Group practice billing
Group practice billing for mental health practices
We run billing and credentialing for mental health group practices with several clinicians and many payers. We keep each clinician’s enrollments, claims and collections straight, submit claims within 24 hours and work every denial within 5 business days.
- Group and individual NPIs set up correctly on every claim
- New clinicians credentialed and billing sooner
- Reports by clinician, payer and location
Why groups are different
More clinicians means more ways for claims to fail
A group practice bills under the group, but each claim also names the clinician who saw the patient. When those two do not match the payer’s records, the claim is denied.
Group vs individual NPI
The group has its own organizational (Type 2) NPI and tax ID, and each clinician has an individual (Type 1) NPI. Claims usually list the group as the billing provider and the clinician as the rendering provider.
Linking clinicians to the group
Each clinician must be enrolled and linked to the group with each payer. A clinician who is in-network individually but not linked to the group can still get denied.
Onboarding new clinicians
New hires need credentialing with every payer the group takes. Until they are approved, their claims may not pay. We start enrollment as soon as you make the offer.
Supervisees and associates
Payers differ on pre-licensed clinicians. Some will not credential them at all, some allow billing under a supervisor, and some Medicaid programs use license-level modifiers. We check each payer’s current rule.
Mixed provider types
Groups often combine prescribers, psychologists and master’s-level therapists. Each has different codes, rates and payer contracts.
Departures
When a clinician leaves, open claims still need follow-up and enrollments need to be updated. We keep the A/R moving and the payer records clean.
Onboarding
How we add a new clinician
- 01
Collect documents
License, NPI, malpractice, CV and CAQH access. We set up CAQH if they do not have it.
- 02
Submit enrollments
Applications to each payer the group takes, linked to the group NPI and tax ID.
- 03
Track weekly
You get a status update on every application every week until it is approved.
- 04
Load and bill
Once effective dates arrive, we set up the clinician in your EHR and billing rules and start submitting claims.
Commercial payer credentialing commonly takes a few months. Timelines vary by payer and state.
What we handle
Billing and credentialing for the whole group
- Eligibility and benefits checks for every clinician’s schedule
- Charge entry and coding review for therapy, evaluation, family and group codes
- Claim submission within 24 hours of receiving charges
- Payment posting and ERA reconciliation by clinician
- Denial correction, resubmission and appeals within 5 business days
- A/R follow-up on unpaid and underpaid claims
- Credentialing, group linking and CAQH upkeep for every clinician
- Re-credentialing and roster updates when clinicians join or leave
- Patient statements and balance tracking
Reporting
Know what each clinician brings in
Every month you get reports on collections, denials and A/R, broken down by clinician and payer. That shows which payers pay slowly, which clinicians have claims stuck and where credentialing is holding up revenue.
The same reports help with clinician pay. If you pay a share of collections, you can see what was collected for each clinician’s sessions.
We also flag patterns early: a clinician whose notes often miss session times, a payer that keeps denying a certain code, or an enrollment that has lapsed. Fixing the cause stops the same denial from coming back every week.
Pricing
Pricing that scales with your group
Billing starts at 2.5% of collections, or a flat monthly fee. Larger groups can add a dedicated biller or credentialer who works only for your practice. Credentialing starts at $80 per payer, with monthly credentialing plans for groups that hire often.
Common questions
Should a group practice bill under a group NPI or individual NPIs?
Most group practices bill under the group’s organizational NPI and tax ID, with each clinician listed as the rendering provider. The right setup depends on how you contracted with each payer, so we review your contracts before billing.
Can supervisees or associate clinicians bill insurance?
It depends on the payer and the state. Some payers will not credential pre-licensed clinicians, some allow billing under a licensed supervisor, and some Medicaid programs have their own rules and modifiers. We check each payer’s current policy before billing.
How quickly can a new clinician start billing?
A new clinician can bill a payer once they are credentialed and linked to your group with that payer. Commercial credentialing commonly takes a few months, so we start as soon as you hire and send weekly updates.
Do you give reports by clinician?
Yes. Monthly reports show collections, denials and A/R by clinician and by payer.
Can we get a dedicated biller?
Yes. Groups can add a dedicated biller, coder, credentialer or virtual assistant who works only on their account. Pricing is by custom quote.
Do you require a long-term contract?
No long-term contract is required. Our terms are flexible.
Guides from our team
Learn more before you decide
How to Get Paneled With Insurance as a Therapist: Steps, Timeline and Cost
How to get in-network with insurance as a therapist or counselor: what you need, how long it takes, what it costs, and what to do if a panel is closed.
Read the guide →Intensive Outpatient Program (IOP) Billing: Codes, Authorizations and Common Denials
How mental health and substance use IOPs are billed: S9480, H0015, revenue codes 0905/0906, per diem vs per service, authorizations and attendance documentation.
Read the guide →Accounts Receivable Management in Medical Billing: How to Reduce Days in A/R
Learn how accounts receivable management reduces days in A/R, recovers aged claims, and keeps your medical practice’s revenue cycle healthy.
Read the guide →Find out what your claims are leaving on the table
Tell us about your practice. We will review 90 days of claims and show you what is recoverable, at no cost.
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