For mental health medical professionals, getting credentialed for Medicare to offer therapy sessions involves various steps like:

Obtaining a National Provider Identifier (NPI)

Completing the Medicare Enrollment Application

Submitting Required Documentation e.g., (NPI, CV, Liability Insurance, state license, etc)

Working with your Medicare Administrative Contractor (MAC)

Keeping Enrollment Information up-to-date

Council for Affordable Quality Healthcare (CAQH) is a centralized database where a mental health practice or practitioner can submit their academic and practice information. Maintaining, and updating your CAQH profile is essential because this information is used by insurance companies to appropriately verify credentials so that a mental health professional/provider may join their network to treat patients holding insurance plans.

Yes absolutely, Quantum's mental health billing services are equally suitable for a small mental mental health practice as well as specialty-based psychiatric hospitals. We offer a complete suite of CAQH profile credentialing, enrollment and contracting process. Our behavioral health billing solutions entails in-network and out-of-network enrollment as well as out of contract negotiations to secure your financial bottom line.

Quantum’s medical billing solutions provide quality work at an affordable price. Exact cost of our behavioral health billing services varies according to the type and size of your practice. Outsourcing our certified staff helps you streamline the mental health billing process resulting in optimum quality care for patients and 100% regulatory compliance.

Similarly, utilizing our medical billing solutions also allows you to take full advantage of our advanced provider medical credentialing services. Our credentialing and enrollment solutions will help any type, specialty and size of mental health practice to get enrolled in out-of-network and in-network plans and treat additional patients on behalf of insurance companies.

Yes of course, you can outsource Quantum Health Services for both type of administrative tasks like medical credentialing and mental health billing services where we care for all parts of RCM including:

Improving billing performance

Removing obstacles to streamline reimbursement process

Elevating a behavioral health private practice’s quality care

Employing ICD-10, HCPCS and CPT-approved best practices for coding

Error-free CPT code usage

Timely payment posting

50-60% increased cash flow

Sending accurate patient statements

Integrating AI-assistance in patient billing for best practices