Seamless Integration
We Work With Your Existing EHR
Abaz Synapse Billing seamlessly connects with the industry's leading electronic health records systems to ensure zero disruption to your workflow.
Stop losing revenue on complex behavioral health modifiers. Let our expert billing team ensure 98% clean claim rates for telepsychiatry and E/M leveling.
Mental health and psychiatry billing presents unique challenges that differentiate it from standard medical billing. From strict time-based coding requirements to the complexities of telepsychiatry and varying state-level Medicaid regulations, behavioral health providers frequently face high denial rates and delayed reimbursements. At Abaz Synapse Billing, we specialize in the nuances of mental health billing, providing a robust, end-to-end revenue cycle management solution designed specifically for psychiatrists, psychologists, and licensed therapists.
Our dedicated team of certified billers meticulously manages psychotherapy codes (such as CPT 90834 and 90837), psychiatric diagnostic evaluations, and pharmacological management codes. We ensure that all claims accurately reflect the duration and complexity of the services rendered, utilizing the correct modifiers to prevent bundling denials. Furthermore, we seamlessly integrate with industry-leading mental health EHR platforms like TheraNest and SimplePractice, allowing us to pull encounter data automatically and reduce administrative overhead for your clinical staff.
Beyond standard claims submission, we take a proactive approach to revenue capture. We navigate the intricate prior authorization requirements for intensive outpatient programs (IOP) and psychological testing, ensuring that sessions are approved before treatment begins. By managing the entire billing lifecycle—from benefits verification to aggressive denial management and patient balance collections—we empower mental health professionals to focus entirely on patient care while we secure the financial health of their practice.
We expertly navigate Place of Service (POS) codes and telehealth modifiers (like 95 or GT) to ensure full reimbursement for virtual sessions.
Our systems integrate flawlessly with platforms like SimplePractice and TheraNest, automating data flow and eliminating manual entry errors.
We monitor session limits and secure prior authorizations in advance, preventing unexpected denials and disruptions in patient care.
We securely receive your clinical notes, demographics, and superbills directly from your EHR system within hours of the patient encounter.
Our certified billers translate notes into accurate CPT/ICD-10 codes, then run the claim through our advanced rule engine to catch any compliance issues or missing modifiers.
Flawless claims are transmitted electronically to insurance clearinghouses, ensuring lightning-fast receipt and processing by the payers.
We meticulously post ERAs and EOBs. Any partial payments or delayed claims trigger immediate, aggressive follow-up by our resolution team.
Common questions about our medical billing services.
We expertly manage the complexities of telehealth billing, ensuring the correct application of POS 02 or 10, alongside modifiers like 95 or GT, depending on specific payer requirements, to prevent telehealth denials.
Yes. Our team rigorously tracks authorized units and session limits in real-time. We proactively manage the re-authorization process before sessions run out, ensuring uninterrupted cash flow and patient care.
CPT 90837 (60-minute session) frequently triggers payer audits compared to 90834 (45-minute session). We ensure your clinical documentation perfectly justifies the extended time, defending your claims against aggressive downcoding.
Apart from our base state of Virginia, Abaz Synapse Billing offers its assistance throughout the USA.
Abaz Synapse Billing seamlessly connects with the industry's leading electronic health records systems to ensure zero disruption to your workflow.
Discover why practices nationwide trust Abaz Synapse Billing.
"Transitioning our mental health billing was a nightmare until Nick John stepped in. He personally walked our staff through the new telepsychiatry modifiers and cleared a 3-month backlog in weeks. Because of Nick's incredible helpfulness and expertise, we are finally seeing the revenue we deserve. 5 stars isn't enough!"
"We were struggling with constant unbundling denials in our surgical wing. Martin Guptil took the lead and completely optimized our cardiology coding workflow. His attention to detail and willingness to jump on a call at any time saved us over $15k in the first month alone. Martin is a lifesaver!"
"Prior authorizations used to be the bane of our existence. Martin Guptil transformed that entire process for us. He is proactive, knowledgeable about complex surgical codes, and always one step ahead of the payers. Martin's helpfulness has allowed me to get back to my patients. Highly recommended!"
"Oncology billing is incredibly high-stakes, and Martin Guptil is the only person I trust with our J-code management. He helped us navigate a complex audit and secured 99% reimbursement on our high-cost biologics. Martin's dedication to our practice's financial health is why we rate him 5 stars."
"We were constantly under-coding our complex E/M visits out of fear of audits until Nick John audited our process. He showed us how to document our medical decision-making properly to reflect the work we actually do. Nick’s expertise in Internal Medicine billing has significantly boosted our bottom line. 5 stars!"
"Navigating the 270-day global billing cycle for our OB/GYN practice was a constant headache. Jimmy Adams stepped in and streamlined the entire workflow, especially for our high-risk cases. His helpfulness and deep knowledge of maternity modifiers have been a game-changer for our front office. Highly recommended!"
"The 8-minute rule and therapy caps used to be the primary cause of our claim denials. Frank Miller implemented a tracking system that simplified our entire rehabilitative billing process. We haven't had a timing-related denial in months thanks to Frank’s proactive support and helpfulness. He’s an asset to any clinic."