MNH TMS specialists are equipped to help you choose the right TMS device, given our extensive knowledge of all available options. We gather insights from clients nationwide who utilize different TMS machines, focusing on aspects such as post-purchase customer support and other evaluation criteria. This process enables us to provide trustworthy recommendations to potential clients. 

There are several factors that can lead to a denial of prior authorization. One common error includes submitting information that you think supports your patient's case for TMS prior authorization. However, this additional documentation, like the provider's TMS evaluation notes, can inadvertently result in a denial. This occurs because the reviewing entity may identify issues within the notes that contribute to the denial decision. 

There are several factors that contribute to the denial of claims for TMS and Spravato. One significant issue is that many providers neglect to request an extension for prior authorization from the patient's insurance when appointments are missed and subsequently rescheduled. Additionally, common mistakes include submitting claims with incorrect payor IDs or billing codes, particularly with Spravato, which may not align with the contracted fee schedule or network support, such as the Spravato G-codes. Furthermore, it is not uncommon for insurance representatives to give inaccurate information regarding benefits and eligibility. Implementing proactive measures to prevent these denials is essential.

The TMS Technician is essential in enhancing prior authorization approvals, minimizing claims denials, and ensuring that patients achieve at least a 50% decrease in depression screening scores. Various tools are available in the treatment room to support the TMS Technician in their duties. MNH provides a TMS Start It Up! training program designed to equip TMS technicians with skills in patient management and treatment planning optimization, contributing to the success of a TMS clinic.

We have explored various marketing strategies aimed at enhancing the success of a TMS / Spravato clinic. Our findings indicate that the most valuable asset for any clinic is its website. The reason for this is that patients often self-refer. Typically, individuals conduct online searches to find a TMS provider in their local area or, when researching depression, they discover TMS or Spravato as a potential treatment option.

Consequently, many patients may initially be unaware of TMS and/or Spravato. However, during their search for local providers related to depression or other mental health issues, they encounter online resources that highlight TMS as a treatment choice, leading them to seek out a TMS clinic. Therefore, your website serves as a crucial tool for attracting new patients who may benefit from TMS or Spravato treatments.

It is essential for your website to achieve a high ranking on the first page of search engines, particularly Google. Additionally, maintaining up-to-date content on your social media platforms and Google My Business page is equally important. While there are several other strategies that significantly contribute to the growth of your TMS and/or Spravato services, prioritizing your website should always be at the forefront.

Establishing a new business can be a challenging endeavor, and launching a TMS/Spravato treatment clinic is no exception—whether you are incorporating TMS and Spravato into your existing practice or initiating a completely new TAX ID.

MNH provides a range of services including start-up consulting, credentialing and contracting with payer networks, billing solutions, website development, SEO services, training, and various other programs designed to support your success. For more information about our offerings and how we can assist you, please contact us at (314) 226-1997 to arrange a complimentary consultation.

Many providers operating private pay practices often find themselves grappling with a common yet perplexing question: how to bill insurance for TMS and Spravato treatments, which tend to be significantly more costly. One potential solution involves establishing a separate Tax ID, which can facilitate the billing process if a distinct entity is created. However, it is crucial to understand the various considerations and implications before proceeding with this approach.

Conversely, it is not permissible to incorporate TMS and Spravato services into an existing private cash pay practice while exclusively billing insurance for these treatments. MNH provides a complimentary 30-minute consultation to address any inquiries you may have about provider credentialing and contracting. To schedule a consultation, please contact us at (314) 226-1997 or email Credentialing@tmsstartitup.com.

It is indeed feasible to submit insurance claims for several services rendered on the same day. However, it is essential to consider factors such as the appropriate use of modifiers, thorough documentation, and prioritizing the billing of the highest valued procedure.