Before receiving paid reimbursement, most private payers expect patient documentation showing 180 minutes of IOP services or 360 minutes of PHP services. To help clinics meet these requirements, ClinicTracker makes it easy to bundle claims from individual appointments.
SYRACUSE, N.Y. (PRWEB) February 21, 2018
Billing for Partial Hospitalization Program (PHP) and Intensive Outpatient Program (IOP) services is unusually challenging because of complex regulations around how they can be invoiced. Staff often had to manually identify which services could be “bundled” together as part of the bill for the day’s services. Once they identified which services qualified, they then had to make sure that the appointment durations would qualify for the bundled codes and that non-bundled services were billed directly.
Most mental health-oriented clinics process a claim for each individual service. But PHP and IOP programs roll charges for services into just one claim. Before receiving paid reimbursement, most private payers expect patient documentation showing 180 minutes of IOP services or 360 minutes of PHP services. To help clinics meet these requirements, ClinicTracker makes it easy to bundle claims from individual appointments. ClinicTracker preserves any individual visits that the patient attended within the patient record in case an insurance company questions the validity of a claim. Staff can store bundled claim conditions as favorites to save time filling out information again on similar services, groups, locations, and more. In addition, the Patient Group functionality makes it simple to segment IOP and PHP clients to help with billing rules, reporting, and staff access.
“We have been working hard at accommodating the special requirements of programs that treat substance abuse. That effort has involved building features that pertain specifically to documenting and billing for IOP-type services,” said Joshua Gordon, president of ClinicTracker. “Our customers who operate eating disorders programs are also very excited, because they often operate within the same constraints as those who treat chemical dependency conditions.”
ClinicTracker is a robust, future-proof mental health and substance abuse EHR. Michael Gordon, a respected clinical psychologist, and Joshua Gordon, an award-winning software engineer, founded it in 2000. ClinicTracker EHR’s powerful software empowers your agency to succeed. ClinicTracker will automate many of your clinic routines, boost staff productivity, increase billing efficiency, and provide the tools you need to manage your clinic effectively. While mental health and substance abuse agencies are our main focus, our software is compatible with foster care agencies, social services, equine assisted therapy, university clinics, academic counseling, family counseling services, and eating disorder clinics.
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