Our Services
We take the complexity out of medical billing. Our front-end revenue and auditing services are built specifically to help new behavioral health practices thrive. Because no two practices are alike, you can mix and match our solutions. Schedule a free consultation today, and we will collaborate to design a customized plan built specifically for you.
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We handle the end-to-end processing of your primary and secondary claims to all commercial and government payers. By scrubbing every claim for accuracy before it goes out and utilizing clearinghouse "Print & Mail" services for paper-only networks, we ensure your sessions are tracked and submitted flawlessly from day one.
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For a new practice, selecting the wrong code can lead to immediate claim rejections or future audit risks. We verify that your clinical notes align perfectly with your selected CPT and ICD-10 codes before anything is submitted.
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We ensure your financial records strictly mirror reality. We meticulously log insurance payments, contractual write-offs, and patient responsibilities into your billing platform. This continuous reconciliation prevents discrepancies, maintains balanced clinical ledgers, and guarantees that your practice data is audit-ready and accurate.
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We proactively manage unpaid claims to minimize revenue loss. We conduct rapid intervention on all clearinghouse rejections and complex insurance denials. We handle the research, correct the underlying errors, and re-process the claims directly with the payers, ensuring your new practice achieves a high clean-claim rate and consistent reimbursements.
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We proactively review your claims to ensure modifiers for telehealth, interactive complexity, or multi-provider sessions are applied correctly and backed up by your clinical notes. We keep your practice aligned with shifting payer guidelines so you can bill with total peace of mind.
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Eliminate the guesswork before an intake appointment. We proactively verify patient coverage with commercial and government payers prior to the initial session. We confirm active policy status, out-of-pocket responsibilities, and behavioral health carving rules, ensuring your new practice avoids retroactive denials and establishes clean financial records.
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Don’t let administrative hurdles lead to retroactive denials. We actively manage the prior authorization lifecycle for your commercial and government insurance clients. We verify required authorizations before treatment begins, log the tracking numbers into your platform, and continuously audit remaining session balances, preventing unexpected revenue leakage before it starts.
Note: Providers or internal practice staff are responsible for initially requesting, obtaining, updating, and maintaining active clinical authorizations past their expiration dates. Our service strictly covers the verification of active requirements, system logging, continuous tracking of session thresholds, and providing timely reminders before an authorization ends.
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We handle the delicate balance of patient billing with the utmost care, ensuring your clients receive clear communication while protecting your practice’s cash flow. This service includes:
Digital Patient Statements: We generate and distribute clear, professional monthly patient balance statements directly through your EHR portal or via secure, HIPAA-compliant email.
Patient Balance Inquiries: We manage inbound and outbound phone calls to seamlessly answer patient questions, explain insurance benefits in plain English, and collect outstanding balances. By stepping in as your compassionate billing team, we save you from awkward financial conversations so you can keep your client relationships strictly therapeutic.
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We remove financial anxiety from the onboarding process by establishing complete upfront price transparency before your patients ever sit on the couch. We research and draft custom, federal No Surprises Act-compliant "Good Faith Estimates" for private-pay clients, as well as clear "Cost of Care" letters for insured patients. By delivering an exact breakdown of a patient's expected deductibles, co-pays, and out-of-pocket costs prior to their first session, we protect your startup practice from billing disputes and preserve a solid clinical foundation built entirely on trust.
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We handle the heavy lifting for complex, contested claims. We take charge of the end-to-end appeal process, auditing the denial reason, gathering required clinical support from your records, and submitting formal administrative appeals directly to the payer. We monitor the claim within the insurer’s timely filing window to secure accurate retroactive reimbursement.
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When you negotiate a contract with an insurance company, you expect to be paid exactly what you are owed—but insurance systems frequently make quiet, automated errors that cost clinicians thousands of dollars a year. We handle the detailed oversight required to catch these mistakes so you can focus completely on clinical care. Through our quarterly Fee Schedule Analysis, we conduct a comprehensive comparison of your actual insurance deposits against your contracted network rates. We track down every single penny of underpaid revenue and manage the dispute process directly with the payers. We audit the small details so your practice can maximize its hard-earned income with total financial peace of mind.
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Our comprehensive auditing service goes deep into your clinical records to cross-reference patient charts, treatment plans, CPT code durations, and complex modifier requirements against evolving insurance standards. If documentation gaps or billing discrepancies are uncovered, we don’t just point them out. We manage the heavy lifting of rectifying historical claims, tracking remediated records, and correcting systemic errors. Every audit delivers a line-item Risk Mitigation spreadsheet alongside direct consultive guidance to ensure your future clinical hours remain entirely defensible.
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Many brilliant therapists begin their solo journey by navigating their own insurance submittals—only to find themselves buried under confusing clearinghouse codes or unhelpful payer call lines. If you attempted to bill your first few patients yourself and have claims sitting unpaid, you don’t have to cut your losses. Whether it is an early submission mistake or an unresolved claim that has hit 45+ days old, we will step in and do the tedious research for you. We research the history, fix coding or demographic glitches, and hunt down the reimbursements you are legally owed so you can focus strictly on your growing caseload.
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Insurance companies and state Medicaid programs frequently update their rules without warning, which can lead to unexpected claim denials if you aren't prepared. To keep your revenue protected, we deliver a quarterly email update summarizing crucial regulatory shifts in your specific state. Whether a commercial payer updates their telehealth modifiers or a state program alters authorization rules for standard session codes, we translate complex policy changes into plain English, so you are never caught off guard.
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We believe total transparency is the key to a stress-free practice. Every month, we provide you with a clear, easy-to-understand breakdown of your practice’s financial health. Instead of overwhelming you with confusing medical billing jargon, we deliver plain-English metrics tracking your submitted claims, successful reimbursements, and overall revenue trends. These reports keep us completely on the same page, giving you a clear view of your business growth so you can make confident decisions for your practice's future.
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Our consultative training walks you through clinical note and documentation standards tailored precisely to your practice's medical specialties and EHR software. We teach you the exact billing and coding guidelines necessary to keep your practice compliant, while mapping out clear, providing assistance with administrative checklists for seamless patient intakes and secure, structured patient discharges.
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We handle the meticulous behind-the-scenes work by auditing your practice accounts monthly to catch any excess credits. Every month, we deliver a simplified "Refund Due Report" spreadsheet straight to your inbox, outlining exactly who is owed a credit and why. We do the data tracking so you can quickly return overpayments, protect your practice from compliance flags, and preserve a clean financial slate.
Payer Policy Reports Sign-Up
Coming Soon!
Soon we will be offering two email subscription options. We will be offering a Quarterly Medicaid Digest for providers who would like to receive quarterly Medicaid rules updates. We will also be offering Real Time Medicaid Alerts for providers who would like to receive updates as soon as they become available to our team! We will offer text updates when new updates are sent to your email for both subscriptions at no extra cost!
If you would like to be notified when this service becomes available, please submit for your preferred contact method below.