Support
Frequently Asked Questions
Everything you need to know about our behavioral health billing and revenue cycle management services.
Getting Started
Getting started is simple. Contact us for a free consultation where we'll assess your current billing processes, discuss your needs, and create a customized proposal. Once you're ready to move forward, our onboarding team will guide you through the setup process, which typically takes 2-4 weeks depending on your practice size.
We'll need your practice information, provider credentials (NPI, licenses, certifications), payer contracts, current fee schedules, and access to your EHR/practice management system. Our onboarding team will provide a detailed checklist and assist you every step of the way.
Most practices are fully onboarded within 2-4 weeks. This includes credentialing verification, system integration, staff training, and process documentation. We work around your schedule to minimize disruption to your operations.
Yes, we work with solo practitioners, group practices, and large treatment facilities. Our services are scalable to meet your specific needs, whether you see 20 patients a month or 2,000.
Services & Pricing
We offer comprehensive revenue cycle management including behavioral health billing, verification of benefits, utilization review, claim denial management, medical credentialing, accounts receivable management, and contract negotiations. You can choose individual services or a complete RCM solution.
Our pricing is typically based on a percentage of collections, usually ranging from 4-8% depending on the services selected and your practice volume. This aligns our success with yours—we only succeed when you get paid. We also offer flat-fee arrangements for specific services like credentialing.
We keep things simple with no hidden fees. Setup and onboarding are included in our standard pricing. Our agreements are typically month-to-month after an initial 90-day period, giving you flexibility while allowing time to see results.
We integrate with most major behavioral health EHR systems including Kipu, Sunwave, Alleva, BestNotes, TherapyNotes, SimplePractice, and many others. If you use a different system, we'll work with you to establish an efficient workflow.
Billing & Claims
We submit clean claims within 24-48 hours of receiving complete documentation. Our 98% clean claim rate means fewer rejections and faster payments for your practice.
Our denial management team reviews every denied claim, identifies the root cause, and takes immediate action. We handle the entire appeals process, from gathering supporting documentation to following up with payers. Our appeal success rate is 65%, recovering revenue that might otherwise be lost.
We verify benefits before or at the time of admission, confirming coverage details, deductibles, co-pays, out-of-pocket maximums, and authorization requirements. You'll receive a detailed VOB report within 4 hours for most payers, helping you set accurate patient expectations.
Yes, we have extensive experience with out-of-network billing for behavioral health services. We'll help you understand reimbursement expectations, handle single case agreements when appropriate, and maximize your out-of-network collections.
Compliance & Security
Absolutely. We maintain strict HIPAA compliance and will sign a Business Associate Agreement (BAA) with every client. Our team undergoes regular HIPAA training, and we implement administrative, physical, and technical safeguards to protect PHI.
We use 256-bit encryption for data in transit and at rest, multi-factor authentication, role-based access controls, and continuous security monitoring. Our systems are hosted in SOC 2 Type II certified data centers, and we conduct regular security assessments.
Yes, we maintain comprehensive professional liability (E&O) insurance to protect our clients. Details of our coverage are available upon request.
Our team stays current with payer policies, coding updates, and regulatory changes. We conduct regular internal audits, follow OIG guidelines, and use compliance checks at every stage of the billing process to minimize risk.
Working With Us
Yes, every client is assigned a dedicated account manager who serves as your primary point of contact. They'll learn your practice inside and out, provide regular updates, and ensure your needs are always met.
We provide comprehensive monthly reports covering collections, claim status, denial trends, and key performance metrics. You'll also have access to a real-time dashboard for on-demand visibility into your revenue cycle.
Our team is available Monday through Friday, 8:00 AM to 6:00 PM Eastern Time. For urgent matters, we offer after-hours support for established clients.
Absolutely. Many clients choose to keep in-house staff for patient-facing tasks while we handle the complex payer interactions. We can work alongside your team or take over billing entirely—whatever works best for your practice.
Still Have Questions?
We're here to help. Reach out and we'll get back to you within 24 hours.