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What is a billing statement? In the medical world, the different terms used throughout the billing process can be confusing. Hansei Solutions is here to answer your questions. Paperwork is a major stressor for many behavioral health providers, often contributing to challenges like burnout. Our services make all things related to billing easier for treatment centers and professionals in the field.
What is a billing statement in medicine? A billing statement is a detailed document sent to you by your healthcare provider. For example, a therapist, psychiatrist, or behavioral health center. It should tell you:
The purpose of a billing statement is to inform you (or the person receiving a healthcare service) of your financial responsibility after your insurance has been applied. It should reflect any payments you’ve already made, respective to the date on the statement. For example, a co-pay you made at the doctor’s office.
As a provider, you know what a hassle billing can be. With ever-changing regulations and requirements, it is easy to let small details slip through the cracks, leading to lost revenue and time that could be spent on your clients. Behavioral Health Billing With Hansei Solutions is here to help. We work specifically with addiction and mental health treatment providers. Our software is updated regularly with the latest codes. We’re here to streamline the billing process, making things easier for you and the people you work with.
Hansei Solutions offers Verification of Benefits in Medical Billing to help treatment centers, clinics, and private practices verify clients’ insurance coverage and eligibility. Our advanced process includes confirming:
If the verification of benefits (VOB) process isn’t handled correctly, there’s a risk that your client will be in your care without coverage for services. Clients may contact you believing they’re in network when they’re not, leading to lost time for both parties. Our process is thorough, detailed, and accurate. We’ll communicate with insurance companies for you to make sure that everything’s ready to go.
Ready to start working with us? Learn more about Onboarding With Hansei Solutions today. We handle everything from help with medical credentialing to claim denial management. If you’re a provider in the behavioral health field of any kind, our experts will be happy to work with you.
It’s time to make medical billing easier with Hansei Solutions. Whether you need people you can trust to handle billing or want help with something else, like expanding your in-network insurance contracts, contact Hansei Solutions. You can get in touch by calling 888-574-4379. Or, schedule a demo now.
An EOB is usually sent by a person’s health insurance company at around the same time they receive a billing statement from their doctor, which can create some confusion. The main difference? An explanation of benefits, or EOB, is not a bill. A billing statement tells a person the amount due and how to pay it. The purpose of an EOB, which generally states clearly that it is not a bill on the document, is to summarize how a claim was processed.
Billing statements can be sent to your clients in the mail (on paper) or electronically.
Most of the time, billing statements are sent out monthly to people with outstanding balances. However, this can differ. For example, it might be weekly instead.
Usually, yes. If you receive a billing statement, it likely means that you still have a payment to make. However, if you receive a bill in the mail after you make a payment, it may not be up to date. It may say that you can disregard the statement if the amount has already been paid. If you think your billing statement is inaccurate, the document should include a contact method (e.g., a phone number to call) so you can reach someone to discuss any errors, questions, or concerns.
The ‘golden rule’ in medical billing is, “If it wasn’t documented, it wasn’t done.” In other words, the document must accurately describe the services a patient received and why they were necessary.
Missing or incorrect information is one of the top reasons for denied claims in medical billing. For example, use of the wrong code or missing modifiers are very common problems. It can feel like the process is complicated on purpose, with even the most knowledgeable and experienced providers encountering this issue time and time again. Our software prevents it from happening, saving you and your clients time and energy.
Eligibility and coverage issues (e.g., inactive insurance at the time of service), missing or lapsed prior authorizations, and lack of information regarding medical necessity often lead to denied claims, too. At Hansei Solutions, we have experts who are versed in navigating these challenges successfully–and since it’s our job, we’re here to dedicate all of the time necessary so that behavioral health providers don’t have to take on the unpaid labor.
Ready to focus on providing healthcare? Let us lighten your load.
We’re here to address your pain points and create growth opportunities for your organization. We’re passionate about what we do, and it shows in every interaction. Learn what makes us tick and schedule a demo today.