Behavioral health consulting and Behavioral health billing

Our Business Strategy Consulting services include insurance billing services and behavioral health consulting to analyze your current Behavioral Health facility, private practice or perspective concepts.  We will assist you to develop a roadmap for growth of your facility or private practice. During this time, we will work with you to identify strengths, weaknesses, opportunities, and threats, and create a tailored plan to achieve your goals.

Our Behavioral Health Billing Consulting services will look at current billing practices, services provided, billing coding and documentation to streamline claim processing and payment.  Coding is very strategic, and misuse of codes can bring a plethora of issues for providers, and each insurance company is different.  With decades of experience in billing and coding practices, we will work to keep you ahead of the curve so there are no hiccups in your revenue cycle.

Our Insurance Billing Services allow you to outsource the entire process of billing and revenue cycle management.  From coding, submitting claims, working denied claims, submitting records, rate negotiations, payment collection, payment posting and account reconciliation - we will oversee every aspect of the behavioral health billing process for you.  This allows facilities and private practices to focus on what is most important, the clients.

Our Utilization Management team is one of our strongest departments and a key component in behavioral health billing.  With decades of experience working to maximize insurance authorizations for clients.  We have worked with all insurance companies and know what they are looking for and the requirements each company has for levels of care from Detox to Outpatient Services.  We believe that length of stay in treatment is critical to client success and fight for each individual case with that in mind.  Services provided range from Initial Authorization to regular Utilization Reviews and Peer Review.

Our Clinical Documentation Consulting is utilized by many providers who are seeing denials and lack of service authorizations.  We will work one on one with clinicians to review documentation and provide guidelines that identify additional requirements solutions that will meet DHS and Insurance needs and help you stay ahead of the competition.  Thid is a critical component in insurance billing services and behavioral health billing.

Our Insurance Consulting includes an overall analysis of your current insurance and billing practices.  Upon completion, you will be provided with a comprehensive analysis of the strengths and weaknesses of your current practices.  We will provide you with a performance improvement summary which will dissect all of the areas in which Callaway Behavioral Health Solutions can assist with your growth, improvement and revenue maximization.  During this we will also look at your insurance network status, current contracts, rate negotiation opportunities and find areas in which we can assist with In Network and Out of Network strategies.

Our Credentialing Behavioral Health Consulting process includes completion of In Network application processes and rate negotiations on behalf of your facility and providers.  As you likely know, this can be a tedious process and needs consistent follow up to confirm that documentation is being processed effectively and properly.  We will monitor this process from start to finish on your behalf.

Our Compliance Consulting provides a comprehensive review of your overall practice or facility.  Compliance is a baseline requirement and can be very complicated with requirements for the state differing from those of the insurance companies and dependent on levels of care being provided.  With decades of experience with DHS, JHACO and Commercial Insurance Companies, we will navigate this and provide a performance improvement plan should we find any deficiencies or opportunities for improvement.