Medical Billing & Revenue Cycle Management for Behavioral Health
Stop losing revenue to delayed claims, uncollected A/R, and improper coding. We deliver high clean-claim rates, aggressive denial management, and total financial transparency so your practice collects every dollar earned.
Behavioral health revenue cycle management requires far more than pushing claims through software. Complex time-based CPT codes, authorization caps, telehealth modifiers, and state-specific Medicaid rules create constant risk for denials and delayed payments.
IOU Billing handles your entire revenue cycle end-to-end. We clean and submit claims daily, aggressively pursue unpaid aging accounts, and optimize your clinical coding—turning your billing from an administrative headache into a predictable revenue stream.
Maximized Collections without the Overhead
In-house billing teams face high turnover, rising staffing costs, and constant training burdens as payer rules shift. Partnering with IOU Billing gives you a dedicated team of certified behavioral health billers with 25+ years of experience—keeping your collection rates high while cutting administrative overhead.
what’s included:
- Clean Claim Scrubbing & Submission — Daily electronic claim scrubbing and filing to cross-reference authorizations, modifiers, diagnosis mapping, and timely filing rules.
- Aggressive Denial Management & Appeals — In-depth root-cause analysis on every denied claim, followed by swift corrected resubmissions and formal clinical appeals.
- Old A/R Recovery & Audit — Systematic audit and cleanup of outstanding 60+, 90+, and 120+ day accounts receivable to recover trapped revenue.
- Payment Posting & Reconciliation — Precise manual and electronic remittance advice (ERA/EOB) posting, reconciling payments against contracted fee schedules.
- Patient Financial Management — Professional, transparent patient statements, flexible payment plan setup, and compassionate patient billing support.
- Monthly Revenue Analytics & Reporting — Clear, actionable monthly financial reports detailing net collection rates, denial trends, provider productivity, and aging summary breakdowns.
How It works
Audit & Onboard
We audit your current billing workflow, software setup, fee schedules, and aging A/R to identify immediate revenue leakage.
Scrub & Submit
We scrub daily claims against payer-specific guidelines, verify authorizations, and submit clean electronic claims within 24–48 hours.
Follow Up & Appeal
We actively track unpaid claims starting at 30 days and lodge formal appeals for denied or short-paid claims until resolved.
Post & Report
We post ERAs/payments accurately, reconcile accounts, and deliver transparent monthly financial performance reports.
specialized programs
Complex Medicaid, SUD, or Intensive Program Billing?
Substance Use Disorder (SUD), Partial Hospitalization (PHP), Intensive Outpatient (IOP), and Psychiatric Rehabilitation Programs (PRP) operate under strict billing requirements—such as daily vs. hourly billing increments, bundled rate structures, and regional managed care organization (MCO) oversight like Carelon or Optum. IOU Billing specializes in navigating these high-complexity billing models to protect your practice from audit clawbacks and unbilled days.
See Medicaid Billing ServicesCommon questions
Straight answers, before you call
The questions behavioral health providers ask us most about medical billing & RCM — answered plainly.
We work directly inside your existing Electronic Health Record (EHR) and clearinghouse system (such as Practice Fusion, Kipu, TherapyNotes, SimplePractice, or Valant) whenever possible. This means you retain complete ownership of your data while our team manages the billing engine behind the scenes.
We maintain an average clean claim submission rate over 98% on first pass, drastically reducing initial rejections. Our goal for every practice is a net collection rate of 95% or higher on clean, billable claims within contracted fee schedules.
Yes. When onboarding a new practice, we conduct a comprehensive A/R audit to identify aging claims sitting past 60, 90, or 120 days. Our team systematically researches, corrects, and appeals viable claims to turn outstanding balance sheets into cash flow.
Our standard RCM service is based on a competitive percentage of net collections actually received. This aligns our incentives directly with yours: we only get paid when you get paid. There are no hidden software fees or unexpected add-ons.
Ready to Optimize your revenue cycle?