Billing For Community Behavioral Health Clinics
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Billing For Community Behavioral Health Clinics
206 community mental health centers (CMHC) received an 
estimated $218.6 million in 2010 for delivering partial 
hospitalization program (PHP) services to roughly 25,000 
Medicare beneficiaries with mental and behavioral disorders. 
Certain investigations have discovered flaws in Medicare 
payments to CMHCs for PHPs. Furthermore, a few of the 
practices were convicted of fraudulently charging Medicare 
roughly $200 million for medically unnecessary PHP procedures 
from 2002 to 2010. 
That’s why it is always recommended to know about the 
billing for community behavioral health clinics in detail to avoid 
fraud and low reimbursements. Or, you can also avail of 
community behavioral health services to enhance your 
revenue. 
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Billing For Community Behavioral Health Clinics
Let’s have a look at a few of the crucial aspects of 
community behavioral health clinics billing and coding: 
Certified Community Behavioral Health Clinic (CCBHC) is a 
community-based behavioral health care paradigm that strives 
to increase service quality and accessibility. It performs the 
following functions:
•offer the complete range of CCBHC-required mental health, 
substance use disorder (SUD), and primary care screening 
services 
•Provides integrated, evidence-based, trauma-informed, 
recovery-oriented, and person-and-family-cantered treatment.
•Have formed collaborative ties with other physicians and 
healthcare systems to ensure care coordination.
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Electronic Billing
•Check and verify the status of active provider enrolment.
•Verify program eligibility for one or more MHCP members.
•Request authorization for medical or dental treatments or 
supplies.
•Request service agreements (SAs) for home care services.
•Retrieve your authorization and service agreement letters.
•Make a claim (including claims with Medicare and other 
insurance)
•Copy previously filed MN-ITS claims or replace paid claims that 
were wrongly submitted.
•Determine whether a claim has been paid or denied.
•Submit a Payment for Performance Results.
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Outsource Community Behavioral Health Billing
Community behavioral health billing outsourcing
 encompasses the mechanisms that behavioral health systems 
utilize to charge for treatments and earn revenue. It records all 
time and services supplied to all patients, creates process for 
each step, and accepts the final payment from the payor. 
Outsourcing community behavioral health billing to 24/7 
Medical Billing Services ensures managing all the aspects – a 
streamlined procedure that includes medical billing, coding, 
and other non-provider-related responsibilities. This will help 
you in precise coding, increased cash flow, timely revenue 
collection, and financial viability. It allows for more emphasis on 
patient care and practice expansion. 
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About Us
We are a medical billing company that offers ‘
24/7 Medical Billing Services’ and support physicians, hospitals, 
medical institutions and group practices with our end to end medical 
billing solutions. We help you earn more revenue with our quick and 
affordable services. Our customized Revenue Cycle Management 
(RCM) solutions allow physicians to attract additional revenue and 
reduce administrative burden or losses.
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Media Contact
24/7 Medical Billing Services
28405 Osborn Road, Cleveland, OH 44140
2028 E Ben White Blvd, 240-1030 Austin TX, 78741
Phone no :  +1 888-502-0537
                    Email us: [email protected]
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