Up to 30% higher contract terms*
Greater than 95% clean claims rate*
100% Transparent Reporting and Analytics*
Utilization Review & Management
The team at SimiTree achieves Lengths-of-Stay above industry averages. Our Utilization Management Department includes teams and professionals that specialize in Eating Disorder, Substance Use Disorder and Mental health across all levels of care.
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Verification of Benefits
SimiTree maintains a turn-around time of 90 minutes or less during normal business hours for VOB. We provide verbal verification of benefits, necessary to gather more detailed information than is provided through electronic submissions. High acuity and specialty clients utilize this service in order to minimize coverage issues resulting in non-payments and ensure the nuances of each patient’s healthcare plan are explored.
Electronic Verification of Benefits – Electronic VOB’s are provided to our clients with less of a need for the high level of detail provided by the verbal VOB. eVOB can be used to expedite the admissions process where verbal confirmations are completed later or as stand-alone verifications by certain providers and practices.
Bulk Verification of Benefits – Our team has the capability to perform bulk electronic verification of benefits. This service expedites the VOB and eligibility process at times where benefit plans reset or on a regular basis by clients to minimize non covered services resulting from termed policies or policy changes during the patient’s episode of care.
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Billing
SimiTree’s team of Behavioral Health billing experts handle each step of the way including coding, claim creation, claim submission, claim resubmissions and secondary billing submissions.
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Collections
Our Collections Department handles everything from receipt confirmation, claim follow-up, denial management, appeal management, special projects and payer escalations.
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Postings
Let SimiTree’s team of experts handle your postings. Whether it’s an Electronic Remittance Advice (ERA) posting or an Explanation of Benefits (EOB) we will take care of it. We also include recoupment and refund management so that you can focus on patient care.
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Payment Integrity
Our team will ensure accurate and compliant payments, specifically focusing on identifying and preventing potential errors using advanced data analytics and auditing techniques to verify the correctness of submitted claims before payment is made. This includes Out of Network patients to ensure the proper amount is paid for services rendered.
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Contracting & Credentialing
If you need to get newly Contracted and Credentialed or you’re looking to expand, SimiTree offers Contract Management Software and Credentialing Management Software for you to be able to access your status as we take care of the work performing an average of 30% higher payment terms! We have relationships with payers across the industry and offer you the opportunity to access all data for reimbursements and contracted rates, including competitor and market rate data.
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PMS & Data Analytics
Our team of Behavioral Health experts work with all practice management systems. We have multiple systems that we utilize with our clients and can absorb this cost in some situations.
SimiTree offers an incredible data analytics platform that will provide you with transparency in billing, recognition of your revenue, forecasting and customizations where needed.
Additionally, SimiTree has a dedicated department that provides PM selection and implementation services to help you find the PM system that works best for your Revenue Cycle workflows. Our team will complete or assist with PM implementation to fast track your programs launch or transition from your legacy Practice Management system.
Implementation & Consulting
Billing & Coding Guidance
While the coding of services is ultimately provided by our clients, we utilize our experience, data, and network to assist in ensuring your revenue is maximized through exhaustive billing of services and proper coding to minimize denials.
ERA & EDI Setup
SimiTree can assist your team in establishing electronic connections to payers to expedite the claim adjudication process, reducing the timeframe from claim submission to payment.
Back-End Billing Software Setup
Our team can assist in the setup of your practice management software, ensuring the system correctly captures charges, submits claims, and provides accurate and efficient AR workflows and information.
EHR Implementation & Selection
SimiTree has a dedicated department that provides EHR selection and implementation services to help you find the EHR system that works best for your providers and workflows. Our team will complete or assist with EHR implementation to fast track your programs launch or transition from your legacy EHR.
Comprehensive Behavioral Health Billing Services
At SimiTree, we understand the unique challenges of behavioral health billing. Our team of experts provides tailored solutions that meet the specific needs of your practice. Our services include:
- Claims Submission: Efficient and accurate submission of claims to ensure prompt reimbursement.
- Denial Management: Proactive management of denied claims to minimize revenue loss and improve cash flow.
- Revenue Cycle Optimization: Comprehensive analysis and optimization of your revenue cycle processes to enhance efficiency and profitability.
Choose SimiTree and empower your behavioral health organization with cutting-edge billing solutions that drive financial growth, operational efficiency, and peace of mind.
Behavioral Health Outsourced Billing Solutions
Outsourcing your billing to SimiTree allows you to focus on patient care while we handle the complexities of the billing process. Our outsourced billing solutions include:
- Full-Service Billing: End-to-end billing services, from claims submission to payment posting, ensuring a seamless process.
- Compliance Assurance: Stay compliant with all regulatory requirements and avoid costly penalties with our meticulous billing services.
- Customized Reporting: Receive detailed reports and insights into your billing performance, helping you make informed decisions.
Why Choose SimiTree for Behavioral Health Billing?
- Expertise in Behavioral Health: Our team has extensive experience in the behavioral health sector, ensuring a deep understanding of your unique needs.
- Advanced Technology: Leverage our cutting-edge technology to streamline your billing processes and improve accuracy.
- Dedicated Support: Receive personalized support from our Account Success Representatives, who are committed to your practice’s success.
The SimiTree Advantage
- Proven Track Record: Join the ranks of numerous satisfied clients who have benefited from our expert billing services and improved their operational efficiency.
- Innovative Solutions: Utilize our advanced technology and industry best practices to enhance your billing processes.
- Holistic Approach: From initial claims submission to denial management, we provide comprehensive support to ensure your practice’s financial health.
Get Started With SimiTree Today!
Ready to optimize your behavioral health billing and improve your revenue cycle? Contact SimiTree today to learn more about how our specialized billing and outsourced billing services can support your practice’s growth and success.
*Results will vary based upon the unique needs of your practice.