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Billing for Mental Health, Behavioral Health Groups and Facilities.
Billing for Mental Health, Behavioral Health Groups and Facilities.
Based in Scottsdale AZ with multi‑state reach (AZ, MA, MD, IL, IA, WI, MO, TX)
Our Billing Services Create a Complete Revenue Cycle
Our Billing Services Create a Complete Revenue Cycle
The goal of the revenue cycle is to complete the financial process of care delivery by ensuring full reimbursement is collected for services rendered. In essence, the objective is to bring the patient account balance to $0, through the accurate and timely collection of payments from both insurance payers and patients. This includes verifying coverage, submitting clean claims, resolving denials, and managing patient billing — all with the end goal of closing the loop on each encounter with full payment received.
1. Verification of Benefits
1. Verification of Benefits
Confirming patient insurance coverage and eligibility for services.
Key Metrics
Verification Completion Rate: 98%
Average Verification Time: 24-48 hours
Eligibility-Related Denials: 2.5%
Key Tasks
Verify active coverage and policy details
Check for Coordination of Benefits conflicts
Determine in-network vs. out-of-network status
Identify deductibles, co-pays, and co-insurance
Document verification details for future reference
2. Claims Processing 🧾
2. Claims Processing 🧾
Review, and scrub claims for reimbursement submission to insraunce payers.
Key Metrics
Clean Claim Rate: 95%
First-Pass Resolution Rate: 92%
Average Days to Submit: 3 days
Claim Rejection Rate: 5%
Key Tasks
Verify CPT/HCPCS codes and Modifiers
Verify accurate ICD-10 diagnosis codes
Perform claim scrubbing and error checking
Submit claims electronically to payers
Track claim status and acknowledgments
3. Payment Posting
3. Payment Posting
Recording payments from insurance companies and patients to accounts.
Key Metrics
Payment Posting Accuracy: 99.5%
Average Days to Post: 1-2 days
Payment Variance Rate: 3%
Auto-Posting Rate: 75%
Key Tasks
Post insurance payments and adjustments
Process patient payments
Identify underpayments and contractual issues
Update patient responsibility amounts
4. Accounts Receivable Follow-up 📞
4. Accounts Receivable Follow-up 📞
Unlimited managment of unpaid claims, denials, and outstanding balances.
Example Key Metrics
Days in A/R: 30-35 days
Denial Overturn Rate: 65%
A/R > 90 Days: 15%
Collection Rate: 97%
Key Tasks
Track unpaid and denied claims
Appeal denied claims with supporting documentation
Follow up on aged accounts
Identify and address recurring denial patterns
5. KPI Reporting 📊
5. KPI Reporting 📊
Providing monthly reporting and analyzing revenue cycle performance metrics to identify trends and improvements.
Key Metrics
Net Collection Rate: 96%
Cost to Collect: 3-4% of revenue
Denial Rate: 5-7%
Revenue Leakage: 1-2%
Key Tasks
Generate regular performance reports
Analyze trends and identify root causes
Benchmark against industry standards
Develop process improvement initiatives
Present findings to leadership
6. Provider Credentialing and Contracting
6. Provider Credentialing and Contracting
While this is really the first step in the revenue cycle and arguable the most important it is often overlooked and not completed correctly resulting in non-payment for service.
Key Metrics
Average Credentialing Time: 45-60 days
Credentialing Success Rate: 95%
Payer Contracts Established: 15-20 per provider
Re-credentialing Compliance: 98%
Key Tasks
Collect and verify provider documentation
Submit applications to insurance payers
Track application status and follow up
Negotiate contract terms and reimbursement rates
Maintain credentialing database and renewal schedule
Final Goal: $0 Balance 🎯
Final Goal: $0 Balance 🎯
The ultimate objective of the revenue cycle is to bring each patient account to a $0 balance through accurate and timely collection of payments from both insurance payers and patients, ensuring full reimbursement for services rendered.
Seamless Integration with Your Workflows
Seamless Integration with Your Workflows
We offer out-of-box integrations with over 70 EHR platforms so there is never a need to change the EHR you are already used to. In case you do not use electronic health records and keep notes on paper or via other means outside an EHR, we can still provide the same great level of service.
We work within the existing systems of most of your clients and have extensive intricate knowledge of the most popular EHR's and billing systems.
💬 Flexible No‑Pressure Engagement
💬 Flexible No‑Pressure Engagement
No long‑term contracts, no setup fees, no cancelation fees
Instant personalized offer via our quote form
Scalability for solo practitioners or multi‑provider practices in multiple states
Frequently Asked Questions?
Frequently Asked Questions?
1. How do we get started?
Once you accept our proposal and sign the agreement, we’ll send you a checklist of the items we need to begin. System setup typically takes 3–5 business days, after which we can begin billing. If we are to use your existing billing system this can be acomplished quicker. ERA setup and other integrations may vary depending on payer and platform.
2. How should we send billing information to you?
You can securely send documents through your EHR, secure email, fax, or file-sharing service—whatever works best for your practice.
3. What do you need to submit claims for us?
We’ll need a new patient form, insurance card (front and back), prescription (if applicable), and the first superbill or encounter form.
4. How often are claims submitted?
Claims are submitted daily during business hours. We recommend you send in sessions at least once a week.
5. Do you offer coding services?
Yes. We review claims for accuracy before submission. If needed, we offer professional coding by AAPC-certified coders as an add-on service.
6. How do we report completed sessions for billing?
Send us a signed encounter form with patient details, insurance info, CPT/ICD-10 codes, modifiers, and provider name. If we have EHR access, we monitor for new claims daily.
7. Who handles patient registration?
Your front office is responsible for collecting patient demographics and insurance details. We focus on provider and payer billing—not patient intake.
8. Do you take patient phone calls?
We’re not a call center and do not manage routine patient calls. However, we can handle billing-related inquiries and set up a dedicated line for your practice if needed.
9. What happens to old claims if we switch from another billing service?
We coordinate with your previous biller to avoid disruption. Remits are typically directed to only one billing system at a time, so collaboration is key during the transition.
Why Mental Health Providers Choose our Services?
Why Mental Health Providers Choose our Services?
You KNOW there has to be an easier way.
Maybe one of your staff resigned… and you uncovered a billing mess.
Or you just want to focus on your patients. (Isn’t that why you went into this business in the first place?)
You recognize that all the time you spend supervising your billing staff— or worse, doing it yourself— equals LOST REVENUE, since you could be seeing patients.
Are you sick of having to deal with insurance companies?
Maybe it made sense to do it yourself when you first started your practice, but now that you’re growing, you need to be more efficient.
You suspect that outsourcing your medical billing may be the answer…
Lots of successful providers have discovered the BENEFITS of done-for-you medical billing.
Great news—
If you are looking for a reputable medical billing service you are in the right place...
No more call centers and and reps that know nothing about billing.
Done-for you billing experts who can:
FREE your time to focus on your patients.
Get your hard-earned money into your bank account faster.
Eliminate the frustration of being on hold with insurance companies.
Cut your staffing costs, increasing your business’s profitability.
Make sure money keeps flowing INTO your practice…even when you or your staff go on vacation.
Safeguard your practice from disruptive employee turnover.
Are you ready to spend more time enjoying life with friends and family?
Are you ready to say goodbye to frustrating calls with insurance companies?
Would you rather just focus on clinical work, without having to constantly hire, train, and manage billing staff?
Are you ready to see more money deposited in your bank account, as your denials decrease, and your claims get paid?
We have made it easy with my Done-For-You Billing Service.
Just book your consultation now!
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