Ready to hand off the billing?
Tell us about your practice and we'll show you exactly what cleaner billing looks like. No pressure, no call centers.
Let's Work TogetherA lot of billing pitches sound the same. These three questions cut through that fast, and the honest answers tell you almost everything you need to know.
If you're a therapist thinking about handing off your billing, you've probably talked to at least one company that sounded great on the phone. Transparent pricing, fast turnaround, "we'll take care of everything." Most of them say the same things. The difference shows up later, usually the first time something goes wrong.
Before you sign anything, make sure the answer is genuinely yes to all three of these.
Billing and bookkeeping get lumped together a lot, but they're not the same skill. A bookkeeper can reconcile your accounts and tell you what came in last month. A biller needs to know CPT codes, payer-specific rules, prior authorization requirements, and how to read a remittance advice line by line to catch an underpayment before it slips past you.
Ask specifically: "How many mental health claims do you process a month, and which commercial payers do you work with regularly?" A vague answer is a red flag. A specific one, naming actual payers and actual volume, means you're talking to someone who does this for a living.
Some billing companies are set up like call centers: you submit a request, it gets routed to whoever's available, and you explain your situation from scratch every time. For a small practice, that's a rough fit. You need someone who already knows your payer mix, your typical claim volume, and what happened with your last denial without you having to re-explain it.
Ask: "If I have a question about a specific claim next month, who do I actually talk to?" If the answer is a name, that's a good sign. If it's a support portal, weigh that against how much you value continuity.
This is the one that matters most financially, and the one people ask about least. Submitting a clean claim is table stakes. What separates a real billing partner from a submit-and-forget service is what happens after a denial comes back. Denials that go unappealed are money you've already earned that you'll simply never see.
Ask directly: "Walk me through what happens the day a claim gets denied." A strong answer includes finding the root cause, not just resubmitting, and a follow-up process that doesn't depend on you noticing the denial yourself.
Tell us about your practice and we'll show you exactly what cleaner billing looks like. No pressure, no call centers.
Let's Work Together