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Consulting Services

TLC Credentialing and Consulting specializes in working with start-up ABA, multi-disciplinary and mental health practices regarding billing and credentialing/contracting. One of the biggest roadblocks new clinic owners often have is a lack of understanding of how health insurance companies operate. We can work one-on-one with business owners to develop a plan to ensure your practice is set up for success and that you know what to expect from insurance companies.
  • Some of the topics we provide consultation on include:

  • Choosing Payors to Work With
  • Understanding health insurance billing
  • Interpreting an EOB (explanation of benefits)
  • The Contracting and Credentialing Process
  • Billing Claims to Insurance
  • Resolving Clearinghouse Claim Rejections
  • Resolving A/R and Denied Claims
  • Verifying Insurance Benefite
  • Using CentralReach to bill insurance
  • Optimizing the set-up of your practice mangement system
  • Revenue Cycle Management & Billing Best Practices
  • Minimizing Denials and Maximizing Revenue
Claim Submission Best Practices
Completing Your CAQH Profile
Benefit Verification Best Practices
Revenue Cycle Management
Billing on CentralReach
We offer 30 minute and 1 hour one-on-one consultations with business owners. We also offer group training sessions to train your intake, billing and administrative staff on the basics of health insurance or train your BCBAs how to fill out their CAQH profiles. Click here for information on our group training courses.

Contact Us

512-815-3242
candace@tlccredandconsulting.com

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