behavioral Health Utilization Management Services Include:

Pre-authorization of services
Concurrent planning, discharge planning
Medical record review to determine proper documentation supporting billed medical services
Assist in educating clinical staff in medical record reviews and clinical case appeals, to show proper documentation that supports the billed services

Valuable Services

Experienced the value of our tried and true utilization management approach. We have an effective appeal process with elevated overturns 44% of authorization denials. Let us help you control health care costs, increase revenue, and improve patient outcomes.

Contact us to find out how Synergy Concepts can help your business, too. Send us an email using the form below with any questions you have about working with us.

Reporting Behavioral Health Billing and Claims

We know that the billing and insurance management processes are complex, frustrating, and time-consuming. Let us take these burdens off your shoulders.

Insurance Management Process

Better Medical Billing & Claims

Electronic claim submission results in 99.9% clean claims
4% of paid claims process under 60 days with an average of 23 days overall
6% claim denial rates
44.8% overturned denials through written appeals

Behavioral Health billing experts you can trust

Revenue Cycle Management

Revenue Cycle Management (RCM) is the administration of financial transactions that result from the medical encounters between a patient and a provider, facility, and/or supplier. These transactions include, without limitation, billing, collections, payer contracting, provider enrollment, coding, data analytics, management, and compliance.

From claims submissions and receivables to coding and compliance, we can help you run your billing processes much more efficiently.

Improve Revenue Cycle Operations

A major part of accurate billing is submitting accurate claims to both commercial and governmental insurance providers.

Maintaining efficient revenue cycle operations is a challenge for most healthcare organizations, but Synergy Concepts has identified ways to improve them. Our revenue cycle management services fill the gaps in your billing and collections processes so they work more efficiently for your administrative and accounting personnel and patients.

Managing All the Information

To operate a successful practice, managing the financial process is vital to the success of your behavioral healthcare practice or institution. From registration and appointment scheduling to the final payment of a balance, Synergy Concepts wants to help you be successful.

Claim Preparation: all the information for building claims
Claim Submission: only as good as the information on the claims and processed as directed by insurances through a clearinghouse
Claims Management: we manage your claims to make sure they are processed effectively and efficiently
Reports and Analytics: our reports are frequently updated and reviewed for your benefit

Analyze to Capture Payments for Accounts Receivable

We offer an effective RCM system that can reduce the amount of time between providing a service and receiving payment by interacting with electronic health records and medical billing systems as your patients move through the behavioral treatment process.

We know that the information going into your system is vital to the medical billing process, but knowing everything about your accounts receivable is the final part of managing the revenue cycle. Having the capability to run reports and analyze the status of your accounts receivable is vital to understanding the health of your practice.

Reduce Your Operating Costs

Beyond improving revenue cycle workflows, Synergy Concepts leads behavioral health facilities and clinics to reduced operating costs and steadier cash flows. Ultimately, partnering with our revenue cycle management experts ensure operational best practices. This allows every employee in every area of your organization to focus on delivering quality care for your patients.

Claims Submissions
Coding & Compliance
EHR Maintenance
Billing & Insurance Follow-ups
Denials & Appeals Management

Employing a comprehensive revenue cycle management team increases cash collections for even the largest, most complex billing departments. Using our up to date software tools, real-time analytics, detailed reporting, and clear revenue cycle best practices ensure your billing and claims are collected.

Synergy Concepts’ revenue cycle management services will help you improve all areas of your behavioral health billing operations. Contact us with your questions about how to improve your revenue cycle management.

Special Operations for Behavioral Health Facilities

We collaborate with our clients using special operations – providing the information and tools your staff needs for successful admissions, utilization reviews, and treatment.

Insurance companies are tricky. Some of your billing claims will be returned and you have no idea why. Trying to figure out the “why” can be time-consuming which takes you away from your passion for helping your patients through their addiction treatments. Synergy Concepts specializes in tricky insurance companies and wants to take that headache away from you.

Expert Assistance

Synergy Concepts Special Operations team navigates particularly difficult and time-consuming claims issues including insurance company refund requests and complicated denial situations. This elite team is comprised of experts to create a dynamic task force to alleviate the frustration of managing these difficult situations internally, allowing your programs to focus on treating your patients instead of having to be concerned with the insurance management process.

Admissions Criteria: We provide initial and ongoing assistance to your admissions staff, helping them understand the criteria for each patient and the most appropriate level of care to provide.
Documentation: We assist your clinical team to understand the importance and scope of proper documentation.
Industry Requirements: We give guidance on changes in the medical industry, such as coding, reimbursement issues, and appeals.
Financial Reporting: We provide assistance in understanding the multiple financial reports available, providing full transparency of your facility’s billing and collection activities.

Revenue Recoveries

Over $1.5 million saved for our clients by our recoveries team. We research and fight 100% of all recoveries. Synergy Concepts recovery team makes sure you are receiving what you are owed by the insurance companies.

We recognize how important collaboration is. Connect with us today so we can collaborate together.

Behavioral Health Verification of Benefits

Synergy Concepts’ verification of benefits process is efficient, timely, and comprehensive. We want you to receive your VOBs as quickly as possible so that you and your patients are left waiting to start their addiction treatment processes.

Our verification of insurance benefits service standardizes admission processes to improve patient flow. As your authoritative source, we will navigate through the misinformation that is often provided by carriers and guide you through the proper documentation for a thorough utilization review.

60 minutes or less

We regularly achieve a 45-60 minute turnaround time. We utilize a combination of experienced verification team members together with our advanced technology for optimal speed and accuracy.

Timely: 45-60 minute turnaround time on average
Accurate: Cross-checked and thorough verification with 99.9% accuracy
Informative: Warning disclaimers on questionable or unreliable payers
Intensive: Double verification

VOB Process is Important

The verification of benefits process is one of the most important steps in the insurance management process. Our attention to detail makes sure our process verification of benefits is done correctly, which saves time when processing billing and claims.

Synergy Concepts takes pride in our detailed processes for verifying the benefits of our mental and behavioral health providers’ patients. We have a large database of insurance policies and track the outcomes of the policies and insurance carriers. This gives our clients the reassurance to accurately inform their patients of their benefits and what to expect for reimbursement when treating individuals for mental health or substance abuse disorders.

Behavioral Health Billing Industry in Constant Change

Insurance eligibility verification is the first and most important step in the medical billing process. The verification of benefits has evolved well beyond deductibles and co-pays. It’s no longer a simple eligibility check. It requires an experienced staff who will work with you directly, and who understands payer benefit systems to eliminate the risk of inaccurate, incomplete, or out-of-date information.

As the behavioral healthcare industry continues to grow, insurance carriers are decreasing the number of claims they are paying on. This can make verifying benefits challenging. With carriers adding layers of criteria to individual benefit plans, it’s difficult to avoid administrative and financial errors without the help of a verification specialist.

Our Verification Specialists Retrieve:

Patient policy deductible and out-of-pocket responsibility
Co-insurance and co-payments
Benefit limits
Reimbursement estimates
Pre-authorization and clinical requirements for admissions

Faster Turn-Around Times, Less Errors

Verification and eligibility of benefits must be collected in a timely and accurate manner in order to increase your admissions and maintain a competitive edge. Synergy Concepts has years of clinical experience, allowing us to apply our expertise to create a verification of benefits process that differs from other behavioral health billing companies.

We provide each client with an insurance verification form, specifically tailored to ensure we obtain all necessary information, eliminate the occurrence of errors, and aid in a seamless admission process. After providing us with patient and insurance information, our verification specialists will confirm the benefits, via online portals and by phone to improve accuracy. Synergy Concepts will typically return your completed verification in less than 60 minutes.

Ongoing Clinical Review Management

It’s imperative that all benefit information be verified before offering advisement. However, confirming that there are no changes to a client’s benefits during their stay is just as crucial as when they first arrive at your facility.

Therefore, we offer ongoing clinical reviews of your clients’ insurance carriers while they are with you. Conducting clinical reviews guarantees the information you received initially remains accurate and up-to-date and avoids the high risk of error. We help you plan to re-verify and determine what may have changed with each patient’s benefits. This process solidifies your verification process so you can provide the highest level of service and extend the length of client stays, all while we keep the insurance provider accountable.

Let Us Increase Your VOB Efficiency

We would love to increase the efficiency of your VOBs. Contact us for details on how we can help you!

Digital Marketing Customized for Rehab Facilities

Your Behavioral Health facility is always looking for new patients. Who better to help you find them than the people who already know your patients.

Synergy Concepts’ marketing department knows the best way to help you find your new patients through web design, SEO and other digital marketing routes. Marketing for your rehab clinic and behavioral health facilities takes a certain finesse in understanding that this market is unlike any other. People need to know how to reach you and we want to help them by helping them find you.

Our marketing team has been in the digital marketing field for more than 15 years. With our focus of the mental healthcare industry, we know where your clients are looking for you. Let us help you find new patients.

We focus our marketing efforts on the rehabilitation of people, with the hopes that every person we get to your facility means one less person on a dark behavioral path.

We bring new marketing strategies to the addiction rehab space. With only 6 employees, we are able to focus and be personable in your marketing campaigns. We can quickly pivot to new and emerging marketing trends that will help your rehab facility grow.

Contact Synergy Concepts for Solutions

We specialize in behavioral health so that we can remain laser-focused on your patient claims. Let’s work together to help people get better.