JMS Billing understands that every behavioral health practice has unique needs and requirements when it comes to billing and payments. As such, we tailor our services to suit each individual practice, ensuring that all billing processes run smoothly and efficiently.
We pride ourselves on offering innovative ideas that let us better serve our clients. Our extensive skills and industry knowledge offer our clients the ability to bring their unique visions to life.
Whether you need help streamlining your billing or require guidance on establishing your billing system from scratch, JMS Billing can provide the assistance you need.
Verification of Benefits
Verifying eligibility and benefits 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. The process must be timely and accurate in order to increase your admissions and to maintain a competitive edge in the industry. This requires experienced staff who work with you directly, and who understand payer benefit systems to eliminate the risk of inaccurate, incomplete, or out-of-date information.
As the behavioral healthcare industry grows, insurance carriers are decreasing the number of claims they are paying. For many, this makes 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 provide following services:
- Patient policy deductible and out-of-pocket responsibility
- Co-insurance and co-payments
- Benefit limits
- Reimbursement estimates
- Pre-authorization and clinical requirements for admissions
Claims Processing
Collect revenue faster and easier!
Increase your practice's productivity. Predict your future revenue more accurately. Manage your facility's growth. Collect more of your well-earned fees. Once you achieve these objectives, you can focus on your core competency-patient care.
Our staff's commitment to excellence is what differentiates our billing and collections process from the rest. Through constant communication and the ability to customize our processes, we work hard to tailor our services to your unique needs.
Our electronic claims processing is designed to speed up your reimbursements. This helps you avoid disruptions to your cash flow, which ultimately helps you collect revenue faster with fewer complications.
When we handle your claims processing electronically, we're simplifying the revenue cycle. We're able to direct your claims to multiple payers. And by making sure your billing is correct the first time, we reduce the common complications at the back end and alleviate the stress of dealing with insurance companies.
Insurance Authorizations
Let our team make sure you get paid on time, every time. Not only will we complete appropriate criteria sheets and authorization forms for you, but we'll also contact the insurance companies for you to obtain approval for your authorization request.
Payment Posting
The billing team verifies the appropriate payment for each claim and promptly posts all ERAs and EOBs. The remaining balance is billed to the secondary insurance or posted to the patient's account.
Follow-Up and Appeals
We follow up on every claim that is not paid within 30 days by contacting the insurance companies. If the claim is denied, we review, correct, and resubmit it immediately.
HIPAA Compliance
JMS Billing recognizes that mental health providers seek to ensure that our organization is fully in compliance with the Health Insurance Portability and Accountability Act (HIPAA). Our goal is to protect the privacy and security of individually identifiable health information and our client's ability to use our services.
JMS Billing, its software vendor, and electronic clearinghouse are in compliance with all legislative and regulatory developments that are directly proportionate to our customers' business needs. JMS Billing signs a trading partner agreement with all its vendors and it's statement of compliancy is outlined in the "Business Associate Agreement" which we provide to all our clients.
