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Frequently Asked Questions
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How experienced is your team?We have over 14 years experience in the mental health field. Worked in agencies and private practices from community settings to TMS private practices. Also currently a student trying to obtain my Masters Degree in Psychology- LPC-Counseling Route.
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How can I schedule a free consultation?Send us an email to sadaqah@therapeuticbillingco.com or text directly to (201) 778-0271
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How do you verify patient benefits and coverage?We obtain patient information and provider information to ensure the provider is in network with patients plan. Once we verify benefits we call the patients to let them know what their out of pocket expense will be per session. We also share this information with the provider.
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What software setups do you support for billing?Simple Practice, Sessions, Availity, Cigna, Aetna, Optum, Novitas and any Medicaid/Medicare online portal.
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How can I transition from an individual to a group insurance contract?On our initial consultation call, I will ask what your vision is for the practice. I will also ask if you are looking to transition to a group practice at some point in time. If so, we provide the stipulations for each insurance to transition into a group practice. Most insurances require you have 3 or more providers on staff to transition from individual to group. We will then send the requests out to insurance companies to obtain group contracts and rates for the group practice. This is very similar to the credentialing process as far as follow up time and paperwork that needs to be submitted.
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Do you offer support for Medicaid and Medicare billing?Yes, we offer support for all medicaid and medicare billing for any state.
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How do you handle out-of-state Blue Cross Blue Shield plans?As long as your client is in the state where you are licensed, and you are in network with your local BCBS plan, you will be considered in network and the client/patient can be seen. For example: Client has a BCBS of Florida and the provider is licensed in NY. If the client is in the state of NY at the time of their session, the provider will be considered in network with Florida Blue.
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What are your fees based on and are there any "hidden" fees/charges?We have no hidden fees or charges. We offer specialized quotes for each individual provider or group practice based off their financial ability. Not each office/provider will have the same fee as the other. We work with every office/provider to make sure the credentialing process or billing process does not hurt them financially.
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How do you manage prior authorizations?We call insurance and obtain a prior authorization at least two weeks prior to the patients appointment to ensure we have an approved authorization in time for the patients appointment.
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What is your policy for client support and communication?We are very big on answering emails and/or texts to our clients. We are the only company opened seven days a week, for over twelve hours a day. If you cannot reach us on the phone that is because we are always on with insurance companies. If you email or text we will respond almost immediately. If the matter is urgent we will call you.
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How quickly can I expect to see results after using your services?We begin credentialing applications the same day you sign up. The same day you will get copies of all credentialing applications that were submitted. We continue to provide you with weekly updates on your credentialing status with an excel spreadsheet which will have detailed information on the status. Most of our clients who use us for credentialing will see results anywhere from 72 hours to 30 business days. For billing, results will show as little as two weeks for claims and immediately for obtaining copays and backbilling.
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