Credentialing is where group revenue is won or lost long before a claim ever goes out. We enroll each provider with every payer you work with, keep CAQH profiles polished, track re-credentialing windows before they slam shut, and push applications through the follow-up gauntlet insurers are so good at dragging out so your clinicians can bill the day they're cleared to see clients, not three months later.
Multi-provider claims live or die on a detail most software gets wrong: the right individual rendering NPI riding under your Type 2 group NPI. We set the relationships up correctly from the start, confirm each claim carries the rendering provider the payer expects, and keep your billing entity and your clinicians linked exactly the way each contract requires.
A psychiatrist, a psychologist, an NP, and an LPC do not code alike, and a one-size approach leaks money out of all four. We apply E/M codes with psychotherapy add-ons (90833, 90836, 90838) for medication-management visits, testing codes for your psychologists, diagnostic evaluations (90791, 90792), interactive complexity (90785), and the full slate of time-based psychotherapy codes each against the documentation that genuinely supports it.
With clients flowing in across many providers at once, eligibility can't be a guessing game. We confirm coverage, copays, deductibles, visit limits, and telehealth eligibility before clients are seen, running verification at the volume a busy group generates so nobody's first claim bounces over a benefit nobody thought to check.
Across a full roster, authorizations are a moving target: dozens of clients, each on a different counter toward a different payer's cap. We track every active authorization, flag the ones running low before they lapse, and file extensions early so treatment never stops because a renewal slipped through on a busy week.
Every claim from every provider gets scrubbed before it leaves us codes, modifiers, rendering NPI, diagnosis linkage, demographics, place of service. High volume is exactly where small errors compound, so we catch them at the door and send first-pass-clean claims out at scale, rather than feeding a denial queue you'll pay to untangle later.
When a denial hits, we don't just rebill and hope. We trace it to the root a credentialing gap, a rendering-provider mismatch, a coding slip fix the underlying cause, and appeal with the documentation the claim should have carried the first time. One denial worked properly often seals the leak for an entire provider's claims, not just the one in front of us.
Payments are posted accurately and reconciled against your contracted rates across every provider, with underpayments flagged instead of rubber-stamped. Then we work a single consolidated aging report chasing stalled balances, untangling payer holds, and driving group-wide AR days down month after month so collections keep pace with your roster.
People join, people leave, people switch locations a group's roster is never static. We keep your provider list current across every payer and system, onboard new hires so their revenue starts on day one instead of after a billing scramble, and offboard departing clinicians cleanly so their outstanding claims still get worked and nothing falls between the cracks.
Before a new provider sees a single client, we get them enrolled, paneled, and set up in your systems so claims flow the moment they're cleared no revenue surrendered to a credentialing lag nobody planned around.
Every encounter, across every provider and specialty, is coded to the documentation behind it E/M, add-ons, testing, time-based psychotherapy with one consistent standard applied no matter how differently your clinicians write their notes.
Scrubbed claims go out fast under the correct group and rendering NPIs, with code linkage and demographics double-checked, so the first submission is the one that pays even at the volume a full roster produces.
Rejections are worked the day they land. We appeal denials, run the consolidated aging report, and keep every payer honest across every provider so revenue never quietly stalls somewhere inside a roster this size.
You get clear reporting both ways practice-wide and provider-by-provider. Collections, denial trends, AR aging, panel status: enough to see exactly which clinicians and which payers are performing, instead of guessing from a lump-sum deposit.
Credentialing paperwork, verification calls, claim entry, denial research, statement runs multiply all of it across every provider and it swallows your front office whole. We absorb the entire load so your staff can run the practice instead of running claims.
Specialty-specific coding across psychiatry, psychology, nursing, and counseling means we catch the under-coded visits, the missed add-ons, and the mismatched modifiers that bleed out of multi-provider practices one clinician at a time and pile up fast across a full roster.
Clean first-pass claims paired with relentless follow-up shrink the gap between encounter and deposit for every provider at once smoothing the cash-flow swings that come with making payroll for a roster that has to get paid whether or not the claims have landed yet.
Mental health parity, incident-to and supervised-billing rules, telehealth policy shifts, good-faith estimates under the No Surprises Act compliance gets exponentially riskier with more providers in the mix. We track every rule so a single misstep never quietly propagates across your group.
Add a clinician, open a third location, absorb a wave of referrals our capacity expands the instant you need it, with no job posting, no onboarding lag, and no productivity dip while a new in-house biller comes up to speed on your payers.
Transparent reporting keeps each provider's numbers in front of you collected, pending, denied, and why alongside the practice-wide picture, so you're never in the dark about which corner of your group is thriving and which one needs a closer look.
We’re not a general medical billing shop that takes mental health on the side. Behavioral health billing its codes, its caps, its parity rules, its credentialing quirks is the entire job, which is precisely why a complex multi-specialty roster gets handled right the first time.
Psychiatry, psychology (PhD/PsyD), PMHNP, LCSW, LMFT, LPC, LMHC the rules shift by credential, by specialty, and by state. We staff your account with billers who already know each discipline on your roster, so nobody’s claims get learned on your dime.