Our services
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
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
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.
Confirming patient eligibility and benefits to prevent claim rejections.
Obtaining and managing pre-approvals for services to ensure timely reimbursements.
Ensuring the accuracy and completeness of patient and billing data to eliminate errors.
Applying appropriate CPT, ICD, and HCPCS codes for behavioral health services to optimize claim accuracy.
Efficiently preparing and submitting claims to insurance companies for prompt processing.
Managing claims with multiple payers to secure all eligible reimbursements.
Navigating the complexities of interstate billing to support multi-state practices and telehealth services.
Reviewing and optimizing fee schedules to align with payer contracts and industry benchmarks.
Identifying and resolving errors in previous and current claims to reduce denials.
Proactively addressing denied claims and managing appeals to recover lost revenue.
Accurately recording payments and reconciling financial accounts for transparency.
Providing comprehensive documentation and insights to prepare for payer or regulatory audits.
Offering clear and patient-friendly billing services along with responsive support.
Ensuring seamless synchronization between billing processes and electronic health record systems.
Delivering actionable insights through customized reports and dashboards to enhance decision-making.
02 · Credentialing
We get providers into networks — and keep them there — managing enrollment, verification and ongoing compliance so reimbursement is never interrupted.
Ensuring provider qualifications, licenses, and certifications meet payer and regulatory standards.
Managing the process of joining insurance networks for seamless reimbursement.
Facilitating smooth enrollment with payers to expand access to insurance coverage.
Coordinating credentialing for group practices to maintain compliance and efficiency.
Creating, updating, and maintaining provider profiles for streamlined credentialing.
Ensuring providers remain compliant with payer requirements through periodic updates.
Organizing and maintaining all credentialing-related documentation for easy access.
Proactively tracking credentialing processes to ensure regulatory adherence.
Handling credentialing for niche services like telehealth and substance use treatment.
Assisting with audits related to credentialing compliance.
Maintaining accurate and up-to-date records of all credentialed providers.
Regularly checking for changes in provider licenses or certifications.
Keeping credentialing practices aligned with evolving payer policies.
Managing disputes and appeals for denied credentialing applications.
Ensuring continued compliance with changing health plan requirements.
Supporting providers in tracking and completing license renewals.
Helping organizations achieve accreditations like CARF or The Joint Commission.
03 · Auditing & Compliance
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.
Verifying adherence to federal, state, and payer regulations.
Reviewing CPT, ICD, and HCPCS codes for precise billing and documentation.
Ensuring clinical records meet industry and payer standards.
Evaluating billing and revenue processes for compliance and efficiency.
Examining internal practices to align with industry best standards.
Confirming adherence to the terms outlined in payer agreements.
Identifying and addressing potential compliance risks proactively.
Developing targeted plans to address audit findings and improve outcomes.
Conducting thorough reviews of operational workflows and practices.
Ensuring alignment with regulations for specialized programs like outpatient SUD, IOP, PHP and Residential.
Reviewing organizational policies to ensure relevance and compliance.
Validating the accuracy and consistency of patient and billing data.
Providing robust documentation and insights to prepare for external payer audits.
Ensuring service usage aligns with medical necessity and documentation.
Reviewing patient outcome metrics to meet payer and program requirements.
Evaluating data protection protocols to safeguard patient privacy.
Ensuring patient progress is documented accurately for compliance with payer and program requirements.
Our mission
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
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
