Frequently Asked Questions
What happens if a provider or group wishes to terminate their contract with MHM?
In the event that MHM is not meeting its obligations to our partners, there is a clause in the contract that asks for a three-day heads up notification to give MHM an opportunity to correct any issues that arise. MHM then has two weeks to correct the issue, and if no amicable solution is available, the provider or group is free to part ways without any financial penalties.
In the event that either party wishes to terminate the contract and part ways, they have to submit a request in writing and MHM asks for a 30-day window to conclude any outstanding billing, contracting, or credentialing services.
How does insurance billing work and who is ultimately liable for any issues that may arise?
MHM will bill insurance plans under their tax ID for all insurance companies that they have existing contracts with. For any additional insurance or EAP plans, MHM will bill through the provider or group’s tax ID. Billing companies like MHM also carry their own malpractice insurance to cover any issues that may arise, and ultimately MHM is liable for any billing issues that come up from errors that are deemed to be caused by the MHM team.
Does MHM allow for supervisory billing?
MHM does allow for supervisory billing as long as there are licensed contracted therapists associated with the group providing direct supervision according to state laws. There are some insurance plans that do not allow for supervisory billing, so MHM will comply with the individual insurance plan’s rules regarding this process. Please note that supervisory billing is specific to mental health practitioners and is different than “incident to” billing which often occurs in medical settings and is not applicable mental health services.
Does MHM provide phone services to providers?
MHM has a contract with Phone.com to provide unlimited phone number extensions to groups should they desire this. Phone numbers can be the provider’s original number that can be ported into MHM’s VOIP system, or a new phone number can be assigned. The cost associated with this is $24 per month which is shared by the administrative fee that groups pay at the time of onboarding.
What happens when there are billing errors?
MHM will perform a billing audit at the start of their work with a provider or group to identify any historical billing errors. MHM will work to correct these errors and prepare claims for re-submission. There is a 7% fee associated with all revenue retained from corrected claims to compensate for the administrative process involved in correcting prior claims.
Once MHM begins providing billing services to a provider or group, they will perform daily billing audits to identify any errors that may delay the processing of claims. They will alert the provider of these errors, and MHM will request that any corrections be completed within one business day to minimize disruptions in payments.
What does MHM do about late-cancellations and no-shows?
Unfortunately, insurance plans historically do not pay for late cancellations or no-shows from clients, and the financial penalties for these situations are ultimately the responsibility of the client. MHM will provide guidance on setting no-show fees for the provider or clinic so that they are reasonable and not punitive. Any no-show fees that are charged to the client shall incur a fee that is equivalent to the credit card processing fee for that transaction and will be deducted from moneys earned.
How does the provider or group get paid?
MHM will complete billing services on a daily basis to ensure a timely processing of claims. Most insurance plans pay out anywhere from 14 to 30 days. Every two weeks, the provider or group will invoice MHM based on services rendered, and this will be compared to the reports generated in the EHR system to verify accuracy. Funds will be electronically deposited into the provider’s bank account on or about the 1st and the 15th of each month.
Does the provider need to use MHM’s EHR?
MHM has partnered with AdvancedCare EHR which is a comprehensive practice management tool that provides all the services that any provider or group might need. AdvancedCare allows MHM to input data from a provider’s existing EHR if desired, so it is not necessary to switch to using this EHR system. However, it is a cost-effective option that is available to providers should they not want to maintain two EHR accounts.