Our services
A complete revenue cycle, built for behavioral health.
From billing and credentialing to auditing and compliance, our experienced team helps organizations strengthen financial performance while navigating the complexities of behavioral health reimbursement.
About us
Specialized support, tailored to your practice
Martin Billing Solutions is based in the heart of Colorado. We specialize in providing comprehensive billing, credentialing, auditing and compliance services tailored to meet the unique needs of behavioral health providers. We pride ourselves on our commitment to accuracy, efficiency, attention to detail and personalized service.
We understand the challenges that behavioral health providers face, and we are dedicated to helping you navigate the ever-changing landscape of healthcare regulations and insurance requirements.
01 · Billing
Behavioral Health Billing Services
At Martin Billing Solutions, we provide a complete range of billing services designed to streamline your operations, maximize reimbursements, and ensure compliance with industry standards.
Insurance Verification
Confirming patient eligibility and benefits to prevent claim rejections.
Authorization Management
Obtaining and managing pre-approvals for services to ensure timely reimbursements.
Data Validation
Ensuring the accuracy and completeness of patient and billing data to eliminate errors.
Coding Services
Applying appropriate CPT, ICD, and HCPCS codes for behavioral health services to optimize claim accuracy.
Claims Submission
Efficiently preparing and submitting claims to insurance companies for prompt processing.
Secondary & Tertiary Billing
Managing claims with multiple payers to secure all eligible reimbursements.
Cross-State Billing
Navigating the complexities of interstate billing to support multi-state practices and telehealth services.
Fee Schedule Analysis
Reviewing and optimizing fee schedules to align with payer contracts and industry benchmarks.
Claims Scrubbing
Identifying and resolving errors in previous and current claims to reduce denials.
Denial Management & Appeals
Proactively addressing denied claims and managing appeals to recover lost revenue.
Payment Posting
Accurately recording payments and reconciling financial accounts for transparency.
Audit Support
Providing comprehensive documentation and insights to prepare for payer or regulatory audits.
Client Billing & Support Services
Offering clear and patient-friendly billing services along with responsive support.
EHR Integration
Ensuring seamless synchronization between billing processes and electronic health record systems.
Reporting & Analytics
Delivering actionable insights through customized reports and dashboards to enhance decision-making.
02 · Credentialing
Behavioral Health Credentialing Services
We get providers into networks — and keep them there — managing enrollment, verification and ongoing compliance so reimbursement is never interrupted.
Credentialing Verification
Ensuring provider qualifications, licenses, and certifications meet payer and regulatory standards.
Insurance Panel Applications
Managing the process of joining insurance networks for seamless reimbursement.
Provider Enrollment
Facilitating smooth enrollment with payers to expand access to insurance coverage.
Group Practice Credentialing
Coordinating credentialing for group practices to maintain compliance and efficiency.
CAQH Profile Management
Creating, updating, and maintaining provider profiles for streamlined credentialing.
Re-Credentialing
Ensuring providers remain compliant with payer requirements through periodic updates.
Document Management
Organizing and maintaining all credentialing-related documentation for easy access.
Compliance Monitoring
Proactively tracking credentialing processes to ensure regulatory adherence.
Specialty Credentialing
Handling credentialing for niche services like telehealth and substance use treatment.
Credentialing Audit Support
Assisting with audits related to credentialing compliance.
Provider Roster Maintenance
Maintaining accurate and up-to-date records of all credentialed providers.
Ongoing Monitoring
Regularly checking for changes in provider licenses or certifications.
Insurance Policy Updates
Keeping credentialing practices aligned with evolving payer policies.
Credentialing Appeals
Managing disputes and appeals for denied credentialing applications.
Health Plan Compliance Updates
Ensuring continued compliance with changing health plan requirements.
License Renewal Assistance
Supporting providers in tracking and completing license renewals.
Program Accreditation Assistance
Helping organizations achieve accreditations like CARF or The Joint Commission.
03 · Auditing & Compliance
Behavioral Health Auditing & Compliance Services
Detailed reviews of billing, documentation and workflows that surface inaccuracies and compliance risk before a payer does — keeping your organization aligned with the regulations specific to behavioral health.
Regulatory Compliance Audits
Verifying adherence to federal, state, and payer regulations.
Coding Accuracy Audits
Reviewing CPT, ICD, and HCPCS codes for precise billing and documentation.
Documentation Reviews
Ensuring clinical records meet industry and payer standards.
Revenue Cycle Audits
Evaluating billing and revenue processes for compliance and efficiency.
Operational Compliance Reviews
Examining internal practices to align with industry best standards.
Payer Contract Compliance
Confirming adherence to the terms outlined in payer agreements.
Risk Assessments
Identifying and addressing potential compliance risks proactively.
Corrective Action Planning
Developing targeted plans to address audit findings and improve outcomes.
Internal Practice Audits
Conducting thorough reviews of operational workflows and practices.
Behavioral Health Program Compliance
Ensuring alignment with regulations for specialized programs like outpatient SUD, IOP, PHP and Residential.
Policy & Procedure Audits
Reviewing organizational policies to ensure relevance and compliance.
Data Integrity Audits
Validating the accuracy and consistency of patient and billing data.
Payer Audit Support
Providing robust documentation and insights to prepare for external payer audits.
Service Utilization Reviews
Ensuring service usage aligns with medical necessity and documentation.
Outcome Measures Compliance
Reviewing patient outcome metrics to meet payer and program requirements.
Data Security & HIPAA Compliance Audits
Evaluating data protection protocols to safeguard patient privacy.
Patient Outcome Documentation Reviews
Ensuring patient progress is documented accurately for compliance with payer and program requirements.
Our mission
Unparalleled expertise, guided by transparency
At Martin Billing Solutions, we are driven by a mission to deliver unparalleled expertise in billing, credentialing, auditing, and compliance. Every service we provide is guided by unwavering precision, meticulous attention to detail, and a dedication to personalized solutions.
Transparency is at the heart of everything we do, empowering behavioral health providers with clear insights into their financial operations. With the support of our expert team, providers can focus on delivering exceptional patient care — confident that we are expertly managing the intricate administrative challenges on their behalf.
Get started today
Ready to streamline billing and strengthen your financial performance?
Partner with Martin Billing Solutions and experience the difference specialized behavioral health support can make. Schedule a consultation to learn how we can support your organization's success.
Mon–Fri, 9am–5pm MT · Info@martinbillingsolutions.com