Here is a long list of all Medicare Part B claims addresses by State! Alabama Cahaba GBA Medicare Part B Claims P.O. Box 6169 Indianapolis, IN 46206 Alaska Noridian Healthcare Solutions P.O. Box 6703 Fargo, ND 58108-6703 American Samoa Noridian Healthcare Solutions P.O. Box 6777 Fargo, ND 58108-6777 Arkansas Novitas Solutions P.O. Box 3098 Mechanicsburg, […]
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Should I Become an In-Network Mental Health Provider? Pros and Cons
Many mental health providers contact us asking for advice about credentialing. Is it worth it? Will I get paid less? Will I see more patients? Does in-network and out-of-network billing change? This article will attempt to answer the reasons for and against getting credentialed with insurance panels. If you have other questions, feel free to […]
How Do I Know My Contracted Rate as a Mental Health Therapist?
Many of our providers will ask us what their contracted rate is for each insurance company that they’re in network with, or working with out of network. This is an important but unfortunately disappointing fact to reveal: we cannot know the exact amount of a reimbursement until that reimbursement has been made, checks have been […]
Am I In-Network? Sorting Out Your Tax ID and NPI Information
Having a hard time sorting out the information on file with insurance companies you’re in-network with? Getting rejected claims stating you’re out of network when you know you’re in network? This guide will help you understand one reason why: your NPI and Tax ID information is mismatched and registered incorrectly. (There are many reasons for […]
Understanding EOBs: Allowed Amount vs Adjusted Amount vs Insurance Reimbursement vs Patient Responsibility
Let’s try to explain this as fast as possible! Let’s say you bill your full billed fee of $150 to an insurance company. They adjust your fee down by $50, which is the adjusted amount. You are not allowed to collect this amount from anyone, so do not charge this extra to the patient. That […]
Place of Service Codes for Mental Health Billing [2024 Cheat Sheet]
If you are billing in office, use place of service code 11. If you bill in a patient’s home, use place of service 12. If you’re billing in their home for telehealth, use POS 10. For any other, less common places of service, use these codes below: Place of Service Code(s) Place of Service Name […]
Can I Bill as an Out Of Network Provider for Medicare Part B?
The short answer is definitely not. The long answer is that it’s a huge pain in the butt; authorization is required on a case by case basis, and the billing is a nightmare. So the long and the short of it is that if you don’t have a physical Medicare contract, and you haven’t been […]
2017 Mental Health Billing Checklist (8 To Do For The New Year!)
Let’s dive into it! Call insurance companies and verify eligibility and benefits, asking about the patients deductible! Make sure they have the same coverage and that you understand what their patient responsibility will be. Use Square.com to collect copays, coinsurnace and deductible payments. Automate this part of your practice so you’re always paid by your […]
Beginner’s Guide To Mental Health Billing for Therapists
Our Beginner’s Guide to Mental Health Billing is for the brand new and having-no-clue outpatient therapist looking to learn how to bill insurance companies. You will learn what client information you need, how to verify mental health benefits, create and submit claims, and account for EOBs. Every mental health insurance claim will require a large […]
Register Your Private Practice with Google Business for More Free Referrals
This is a super simple, fast, and easy to do marketing tactic for your private practice. Sign up for Google Places to register your private practice with Google Business. This will post your private practice within Google’s “Map” search results, it will put you at the top of search results when a new patient types […]
