Obtaining a prior authorization for TMS therapy is much different than other procedures or services that require a prior authorization. We receive a number of calls every week from TMS clinics who are struggling with denials. The most common thing we here is, "We don't understand, our patients meet the criteria in the insurance guidelines but the prior authorization is still being denied".

Insurance guidelines state the 'minimum' requirements to be met; however, we call this the 'trunk' criteria. Stemming from the trunk are many other 'branches' of criteria that are not printed in the guidelines. Further, many people fail to remember that the insurance company may also know a great deal more about the patient than you may even imagine. 

Our comprehensive TMS Prior Authorization Training program will help you to:

• Check benefits and eligibility appropriately
• Teach you the many different ways to submit a prior authorization
• How to obtain needed information to assist you in knowing what the insurance knows about your patient
• What to avoid putting on the prior authorization to prevent a denial
• How to effectively complete a TMS prior authorization the first time
• How to prepare for phone prior auth submission, clinical review, and peer-to-peer discussion 
• Documentation needed to submit a subsequest prior authorization to complete a TMS therapy course or request additional treatment sessions

MNH offers two TMS Prior Authorization Training Programs to select from:

• Three 1.5-Hour In-Depth Training Sessions
• Three 1.5-Hour In-Depth Training Sessions + Two Months of Unlimited Support

Billing for TMS therapy is not the same as billing a standard patient visit by a physician or therapist. Nor can TMS therapy just be billed and payments assumed to be made. The revenue cycle starts with the benefits and eligibility check. 

TMS therapy requires a prior authorization (most of the time). Complicating the TMS payment process is the fact that TMS is a daily treatment for a number of weeks. There are many parts to the A/R cycle as well as many things that can go wrong on both the billing company or insurance side. Having extensive knowledge of this process is only gained by experience. 

Most billing providers do not have this type of experience. They saw an opportunity with TMS clinics and just started marketing for this service without realizing there is an art and science to TMS billing. The most challenging parts to the process is not the billing, but obtaining correct benefits and eligibility, the prior authorizationm and the 'collections'. Billing the service is something that can be learned fairly easily, but the other parts to the puzzle requires extensive knowledge, astute follow-up, and tenacity.

MNH earned this experience years ago through in-house billing after making the mistake of hiring multiple billing companies only to realize they did not have the level of knowledge required to effectively bill and collect for services rendered. We can now say that we have the experience and expertise to effectively help you with full cycle billing and collections.

If you want to outsource your TMS and psychiatric billing and collections to a company who will treat your practice or clinic as if it were there own, then you've come to the right place.

These days Google and Facebook ads are getting out of control. Smart marketing is about consistency and coming up with a marketing budget and strategic plan that is effective and has a good ROI.

We've tried and tested it all - from pay-per-click ads, social media, and commercials, to bill boards and digital marketing. We've come up with the most effective and smart marketing strategies that will set you apart from your competition in the most cost-effective way. 

If your TMS clinic is struggling, learn more about how you can successfully market your TMS clinic in ways you've probably never thought of. The MNH Marketing Training is a cost-effective way to learn how to get you on the right path to keeping your chair full and becoming the #1 resource for depression and mental health treatment in your geographic area.