Patient Medical Claims Assistance, LLC

Our staff is well-adapted to situations involving services needed by:

• Psychiatrists
• Psychologists
• Licensed Clinical Social Workers (LCSW)
• Licensed Professional Counselors (LPC)
• Licensed Individual Substance Abuse Conselors (LISAC)
• Licensed Marriage and Family Therapists (LMFT)

Our service packages are adaptive to what your individual practice needs. You have the option to utilize all of our offered services, or only the ones that you want. Our pricing options are subsequently based on what services you would like, as well as the size of your practice. We are able to service the smallest volume providers as well as larger, multi-provider groups.

Please review the below list and descriptions of our offered services,

and keep in mind that a practice analysis is avaiable to assess how what we do can benefit you!

Credentialing

- Do you feel that you should recieve a higher reimbursement rate for your services?

- Are you interested in joining insurance networks in your area but are turned off by the thick and tedious applications and the just as tedious application process?

• Patient Medical Claims Assistance can help solve these problems. We can initiate a negotiation process in the attempt to increase your reimbursement rate from the insurances you are already participating with. If you are interested in participating with other insurance companies in your area, we can work through the application process - with you and independently when applicable - so you can see more clients and grow your practice!

Full-Service Medical Billing 

• Verification of patient benefits.
• Insurance pre-authorization (if required) -- pending receipt of patient information prior to first visit).
• Tracking of visits per authorization – alerting practice when appropriate treatment forms need to be sent.
• Claim submission (and if necessary, re-submission) to primary and secondary insurance, done electronically and via paper when necessary. 
• Appeal/correction of denied claims.
  
• Posting of payments and adjustments from client and insurance.

Secondary Office Functionality

• Follow-up on incorrect insurance information with client.
  
• Mailing of statement to client.
• Answering client questions regarding their statement and insurance benefits.
• Tracking of self-pay client accounts, if requested. 
• Training your in-house staff remotely.
• Generation of practice-specific forms.
• As another service to your patients, we also offer patient advocating services. Please click on the "Patient Services" tab at the top of the page to find more information!

Service specific to mental health professionals!

Customizable answering service - 

• It is generally known that when a new client is calling a new provider to schedule an initial appointment, they have a list of providers given to them by their insurance. If the first call to a potential provider is an answering machine, they will simply move on to the next provider on their list. Let us answer the phone for you so you can pick up new clients and schedule your existing clients; this maintains your current clientele and adds to it... all while you are in session! 
• This can be easily set up with web-based software of simple call-forwarding.
• Our fees are figured based on an average monthly call volume.