Behavioral Health Billing
Revenue Cycle Management For Behavioral Health Practices
Your practice needs more than claims sent and a monthly total. Our behavioral health billing and revenue cycle management services cover the recurring work from claim review through payment posting, denials, A/R follow up, reconciliation, and reporting, with a written scope that makes responsibilities clear.
See Prices And Packages Ask Practice ConciergeKnow What Changed In Your Revenue Cycle
A useful owner report explains the work behind the balance. It should separate new charges from old A/R, clearinghouse rejections from payer denials, and money received from payments that have not been posted or reconciled.
- Check the starting position. Review open claims, aging by payer and provider, unposted payments, access, and the responsibilities of the current team.
- Agree on the recurring work. Put claim submission, denial handling, follow up, posting, patient billing, and reporting responsibilities in writing. Identify work that stays with your staff.
- Review exceptions every week. Look at rejected claims, filing deadlines, unusual adjustments, unpaid balances with no recent action, and deposits that do not match posted payments.
- Close the loop. Keep a dated next action until the claim is paid, corrected, appealed, or resolved through an approved adjustment.
For a practical owner agenda, use the weekly behavioral health A/R review. It is designed to help you ask better questions, whether billing is handled inside your practice or by an outside team.
Built For Behavioral Health Practices
Psychiatrists, PMHNPs, psychologists, group practices, and interventional programs. Billing runs 7% of collections, see full pricing.
Solo therapist or counselor? Skip the sales call, our self-serve path has pricing and free guides.
Command Suite
Know Where Collections Stand
Aging buckets, denials to work, and payer friction in one command center so your team stops guessing from an unreadable spreadsheet.
Ask Practice ConciergeVisibility
What Practice Owners Can See
A working revenue cycle answers these on any given Tuesday. If yours can’t, that gap is where revenue leaks.
Aging Claims, With The Reason
Not just what’s aging, but whether it’s a payer, documentation, credentialing, or unworked-queue problem.
Repeating Denials
Which denial reasons keep coming back in volume, and whether a systematic fix exists.
Payers To Escalate
Which payer relationships create consistent friction and are worth raising with a rep.
Work With No Assigned Owner
Where work sits without an owner: EHR, clearinghouse, practice management, or an inbox.
Problems Before Claim Submission
How documentation, credentialing, intake, and scheduling are slowing what you can bill.
What To Work First
A prioritized view of what moves cash flow most this week, not everything at once.
How It Works
Focus On The Problems Holding Up Payment
Review
We map how your practice submits and tracks claims, then surface aging, denials, queue ownership, and upstream drag as prioritized findings.
Scope The Fix
Work targets the highest drag first: billing oversight, an audit of outsourced performance, or direct claim-workflow fixes.
Track The Work And Results
Ongoing support keeps denials worked, documentation holds flagged, and leadership reading a clear status every week.
What It Costs
Seven Percent Of Collections, With A Floor
Ongoing revenue cycle management is 7% of collections, with a $500 monthly minimum per provider. You are billed on what actually comes in, so a slow month costs less and nobody is paid for work that did not collect.
Most billing companies quote this on request. It is on the page because the number is the same whoever asks, and because a practice comparing vendors should be able to do the arithmetic before a call rather than after one.
What the percentage covers: claim review and submission, denials worked to resolution, payment posting and reconciliation, A/R follow up, patient balance questions, and a report the owner can actually read. Credentialing, payer contracting, and system builds are priced separately so you are not paying a percentage for project work.
Volume, payer mix, current A/R condition, and how many providers bill under the practice all change what the work looks like, so the scope and the first month are confirmed in writing before anything starts.
FAQ
What We Do
How We Investigate Unpaid Claims
We compare claims, denials, payments, adjustments, and aging for the same dates and providers before telling the team where to start.
Check The Reports
We compare reports for the same dates, providers, and insurers, then investigate differences in payments, adjustments, and unpaid balances.
Separate The Work
Rejected claims, denials, claims with no response, underpayments, unposted payments, and patient balances receive different next actions.
Set The Priorities
We identify the corrections to make first, filing deadlines to protect, and claims that need an insurer's response.
Report What Moved Each Week
The owner sees what was resolved, what remains unpaid, the next action, and the person responsible.
Revenue Cycle Management FAQs
What Does Revenue Cycle Management Include?
Core RCM includes claim scrubbing and submission, rejection and denial follow-up, payment posting and adjustments, A/R follow-up, reconciliation, and reporting. Eligibility and benefits verification and prior authorization require a separate written scope.
How Do You Reduce Claim Denials?
We work clearinghouse rejections quickly and run a root-cause denial workflow so recurring issues are visible. Eligibility verification and prior authorization are performed only when they are included in a separate written scope.
Can You Work Our Aged A/R Backlog?
Yes. We work aged claims to recover what is still collectible and fix the upstream causes so the backlog does not rebuild.
Do We Have To Switch EHRs To Work With You?
No. We work inside your current EHR and clearinghouse rather than requiring a migration.
For PMHNPs
Run A Psychiatric Nurse Practitioner Practice?
We keep a dedicated hub for PMHNPs, billing and coding, credentialing, and scope of practice by state. Explore the PMHNP hub or PMHNP billing and coding.
Practice Systems · Improve The Systems Your Practice Already Uses
Revenue Cycle Work Queues That Show The Next Action
The team can separate payer responses from correctable practice issues, work the next action, and see aging and repeat causes.
What AdvanceAPractice Changes Or Builds
- Trace representative eligibility, claim, remittance, posting, and follow-up records.
- Configure cause categories, assignments, deadlines, reports, and management checks.
- Document whether the next correction belongs to practice staff, the biller, the system administrator, or the payer.
What Your Team Receives
- Denial and payment resolution tracker
- Cause and next action categories
- Aging and repeat issue report
- Weekly review and escalation instructions
Systems We Configure
- Valant, Tebra/Kareo, Office Ally, AdvancedMD, and other outpatient billing systems
- Availity and insurance portals for claim status, eligibility, authorizations, and payment details
- Office Ally, Change Healthcare/Optum, Waystar, TriZetto, and Claim.MD clearinghouse reports
- Excel, Google Sheets, SharePoint, and the Command Suite for A/R worklists and owner reporting
Systems We Assess For This Work
- The practice’s clearinghouse and insurance portals for the transaction and payer in scope
- Valant, Tebra, or another EHR report for charge, claim, payment, or aging detail
- Electronic claim, eligibility, claim status, and remittance files when the supported workflow requires them
Implementation Methods
- Native reports and work queues
- Clearinghouse exports and electronic remittance files
- Controlled reconciliation when no supported automated path exists
Access Needed
We need authorized EHR, clearinghouse, and payer access, representative transactions, the current billing workflow, and an owner who can approve corrections.
What This Looks Like
Problems That Look Like Billing And Are Not
At one practice, patients were calling about large balances. The billing was fine. Insurance plans had been entered on patient accounts with no effective date, so the EHR silently never sent those claims and the unbilled amounts surfaced as patient responsibility. Separately, two payers had each paid as primary on the same accounts and both electronic payments had posted, which is a coordination of benefits problem wearing a billing costume.
Neither of those is fixed by working the denial queue harder. That is the argument for one person holding billing, credentialing, and the systems at the same time.
Next Step
Know What This Would Cost For Your Practice.
Every service has a published price and a written scope. If you are not sure which one fits, ask and you will be pointed at the right one.