How to Streamline Behavioral Healthcare Claims Management

Entrepreneur using a calculator while smiling at the camera

Managing healthcare claims is an ongoing challenge for providers and organizations alike. However, it shouldn't be too complicated or burden your team with unnecessary administrative burdens. Let’s take a closer look at how to make healthcare claims management more efficient and produce better outcomes, especially for those in the behavioral health field. 

Incorporating EHR Into the 5-Step Revenue Cycle Management Process

An electronic health record (EHR) can significantly impact every step of a revenue cycle, from coverage verification to payment in full. Here, we’ll examine the steps involved in implementing healthcare claims management, particularly in behavioral healthcare. We’ll also show how an EHR system with key features can simplify the claims process, enhance efficiency, and reduce errors.

Initial Patient Information and Eligibility Verification

Healthcare claims management starts with documenting patient information, which is especially critical in behavioral healthcare. Here, you often need prior approval from health insurance companies before setting an appointment. The process involves getting a referral, recording the patient's demographics, and recording their current and past medical histories.

A 2022 American Medical Association survey found that among do