Mental Health Practice Consulting and Billing Consulting

When a practice needs a consultant, not just a biller

Some revenue problems cannot be fixed by working claims harder. The fee schedule has not been updated in years. One payer sends a third of the caseload and pays the least. A prescriber was added without the credentialing and coding setup to bill for them. Copays are not collected at the front desk. These are practice decisions, and a mental health billing consultant looks at the whole picture before recommending anything.

Resilience Billing is a mental health billing company whose staff have run a private practice office. Practice consulting draws on that experience, and it is offered alongside our full revenue cycle management.

Fee schedules and contracted rates

Your fee schedule sets the ceiling on what any payer will pay you. A fee set below a payer’s allowed amount leaves money on the table with every claim. We review fees against your contracts and your market, recommend a schedule, and load contracted rates so payment posting can catch underpayments.

Payer mix, panels, and out-of-network

Whether to join a panel is one of the most common questions we hear from solo practices, and the answer depends on what the panel pays, how it denies, how many clients it sends, and what your caseload looks like without it. We model the revenue under each option. The same analysis applies to leaving a panel or going out of network, including how out-of-network billing, superbills, and client communication would work if you do.

Adding prescribers and growing into a group

Adding a psychiatrist or a Psychiatric Nurse Practitioner changes the billing. Evaluation and management codes such as 99214 with psychotherapy add-ons such as 90833 have documentation and payer rules that therapy-only practices have never dealt with, and prior authorization becomes more common. Adding a second therapist means a Type 2 NPI, group credentialing, and a decision about how revenue is split. Our psychiatry billing, Nurse Practitioner billing, and group practice billing pages cover the ongoing work; consulting covers the decision and the setup.

Front-office workflow, intake, and financial policies

Revenue is lost at the front desk as often as in the claim. We review intake forms, the verification workflow, copay and deductible collection at the time of service, card-on-file, and no-show and cancellation policies. Then we help write the policies and the scripts staff use to explain them, so clients hear the same thing every time.

Choosing an EHR and setting up billing for a new practice

For a practice choosing or changing an EHR, we look at how each option handles claims, ERAs, eligibility, and patient payments, and at the clearinghouse behind it. We work inside the EHR you already use: TherapyNotes is the one we know best, and we also work in Tebra (formerly Kareo) and SimplePractice. For a new private practice, we build the billing setup from the start: NPI, CAQH, panel applications, fee schedule, financial policies, and the first claim.

Who does the work, and where

Consulting is done by our own staff in Woodstock, Illinois. We serve practices nationwide, with the exception of New York and New Jersey. Request a consultation with the question you are working on.