services we provide
electronic medical records system setup (EMR)
Payer Setup: Enroll the therapist with insurance panels, input correct billing details, and verify NPI/Tax ID in the EMR.
Client Verification & Benefits Configuration: Set up automated eligibility checks verifying coverage, copays, and authorizations.
claims processing and submission
Electronic Claims Submission: Companies handle end-to-end claims filing, ensuring HIPAA-compliant electronic submissions to major insurers.
Claim Scrubbing: Advanced software checks for errors (e.g., incorrect codes, missing documentation) to reduce denials.
payment posting and Reconciliation
ERA/EOB Processing: Posting insurance payments (via Electronic Remittance Advice) and reconciling accounts.
Patient Payment Tracking: Managing copays, deductibles, and outstanding balances.
Denial Management And Appeals
Follow-Up on Unpaid Claims: Proactive tracking of claim statuses and resubmission of rejected/denied claims.
Appeals Handling: Expertise in disputing denials due to coding errors or coverage disputes.
Verification of Benefits
Pre-Appointment Checks: Confirming patient eligibility, coverage limits, and authorization requirements.
Deductible/Copay Clarification: Providing upfront cost estimates to patients. .
Patient Billing And Collections
Statement Generation: Mailing patient invoices and handling payment reminders .
Collections Support: Managing overdue accounts (e.g., dunning letters, referrals to licensed agencies).
Financial reporting and analytics
Custom Reports: Insights into aging claims, payer trends, and revenue performance.
Key Metrics: Tracking clean claims rates (e.g., 98% for some providers) and days in A/R.
Practice Management Support
EHR/PM Integration: Seamless work with systems like Therapy Notes & Simple Practice.
Appointment Scheduling: Some offer calendar management and reminder services.
Specialized mental health expertise
Therapy-Specific Coding: Accurate coding for services like group therapy, medication management, or teletherapy.
Behavioral Health Focus: Tailored solutions for psychiatrists, LCSWs, LMFTs, etc.
Contact us
Tired of billing headaches? Let our mental health billing experts handle the paperwork while you focus on your clients. Fill out our quick contact form for a free, no-pressure consultation—we’ll help you maximize revenue and minimize stress. Reach out today!