Medical Billing Services

At CodeMax Medical Billing, we offer a team of experienced, passionate, and committed individuals who will work to provide you with the best solutions for your medical billing challenges and increase your revenue. Choosing CodeMaxMB allows you more time to focus on what you do best: patient care. You’ll have peace of mind knowing that all medical coding and billing needs will be taken care of by an expert team. The services we offer include:

Contact our team today at 818.600.4146 or reach out online to learn more.

Billing and Claims Management

Are you looking for someone to handle claims submissions, tracking, and payment posting? We offer a dedicated team of professionals who will seamlessly handle each step of the billing process. We double verify and update your verification of benefits. We enhance your utilization review. Our billing and claims coders are experienced and 100% reliable in sending out clean claims, and our claims management and appeals team challenges every payment below UCR thresholds. Our quality assurance team works hand in hand with our appeals department to make sure your documentation is perfect when sent to the provider. Finally, our payment posting and reporting teams generate reports weekly so you know where you are financially when you need it most.

Whether you offer residential treatment, outpatient services, or programs like medication-assisted treatment, we’ll work with insurance companies on your behalf to ensure that your patients can receive the help they need. While we take care of the technical details, you can spend more time on patient care.

Utilization Management

We are experts in maximizing your client’s insurance benefits. Our utilization management team is led by an ASAM certified physician who provides oversight to our UR staff of clinicians by reviewing medical necessity documentation to make sure your patients obtain the longest stays at the highest levels of care. We’ll help you and your staff in a number of ways, including

Consulting Services

Our deep operational experience allows us to better understand the real issues your treatment center or practice faces. Our management team is made up of seasoned behavioral health treatment center owners committed to helping improve your day-to-day operations and clinical care and streamline your processes to increase your revenue while maintaining regulatory compliance. Best of all, our consulting services are built into our service guarantee at no additional cost.  insurance companies on your behalf.

Verification of Benefits

CodeMax’s verification of benefits process is efficient, timely, and comprehensive. We regularly achieve a 45-60 minute turnaround time. How do we get results so quickly and accurately? Our team members have extensive experience in verification and use advanced technologies. 

Too often, the verification of benefits process is overlooked. However, it’s one of the most important steps in the revenue cycle management process. If verification of benefits is done incorrectly, all processes that follow will fail.  

What to expect from verification of benefits from CodeMaxMB:

CodeMax takes pride in our detailed processes when verifying benefits for our treatment providers’ patients. We use our large database of insurance policies and track the outcomes of the policies and insurance carriers.  

Quality Assurance

Quality checks ensure that your billing and coding is always accurate and timely. At CodeMaxMB, we treat quality assurance as part of our regular processes. Our team double-checks everything we do. One inaccuracy can lead to a multitude of problems and wasted time, which is why quality assurance is such an integral part of our services.

Average Daily Rates

Discover the difference that CodeMaxMB can make for your bottom line.

Industry Averages

Detox Classification
$1,400 a day

Residential Treatment(RTC)
$1,000 a day

Partial Hospitalization (PHP)
$1,200 a day

Intensive Intensive (IOP)
$250 a day

Our Clients’ Average Daily Rates

Detox Classification
$2,500 to $2,800 a day

Residential Treatment(RTC)
$2,200 to $2,500 a day

Partial Hospitalization (PHP)
$2,200 to $2,500 a day

Intensive Intensive (IOP)
$550 to $750 a day

These averages are from our clients who are typically 6 bed residential facilities located in Southern California and offer the above services as Out of Network providers.  

CodeMax’s internal processes and seven interconnected departments have been established to make sure that claims are submitted 100% clean and accurate, that your intake department is versed on all exclusions on the VOBs you submit through us, and that when claims are assigned references, we check to make sure initial settlement offers are within established thresholds for that insurance provider on similar claims made to providers within your area. We perform thorough audits and suggest best practices and help your staff by explaining the peer-to-peer review process.

Contact CodeMaxMB Today

Find out how our expertise can help your business grow. Connect with us online, reach out at 818.600.4146, and download our exclusive app today to learn more.