Services
Verification of Benefits
Effective and efficient revenue cycle management within the Behavioral Healthcare space starts with an accurate and comprehensive verification of benefits. Noble Billing has developed systems and structures that allow the VOB team to gather pertinent policy information quickly and communicate that information effectively with your in-house admissions team, including payer and provider specific templates.
A thorough and accurate verification of benefits assists in making accurate projections of anticipated revenue and highlights policy concerns prior to admission. Noble Billing has admissions and reimbursement experts on staff that will assist your team with revenue projections based on specific plans types or carrier specific reimbursement trends.
At Noble Billing, we strive to serve as an extension of your admissions team and to ensure that your team has all of the information required to make decisions in a timely manner.
Utilization Review
Nearly all carriers require preauthorization for inpatient services and many require preauthorization for outpatient services as well. Claims reflecting non-authorized services often get stuck in a never ending cycle of denials, medical record requests, and appeals that drag out the time to collection and can put a severe strain on your organizations’ cash flow. Thus, the utilization review process is vital to the success of any revenue cycle management strategy.
Noble’s team of Utilization Review experts, all with experience in the behavioral healthcare space, will complete initial authorizations and concurrent reviews to ensure that patients receive the care that they need. Our team will work closely with your clinical team to gather all of the information required by the insurance company and will fight to make sure that your clients are able to receive the care that they need based on the recommendations of your organization's healthcare professionals.
Noble will also provide your clinical staff with training so that they are aware of the compliance guidelines that are dictating authorizations and the types of questions that are being asked by the insurance companies on these reviews. By establishing a standard for documentation and record keeping through training, we are able to limit the back and forth that interrupts the clinicians and prevent them from focusing on client care.
Billing & Collections
Effective Medical Billing requires that claims are submitted accurately the first time and that followed up on in a timely and consistent manner.
Prior to submission, all Claims are reviewed by our experience team to ensure that revenue coding, CPT coding, HCPCS, and diagnosis codes are accurate and all dates of service reflect your records.
Following submission, Noble Billing will confirm receipt by the carriers and follow up on claims relentlessly to ensure that delays are mitigated, issues are resolved, and time to collection is minimized. Noble Billing’s knowledge and experience working with the carriers ensures that claims are resolved quickly and efficiently.
At Noble Billing, we pride ourselves on having a highly trained and experienced team of Claims Representatives that are willing to go the extra mile to get claims resolved. Our team is trained on common issues with each payer and works closely with our billing team to make sure that we are constantly iterating and improving on best practices.
Denials & Appeals
The Noble Billing team has extensive experience handling all types of denials and appeals.
Denials are reprocessed through the carrier or corrected and resubmitted through the billing team. Our team has experience identifying issues that are common across the various payers and will address each denial on an individual basis to ensure that these claims are resolved in a timely manner.
Our appeals team is composed of claims resolution and utilization review experts that are trained to get appeals processed and resolved quickly. The team is equipped with robust appeal templates and bring a wealth of industry knowledge and expertise. These factors help get appeals processed and claims paid.
Consulting & Training Services
Noble Billing also offers more robust training and consulting services on an ad-hoc basis. Please contact us to learn more about the many ways that you can leverage our expertise to improve your business.