Revenue cycle management for mental health practices
Reliable, consistent mental health billing for private practices.
Resilience Billing is a mental health billing company founded by clinicians and developed for counseling and psychiatric practices of all sizes. We run the full revenue cycle: insurance verification, claims, denial management, payment posting, patient billing, and credentialing. Every account is handled by our own in-house team in Illinois.
- Mental health practices only
- Weekly claims and denial cycle
- In-house U.S. staff
- Paid on net collections
Request your free consult
Let's Discuss Your Practice
A 30-minute conversation with a member of our billing team about your practice, your payers, and where your revenue is getting stuck.
- 1
Tell us about your practice
Your clinicians, your EHR, and your payer mix. It takes about five minutes.
- 2
Talk with a biller
A member of our billing team calls you back to go through your denials and unpaid claims.
- 3
See what would change
A clear picture of the revenue you are leaving on the table and how we would recover it.
Free and no obligation. We usually reply the same business day.
Behavioral health billing services
The full revenue cycle for therapy and psychiatry practices
Revenue cycle management (RCM) is everything between a scheduled session and the money in your account. We run all of it for your practice, as one service. See what is included.
Insurance Verification and Prior Authorization
Eligibility, behavioral health carve-outs, deductibles, session limits, and authorizations confirmed before the first appointment.
Claims Management
Charge entry, claim scrubbing, and electronic submission on a weekly cycle, so clean claims go out and get paid the first time.
Denial Management and A/R Follow-Up
Denials corrected or appealed the week they arrive, and aged accounts receivable worked down until it is resolved.
Payment Posting and Patient Billing
ERAs posted and reconciled to deposits, underpayments flagged, patient statements sent, and cards on file charged.
Credentialing
CAQH, payer enrollment, and re-credentialing tracked on a calendar so a lapsed panel never stops revenue.
Practice Metrics
Most EHRs do not provide adequate practice reporting. We provide practice metrics tailored to the way you run your business.
Benefits verification is also available on its own. See also telehealth billing, practice consulting, and billing inside TherapyNotes.
Where mental health practices lose revenue
Mental health claims are denied more often than most medical specialties. Most of it is preventable.
Behavioral health carve-outs, session limits, time-based codes, and telehealth rules create denial reasons a general medical biller rarely sees. Our process is built around the six that cost practices the most.
Eligibility and benefit errors
Behavioral health benefits are often carved out to a different payer than the card on file. Claims sent to the wrong payer, or against exhausted session limits, are denied outright.
Missing or expired authorizations
Testing units, intensive services, and some psychiatry visits still require prior authorization with many plans. A missed authorization is an unrecoverable write-off.
Coding and documentation gaps
Time-based psychotherapy codes, add-on codes, and telehealth modifiers are audited. A 90837 with 45 minutes documented is paid as a 90834, or not at all.
Credentialing lapses
A clinician whose CAQH attestation or re-credentialing lapsed is out of network without knowing it. Every claim since that date denies.
Denials nobody works
Most denials are recoverable if corrected or appealed inside the payer deadline. Denials left in a queue past timely filing become lost revenue.
Patient balances never billed
Deductibles and copays that were not collected at the visit, never statemented, and never charged to the card on file are the largest write-off in many therapy practices.
How we handle each: denial management for mental health practices. The longer read: why mental health claims get denied.
Who we work with
Billing for counselors, psychologists, nurse practitioners, psychiatrists, and group practices
Outpatient mental health private practices, from a single counselor or nurse practitioner to a multi-site group. We do not bill for hospitals, facilities, dental, or primary care. Who we work with.
- Therapists and Counselors (LCPC, LPC, LCSW, LMFT)
- Psychologists and Neuropsychologists
- Psychiatric Nurse Practitioners
- Psychiatrists
- Group Practices
- Illinois and Chicago Practices
Practices nationwide, except New York and New Jersey.
Weekly
claims submitted, payments posted, and denials worked, every week
Full cycle
verification through payment posting and patient statements, run as one service
In-house
every account handled by our own staff in our Illinois office, never an overseas vendor
Your EHR
we bill inside the system you already use, so clinicians change nothing
Why Resilience Billing
A billing company that only does mental health
Resilience Billing was founded within the office of a large psychological group practice in the Chicago suburbs. Every member of our staff has worked directly in a private practice mental health setting, and psychotherapy and psychiatry are all we bill. That focus is why the codes, the payer carve-outs, and the documentation rules are second nature.
- Denials are worked, not filed. Corrected or appealed within the week, with the cause reported so it stops recurring.
- Coding you can defend. 90837 vs 90834, 90792 vs 99204, add-on codes, and telehealth modifiers, billed the way payers audit them.
- Real people, in our office. You will know your biller by name. Phone and Zoom over automated emails.
- Aligned pricing. A percentage of net collections. We are paid when your practice is paid.
How it works
Switching billing without interrupting revenue
- 1
Consultation
A conversation about your payer mix, EHR, clinician count, and current denial and A/R picture.
- 2
Credentialing and account audit
We review every clinician's CAQH and payer status and tell you about any problems, then correct patient accounts and assess outstanding insurance A/R.
- 3
Setup
EHR access, clearinghouse, and ERA/EFT enrollment, with a claims schedule agreed with your front office.
- 4
Weekly cycle
Claims out, payments posted, and denials worked every week, with regular phone and Zoom contact about how your accounts are performing.
Most practices are live within a few weeks, and outstanding A/R from the previous biller is worked as part of onboarding. See how onboarding works.
Mental health billing questions practices ask first
What does a mental health billing service do?
A mental health billing service runs the revenue cycle for a therapy or psychiatry practice: verifying insurance benefits, submitting claims, posting payments, working denials, sending patient statements, and keeping clinicians credentialed with payers. Resilience Billing does all of this for outpatient mental health practices only.
How much do mental health billing services cost?
Resilience Billing charges a percentage of net collections, so the fee scales with what your practice actually collects. There is no charge on claims that are not paid. We quote the rate after a consultation, once we understand your payer mix and volume.
How do you reduce claim denials?
Most denials are preventable. We verify benefits and authorizations before the visit, keep credentialing current, scrub claims before submission, and work every denial within the week it arrives. When a pattern shows up with a payer, we tell you what is causing it so the cause gets fixed, not just the claim.
Who does the billing, and where?
Our own staff, in our office in Woodstock, Illinois. Nothing is sent to an overseas vendor. Every member of the team has worked inside a private mental health practice, and you will know your biller by name.
Do we have to change our EHR?
No. We work inside the EHR you already use. TherapyNotes is the platform we work in most, and we also work in Tebra and SimplePractice.
Where do you serve practices?
Practices nationwide, with the exception of New York and New Jersey.
Resources
Mental health billing guides
How to Appeal a Denied Therapy Claim
How to Choose a Mental Health Billing Company: 15 Questions to Ask
Looking for a specific code? Start with the mental health CPT code guide.