Taylor Prime Solutions Top Billing Tips

Taylor Prime Solutions’ Top Billing Tips Are Our Proven Strategies to Boost Reimbursement and Reduce Denials for Behavioral Health Providers

Small improvements in medical billing can lead to big results. At Taylor Prime Solutions, we’ve helped providers across Maryland increase collections, reduce aged AR, and stay compliant with the latest payer rules — simply by implementing smart billing habits.

Whether you’re billing for ABA therapy, mental health, or substance use disorder (SUD) services, these billing tips can help you tighten up your workflow and protect your revenue.

1. Verify Insurance Before Every Visit

Don’t assume that last week’s verification is still valid. Always confirm:

  • Active coverage

  • Deductibles and co-pays

  • Authorization requirements

  • Telehealth coverage (if applicable)

💡 Taylor Prime Solutions Tip: We recommend checking benefits every 30 days — and always before the first visit or re-evaluation.

2. Know Your Modifiers and When to Use Them

Behavioral health billing requires precise modifier use. For example:

  • H0032 with modifier HK for behavioral health plan development

  • HO/HP for therapist credentials

  • GT/95 for telehealth

  • KX when documentation requirements are met

💡 Taylor Prime Solutions Tip: Avoid overusing or omitting modifiers — both can cause instant denials.

3. Track Authorization Dates Carefully

Missed authorizations are one of the top reasons claims are denied or recouped. Use a calendar or EMR reminders to track:

  • Start and end dates

  • Units/visits remaining

  • Authorization renewal deadlines

💡 Taylor Prime Solutions Tip: Start renewals 2 weeks before expiration to avoid gaps in billing.

4. Submit Claims Promptly — Ideally Within 24–48 Hours

Late claim submissions = missed deadlines. Every payer has a filing limit (some as short as 90 days). Keep your process moving fast by:

  • Reviewing notes daily

  • Posting sessions quickly

  • Scrubbing claims in batches

💡 Taylor Prime Solutions Tip: Our team submits clean claims within 24–48 hours using payer-specific logic.

5. Monitor Aging AR Weekly

Don’t let money sit uncollected. Regular AR reviews allow you to:

  • Catch underpayments

  • File appeals on time

  • Identify patterns in payer behavior

💡 Taylor Prime Solutions Tip: We provide weekly AR reports and track claims over 30, 60, and 90+ days to drive recovery.

6. Stay Informed About Payer Updates

Insurance policies and Medicaid rules change constantly — especially in behavioral health. Know your:

  • CPT updates

  • Medicaid/MCO bulletins

  • Telehealth rule changes

  • Documentation requirements

💡 Taylor Prime Solutions Tip: Follow your state Medicaid site (e.g., Maryland MMCP) and subscribe to payer newsletters.

7. Work With a Billing Partner That Specializes in Your Field

Generic billing services don’t always know how to manage:

  • ABA supervision codes

  • Behavioral health modifiers

  • SUD levels of care

  • Medicaid MCOs in Maryland

💡 Taylor Prime Solutions Tip: We assign team members trained in your specialty to improve accuracy and reduce rework.

Ready to Optimize Your Billing?

📞 Call 844-TAYLOR-9 or contact us here to speak with a behavioral health billing expert.

With Taylor Prime Solutions, these billing tips go from “ideas” to real improvements in your workflow — and in your bottom line.

Taylor Prime Solutions Top Billing Tips

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