THERE'S A LOT WE CAN DO FOR YOU. WE SPELL IT ALL OUT HERE – PLAIN AND SIMPLE.
Cascade Therapy Billing works hard to be your outside billing company that works like an inside biller. We are a small company, and as such, we give you personalized attention. Our quick turnaround time is unmatched in the industry. Our clients trust us, and we want to give them the peace of mind they deserve for their hard work and commitment.
We handle your complete billing operations which include:
ELECTRONIC CLAIMS PROCESSING
We expertly process all technical protocols and industry standards that need to be met for an insurance claim. We submit EDI (Electronic Data Interchange) claims via your EMR (TherapyNotes or SimplePractice) which means you can track from initial submission through posting of payments – all in one place. No need to worry about data entry errors in third party systems.
We only bill professional claims – typically, our clients are outpatient mental health providers in an office setting. We do not bill institutional claims which include hospitals, Skilled Nursing Facilities (SNFs), ESRD providers, Home Health Agencies (HHAs), Hospice Organizations, Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services, Comprehensive Outpatient Rehabilitation Facilities (CORFs), Community Mental Health Centers (CMHCs), Critical Access Hospitals (CAHs), Federally Qualified Health Centers (FQHCs), Histocompatibility Laboratories, Indian Health Service (IHS) Facilities, Organ Procurement Organizations, Religious Non-Medical Health Care Institutions (RNHCIs), and Rural Health Clinics (RHCs).
DAILY CLAIMS SUBMISSIONS & FOLLOW-UP
We track and monitor all of your claims, and follow up with insurance companies for approval of claims in as little time as needed. Claims are submitted electronically on a daily basis within 24 hours of receipt. We diligently follow-up once claims show as received. This ensures you receive prompt payments. Nothing gets lost in the shuffle.
MULTI-LEVEL PAYERS CLAIM PROCESSING
If your client has more than one insurance provider, we submit subsequent claims to the appropriate insurance companies. Multi-level payment claim processing can get tricky, but we've seen it all before. Because of the intricacies of submitting the secondary claim after receiving payment from the primary payer, providers can and often do see a delay in payment or no payment at all.
DENIAL & UNDERPAYMENT MANAGEMENT
Our aggressive follow-up system maximizes your paid claims which ensures maximum profitability. If the claim is rejected and needs to be appealed, we take care of all the required paperwork in order to extract payment. Denials and underpayments management represents a significant opportunity to increase revenue optimization. Ensuring payment accuracy and correctly identifying and resolving denials and underpayments are critical to maintaining a healthy bottom line.
REJECTION & APPEALS MANAGEMENT
We aggressively follow up on appeals, reprocessed and resubmitted claims. Timely follow-up is necessary to ensure insurance companies pay what they owe. Claims can only be processed and paid as quickly and accurately as the follow-up. This is where our experienced team excels. We tackle this problem day-in and day-out, and know how to deal with insurance companies so you are paid for every single claim.
PAYMENT POSTING & ADJUSTMENT MANAGEMENT
Every single payment is posted, and adjustments are made as per guidelines. Accurate payments, adjustments, write-offs and balance transfers are vital.
CLIENT BILLING & BALANCE REMINDER CALLS
Statements are generated and sent to clients whenever any client balance is due. We have extensive experience in processing payments received from clients via different channels like POS cash collections, checks and credit cards (client portals). We will account for client payments, make decisions on transferring any pending balances to secondary insurers, and resolve any credit balances. Paid and posted claims are closed.
COMPLETE REVENUE CYCLE ASSESSMENTS
Do a deep dive into your revenue cycle operations and uncover ways to help improve your performance. We can assess your overall revenue cycle performance or provide a tailored solution to focus on your most critical needs.
PRACTICE ANALYSIS REPORTS
A practice analysis report is provided to show a breakdown of charges, payments and adjustments, method of payments and adjustments, and, by provider, the total number of claims, charges, payments, and adjustments. This report can be used for a variety of reasons including balancing of the daily, weekly, or monthly charges or payments for the practice and/or provider(s).
MONTHLY & ANNUAL FINANCIAL REPORTS
We keep you up to date with the latest information about your clients. How many claims have been accepted, if any have been rejected, what is their status, outstanding payments, etc. We don’t stop tracking a payment until it is fully paid. You'll see this reflected in your monthly and annual financial reports.