Juggling the dual roles of being a therapist and a business owner can be incredibly challenging and overwhelming. At Clear Path Billing Solutions, we understand that your primary mission is to deliver exceptional clinical care. Too often, billing falls by the wayside.
This is where we step in. Our expertise lies in comprehensive billing services, designed to streamline your practice and improve your bottom line. This allows you to direct your attention where it is needed most – toward your patients.
Efficient, Accurate, and Comprehensive Billing Solutions
We don’t just manage billing; we optimize it. Our full-cycle billing services handle every facet—from patient intake and insurance verification to claim submissions, diligent follow-ups, and robust revenue collection. Staffed by seasoned billers and coders intimately familiar with the nuances of mental health billing, we guarantee precision in coding and speedy reimbursements. This minimizes claim denials and elevates your practice’s financial well-being.
Tailored to Your Unique Needs
We get it—no two practices are alike. That’s why we offer highly customizable services, designed to address the distinct needs and challenges specific to your mental health practice.
We work with practices of every size, from solo providers to large group practices!
Full Revenue Cycle Management
Our Full Revenue Cycle Management service covers every aspect of your billing process from start to finish. This service is ideal for practices looking for comprehensive billing support that covers all stages of the revenue cycle.
Included Services:
- Insurance Verification and Patient Eligibility Checks: We verify insurance coverage and patient eligibility before appointments to minimize claim rejections.
- Patient Card Charges and Co-pay Processing: Managing co-pays and charges where applicable to ensure timely patient payments.
- Claims Preparation and Submission: Preparing and submitting clean claims to maximize prompt payment and reduce delays.
- Follow-Up on Unpaid Claims: Our team actively follows up on any unpaid claims to ensure they are processed as quickly as possible.
- Rejections and Denials Management: Handling all claim rejections, resubmissions, and denials with thorough follow-up to maximize revenue recovery.
- EFT and ERA Enrollments: Setting up electronic fund transfers (EFT) and electronic remittance advice (ERA) for streamlined payments and automated reconciliation.
- Comprehensive Revenue Cycle Reporting: Providing in-depth reports to help you understand your financial health and identify areas for growth.
Pricing:
- 5% – 7% of Collections: Based on revenue collected from paid claims. No upfront fees—you only pay when revenue is successfully collected.
- Hourly or Flat-Rate Options: Available for states where percentage-based billing is prohibited.
Denials Management
Our Denials Management service provides targeted support for practices needing assistance with rejected claims. This hourly service is designed to maximize recovery from denied claims, reduce revenue loss, and improve overall claim success rates.
Included Services:
- Denials Tracking and Reporting: Comprehensive tracking of claim denials to identify patterns and potential issues.
- Rejection and Denial Follow-Up: Actively working on denied claims to resolve issues, appeal rejections, and resubmit claims as needed.
- Appeals Processing: Filing and managing appeals for denied claims to ensure maximum revenue recovery.
- Detailed Denials Reporting: Providing insights into common denial reasons and actionable recommendations for reducing denials.
Pricing:
- Hourly Rate: $40 per hour.
VIP Revenue Cycle Management
Our VIP Revenue Cycle Management service is for practices seeking a premium level of support, strategic insights, and personalized financial guidance. With this service, you receive priority handling, specialized consulting support, and a proactive approach to improving your practice’s financial performance.
Available to practices with revenues over 1.5 million dollars annually.
Included Services:
- Priority Claim Processing and Follow-Up: Ensuring claims are submitted every day, and followed up promptly, minimizing delays.
- Advanced Financial Analysis and Reporting: Providing customized reports and analytics to give deep insights into your practice’s financial health.
- Regular Performance Reviews: Conducting scheduled financial reviews to assess practice revenue performance and identify areas for improvement.
- Enhanced Denials and Rejections Management: Proactively managing any claim denials with additional strategic focus on minimizing recurring issues.
- Regular Consulting Calls: Regular calls with our consultants to strategize how to build and grow your practice.
Pricing:
- Custom pricing available based on practice needs. Contact us for more details on our VIP billing solutions.
Supported EHRs
If you work with an EHR not listed here, please feel free to reach out to us! We are always happy to explore expanding our offerings.
We currently bill using TherapyNotes, InSync, Theranest, Sessions Health, SimplePractice, TherapyAppointments, ICANotes, Jane App, and TheraPlatform!
