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Need Help Billing in TherapyNotes?

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TherapyNotes Unofficial User Group

TherapyNotes Users Intro Special Offer

  • Are you having trouble following up on unpaid or denied claims in TherapyNotes?  Don’t have time to verify benefits or post payments in TherapyNotes? 

  • Register for our TherapyNotes Billing Service by December 31, 2024 and receive two months free with no set-up fee.  Save 10% off our standard rate for the first year.

  • Prepay and save!  Save 20% off all Annual Prepayment Option purchases during the first year with three months free.  Pay as low as $1.75 per claim.

 

Medical Billing Professionals is an APPROVED TherapyNotes Billing Partner serving providers nationwide since 1995 with fees among the lowest in the industry!  However, Medical Billing Professionals is NOT affiliated with TherapyNotes LLC.

Two Months Free

  • For TherapyNotes practices only!  Complete the Getting Started Form on our website by December 31, 2024 and receive:

    • Two Months Free*

    • No set-up fee

    • Save 10% off our standard rates for the first year
      • Pay only $3.59 per claim for our Platinum Service standard rate (standard rate is normally $3.99 per claim)
      • Pay only $2.61 per claim for our PremiumPlus Service standard rate (standard rate is normally $2.89 per claim)
      • For smaller practices, save 10% off our minimum monthly fees
        • For the Platinum Service, the minimum monthly fee for the first year not counting the two months free) will be only $179.95 per month
        • For the PremiumPlus Service, the minimum monthly fee for the first year (not counting the two months free) will be only $89.95 per month.

Save 20% off all Prepayment Purchases During the First Year AND Receive 3 Months free!

Purchasea a Platinum Service or PremiumPlus Service Annual Prepayment Option by December 31, 2024 and:

  • Save 20% off all prepayment purchases during the first year
  • Receive three months free (limit of 100 free claims per month)
  • Platinum Service Prepayment Rates:
    • Purchase 1000 claims for only $2920.00 ($2.92 per claim)
    • Purchase 2000 claims for only $5360.00 ($2.68 per claim)
  • PremiumPlus Service Prepayment Rates:
    • Purchase 1000 claims for only $2072.00 ($2.07 per claim)
    • Purchase 2500 claims for only $4380.00 ($1.75 per claim)

FREQUENTLY ASKED QUESTIONS

  1. What is the difference between the PremiumPlus Service and the Platinum Service?
    • The Platinum Service is full service, including verification of insurance benefits for new patients and follow-up of outstanding or denied claims. With the PremiumPlus Service, insurance verifications are options ($7.95 per verification) and follow-up of claims is not available.
  2. Why would I choose the PremiumPlus Service over the Platinum Service?
    • The first obvious reason is price.  The PremiumPlus Service is significantly less expensive than the Platinum Service.
    • For most specialties, such as behavioral health, follow up is needed on only 2-3% of claims.  Let’s say that your office submits 100 claims per month on average.  That means you are paying a higher fee with the Platinum Service just so we can follow up on 2-3 claims per month.
  3. If I choose the PremiumPlus Service, how will I know which claims require follow-up?
    • If a claim denies in error on an EOB, we will notify you of this and tell you to contact the payer.  For example, maybe a payer denies saying prior auth is needed but in reality auth is not required.
    • In addition, we can show you how you can easily run a report under Billing in TherapyNotes to show open claims with dates of service more than 30 days old.
  4. Is there a minimum monthly fee for your services?
    • For the PremiumPlus Service, normally the minimum fee for claim submissions is $99.95 per month.  However, during the first year, it is only $89.95 per month.
    • In comparison, the minimum fee for the Platinum Service is $199.95 per month (during the first year, the minimum fee is only $179.95 per month for the Platinum Service).
    • Note the minimum monthly fee does not apply for practices purchasing an Annual Prepayment Option.
  5. If I sign up for the PremiumPlus Service but want to switch am I able to do that?
    • YES!!!  If at any time you want to switch from the PremiumPlus to the Platinum Service (or vice versa), you are able to do that….effective with your next billing cycle with us.  We don’t let providers go back and forth between the two services but we do offer the one-time switch option.
    • For providers who are unsure which level is best, we STRONGLY recommend that providers choose the PremiumPlus option.  As long as you do not mind making a few calls to insurance payers, the PremiumPlus Service is the best option.
  6. What services will you provide in TherapyNotes?
    • Every day we will log into TherapyNotes and submit all claims.
    • We will review any claims that reject electronically.  For example if a claim rejects electronically because coverage terminated we will notify you to provide us updated insurance information for the patient so we can resubmit to the patient’s new insurance carrier.
    • On a daily basis we will post all insurance payments, both Electronic Remittance Advice obtained in TherapyNotes and paper EOBs you provide to us.
    • We will verify benefits for all new patients and for patients who change insurance*.  We will enter the benefit details on the Billing Settings tab in TherapyNotes.
    • We will automatically follow up on any unpaid claims or denied claims that we submitted**
    • We will submit secondary claims, when necessary, to payers.
    • If needed, we will provide you the Revenue Reports in TherapyNotes so you can pay your clinicians.
  7.   Is there a limit to the number of free claims under the free trial?
    • Yes, there is a limit of 100 free claims per billing month.
    • For practices submitting under the standard per claim rate, if you exceed 100 claims during a billing month you will be billed the per claim rate for your level of service x the number of excess claims.
    • For practices who purchase an Annual Prepayment Option, if you exceed 100 claims during a billing month the excess claims will be applied to the 1000 claim prepayment purchase.
  8.   How does the insurance verification process work?
    • MBPros will verify benefit information for any new patients and for patients who change insurance coverage if you are enrolled for the Platinum Service OR you are enrolled for the PremiumPlus Service and choose the optional verification.
    • When a new patient schedules a visit, you have 3 choices:
      • You can enter the patient demographics completely in TherapyNotes and send us an email requesting that we verify benefits
      • You can complete a simple, secure online patient form we have.  We then will accurately set the patient up in TherapyNotes and verify benefits.  For scheduling purposes, some offices set the patient up with basic info (name, DOB) in TherapyNotes and then complete our online patient form.  The choice is yours with these two options.
      • If you use the patient portal in TherapyNotes, you can request that on a daily basis we review completed Client Insurance Forms and verify benefits for the new patients.
    • We then will verify eligibility and benefits by the next business day.  We will enter the benefit info on the Billing Settings tab in TherapyNotes.  Below is most of the info we obtain when we verify benefits:
      • Eligibility start date
      • Copay/coinsurance
      • Deductible
      • How much of the deductible remains outstanding (or has been met for the benefit year)
      • Out of pocket max, including amount remaining
      • If claims go to a 3rd party payer, such as Magellan or Beacon Health.
      • NOTE:  If you plan on doing psych testing, please note this in the verification request as we then can ask if psych testing (such as 96130, 96132 and 96136) are covered AND if prior authorization is required.
    • It is highly recommended that you obtain a copy (front and back) of the patient’s insurance card and upload it into TherapyNotes.
  9.   Is there a limit to the number of insurance verifications?
    • Yes.  There is a limit of 3 insurance verification requests per day and a limit of 60 per billing month.
    • For the Platinum Service, if you exceed 60 verifications during a billing month, you are charged $7.95 per each additional verification.
    • If you require more than 3 verifications in a day you can request the additional ones, but we cannot guarantee that we will be able to complete all verifications by the next business day.
  10.   I have a lot of old claims that require follow-up.  Will that be included in the free trial?
    • No.  We will automatically follow up on any outstanding or denied claims that our office has submitted if you are enrolled for the Platinum Service.
    • If your office is enrolled for the Platinum Service and requires follow-up of older claims, here is how it could work.
    • You could ask us to review claims for a particular patient.
    • If we are able to determine in TherapyNotes why the claims were not paid or possibly rejected, we will make the necessary adjustments.  There is no fee for this service.
    • However, if we cannot determine in TherapyNotes why the claims were not paid, we would then contact the payer.
    • For these older claims that we did not submit and that we have to follow up upon with the payer, a fee of $12.95 per claim is charged.
    • As a recommendation, if there are numerous dates open for a patient, you should ask us to follow up upon just one date of service with the payer to possibly save some money.  If we can determine from that phone call with the payer why the one date  was not paid, we may then be able to correct any problems in TherapyNotes and resubmit all dates.
  11.   I pay my clinicians a percentage of the amount paid by insurance.  Are you able to provide me the Revenue Report in TherapyNotes when needed?
    • Yes…However, this is important.  If you use the Revenue Report, let us know at the outset.  The reason is this.  The Revenue Report is based upon the date of payment.  Let’s say we run a report on Saturday the 16th….then let’s say on Monday the 18th a payment comes in with a payment date of Friday the 15th.  Because the report has already been run through the 15th, we will want to change the payment date to the 18th to ensure that payment is reflected on the next Revenue Report.
  12.   Do you have any TherapyNotes references we can contact?
    • We have numerous References on the References page on our website.
    • For specific practices of ours that are using TherapyNotes, feel free to contact us and we can send you some references.
  13.   Is the TherapyNotes Platinum Service run by TherapyNotes, LLC?

    • No.  Medical Billing Professionals, which has been serving behavioral health providers since 1995 and serves numerous TherapyNotes practices via our TherapyNotes Platinum Service, is not affiliated with TherapyNotes, LLC.

Promo Code Required:

  • When completing the Getting Started Form, providers must enter promo code TN2024 in the Promo Code field.

No-Risk Money-Back Guarantee:

  • Providers who purchase a prepayment option and cancel service for any reason within 60 days of the purchase of the prepayment option will receive a full refund of the prepayment amount paid*.


Questions?  How to Contact Us:

If you have questions about our services, don’t hesitate to ask.  We provide you 3 ways you can contact us to ask us questions in a pressure-free environment:


References:

  • We are pleased that more than 40 practices nationwide have agreed to be listed as references.  Visit our References page at:  www.mbpros.com/references
  • Contact information for all references will be listed so you can easily contact them to see how happy they are with our services.
  • In addition, many of the references have provided written testimonials which you can view.

Fine Print:

  • Providers must complete the Getting Started Form on our website by December 31, 2024 at the latest.

  • OFFER IS ONLY AVAILABLE TO PRACTICES USING THERAPYNOTES who register for our TherapyNotes Platinum Service or PremiumPlus Service.
  • To receive the prepayment discount and free months with a prepayment purchase, providers must purchase the prepayment option by 5:00 PM ET on December 31, 2024 at the latest AND prior to submission of any claims. 

  • Provider must use the number of claims purchased within one year of the date of purchase of the prepayment option.  HOWEVER, this one year time period does not begin until after the period of free months.

    • Example:  On February 20, 2024 you purchase a prepayment option and receive three months free.  Your one year time period for the prepayment does not begin until May 20, 2024.  Thus, the claims you purchase must then be used by May 19, 2025.

  • The months free begin with the third month of service.  The first two months of service are NOT free.
    • If you choose our standard per-claim rate, the third and fourth months of claims would be free with a limit of 100 free claims per month.  Remember, for the other months during the first year you save 10% off our standard rate.
    • If you choose a prepayment option, the third, fourth and fifth months of claims would be free with a limit of 100 free claims per month.  Any claims submitted during the first two months would be applied against your prepayment purchase and are not free months.
  • OFFER EXPIRES December 31, 2024 and is not available to existing clients.

*Insurance verifications are included with the Platinum Service but optional ($7.95 per verification) under the PremiumPlus Service.  Limit of 3 insurance verifications per day and limit of 60 per billing month for the Platinum Service.  If you exceed 60 in a billing month, you are charged $7.95 per each additional verification.  Limit of 100 free claims per month during the 1st 2 months.  Any claims in excess of 100 per month during the 1st 2 months will be billed at the standard rate of $3.99 per claim less the 10% bonus discount…except for providers who purchase an Annual Prepayment Option.  For providers who purchase an Annual Prepayment Option and exceed the number of free claims per month (100 free per month), the excess claims will be applied to the number of prepayment claims purchased.

**For any older claims that your office submitted prior to using MBPros, we can follow up on those claims upon request for $12.95 per claim followed up upon.  Follow-up of claims is only available to providers enrolled for the Platinum Service and not available for PremiumPlus providers.


Offer not available to existing clients.