Regular updates on changing CPT/ICD codes, medical necessity, and regulations ensure that mental health practices stay compliant with the latest rules, minimizing the risk of claim rejections due to outdated or incorrect coding. These updates are frequently incorporated into claim rules.

Nellikk.ai’s AI-driven breach analyzer monitors compliance and alerts teams to breaches caused by human oversight. This keeps the billing team focused and ensures claims adhere to standard operating procedures.

Nellikk.ai uses AI algorithms to track and analyze claim denials, identifying patterns specific to mental health services. This enables billing teams to quickly implement corrective actions and efficiently reprocess claims.

The platform prioritizes denied claims for follow-up and suggests remedial actions to prevent future denials, helping even less experienced billers handle denials like experts, reducing the overall denial rate.

Nellikk.ai’s real-time benefits and eligibility verification tool provides up-to-date patient coverage information for mental health services, ensuring practices are aware of deductibles, co-pays, co-insurance, and coverage limits before providing services. This reduces rejected claims and surprises for patients.

It also identifies in-network and out-of-network benefits and can determine the provider's participation status with sufficient inputs.

While eligibility and benefits are verified, Patients requiring prior authorization are categorized and flagged, ensuring that authorization is obtained before treatment begins. For therapy series requiring pre-authorization, the mental health billing team tracks the number of sessions, maintaining a high clean claims ratio.

Mental health practices often use multiple EHR systems, especially in large or multi-state organizations. Nellikk.ai consolidates claims processing from various EHRs into a unified workflow, improving visibility, transparency, and management of claims, making tracking and unpaid claims follow-up simpler.

Automation is adapted via RPA into the mental health billing cycle wherever possible, from charge capture to submission, payment posting, and denial management. This reduces manual workload and speeds up the overall process.

The platform’s transparency feature allows mental health practices and billing companies to monitor claim performance in real time, quickly identifying bottlenecks or errors.

Nellikk.ai’s automated claim status verification feature scrutinizes a large number of claims in AR buckets, ensuring timely and appropriate actions are taken to move claims forward.

Nellikk.ai’s AI-powered analytics generate detailed financial reports and KPIs for mental health practices, providing leadership with insights into revenue trends, denials, and claim efficiency. This data helps make informed decisions to improve cash flow and address revenue gaps.