For outpatient practices that bill insurance

Mental health billing services at 3% of collections.

Recoup is a mental health billing company for outpatient practices that bill insurance. We run the whole revenue cycle inside the EHR you already use: eligibility, claim submission, payment posting, denials, appeals, and secondary claims, with every claim reviewed before it goes out. The price is 3% of the insurance payments we collect for you, everything included.

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3% of collections · $1,000/month minimum · no setup fee · month to month

At a glance

What we do: Full-cycle insurance billing for outpatient mental-health practices, with a person reviewing every claim before it leaves.
Who it is for: Therapy group practices, counseling centers, psychiatry practices, and outpatient substance-use programs that bill insurance.
What it costs: 3% of the insurance payments we collect for you. $1,000 a month minimum, no setup fee, month to month.
Your EHR: You keep it. We connect to it, and build the connection ourselves if we have to, at no charge.
Your patients’ data: We handle PHI under HIPAA and sign a BAA with every practice.

What the service covers

What a mental health billing service does, and what ours includes.

A billing service takes the work between the session and the payment off the practice. Here is that work, in the order a claim meets it. All of it is inside the 3%, and the one thing that is worked separately is named at the end.

Eligibility and benefits: Coverage checked before the visit and re-checked when it matters, so you know before the visit whether the plan is active and you are in network with the payer.
Every claim reviewed before it goes out: Coverage, authorization, diagnosis, dates and units, modifiers, and whether the note supports the code and the time billed. Anything flagged goes back to you to decide. Nothing is coded for revenue.
Claim submission, acknowledgments, and status: Claims go out through automated clearinghouse connections and are watched from the moment they leave. A rejection is read the day it arrives, not found in next month’s report.
Payment posting and reconciliation: Every remit is posted against the allowed amount in your contract, so an underpayment is a line item rather than a mystery.
Denials, appeals, and secondary claims: Worked by a person who knows the payer, with timely-filing clocks tracked. Secondary claims follow from the primary remit.
Payer transaction enrollment: We enroll with your payers to send claims and receive remits, in the right order, so no payer is missed in the move.
Plain reporting: What was billed, what was paid, what is being worked, and what we recommend, in plain language.
The connection to your EHR: On a standard we publish, or built and maintained by us at no charge. Clearinghouse and transaction costs are ours as well.

Worked separately, and said so here rather than on an invoice: insurance balances from before we took over, at 10% of what we actually recover. Recover nothing, pay nothing on them. Nothing else is separate.

Who it is for

Built for outpatient mental-health practices that bill insurance.

Mental health billing is its own discipline: time-based psychotherapy codes, add-on codes on the same visit, authorizations that run out in the middle of an episode of care, telehealth rules that differ by payer, and carve-outs that send a claim to a different payer than the one on the card. We bill for the practices that live with those rules every day.

Therapy group practices and counseling centers: Several clinicians, several payers, and a schedule that never quite matches the claims. We take the billing data from your EHR and run the cycle from there.
Psychiatry and psychiatric nurse-practitioner practices: Evaluation-and-management visits, including medication management, with psychotherapy add-on codes when therapy is delivered in the same visit, and the documentation and authorization rules that come with them.
Outpatient substance-use treatment: Practices and programs treating substance use at outpatient levels of care, with their own authorization cadence. Still outpatient, and still work we do.

Recoup is not built for cash-only practices, or for residential, detox, or partial-hospitalization programs, which carry different billing entirely. We would rather say that here than after you have moved your billing.

How it works

The path of one claim.

From the note in your EHR to the payment posted against your contract, in order. The full account of each step, and who does it, is on the homepage.

The session is documented in your EHR.
Every claim is reviewed before it goes out.
It goes out through automated clearinghouse connections.
Payments are posted against what the contract says.
A person works every exception — and tells you plainly.

Switching billers

What changes when you switch, and what does not.

The thing that loses money in a billing change is the handoff: a payer that stops sending remits, a claim that neither side owns, a month of old balances nobody is working. So the transition is a fixed sequence, and we tell you where you are in it.

Your EHR stays.
You keep the system you run. We take the billing data from it, on a standard we publish or through a connection we build at no charge.
Payer enrollment moves in order.
Claims first, remits last. With most payers, a remit enrollment lives with one clearinghouse at a time, so it moves only when we are ready to receive it.
Your current biller’s claims in flight run out.
We do not send a duplicate of anything they already submitted, and we know which day the last of theirs was paid.
Old balances are snapshotted on day one.
Insurance receivables dated before we took over are worked under their own agreement, at 10% of what we actually recover, and never mixed into the 3%.
Every claim from your first day goes through the review.
The first claim we send is read before it leaves, the same as the thousandth.

Pricing

3% of collections. Everything included.

3% of collections

That is the entire price. Nothing on this page is quote-gated, and nothing is priced on a call.

Every number, including why 3% is not a stripped-down service and how you leave, is on the pricing page.

3% of the insurance payments we collect for you: Eligibility, claims, rejections, status, posting and reconciliation, denials, secondary claims, payer enrollment, reporting — and every claim reviewed before it goes out. Clearinghouse and transaction costs are ours, not a line on your invoice.
Old balances: 10% of what we actually recover, worked separately: Insurance receivables from before we took over are snapshotted on day one and worked under their own agreement. Recover nothing, pay nothing on them.
$1,000 a month minimum · no setup fee · month to month: If we have to build the connection to your EHR, that is on us. Leave with 30 days’ notice; there is no term to buy out.

Questions

Questions practices ask before they hire a billing company.

What does a mental health billing company do?

It runs the insurance side of a practice’s revenue cycle: verifies coverage, prepares and submits claims, tracks acknowledgments and status, posts payments, works rejections, denials, appeals, and secondary claims, and reports what was billed, paid, and still outstanding. Recoup does all of that inside the EHR you already use, posts every payment against what your contract says you are owed, and has a person review every claim before it goes out.

How much do mental health billing services cost?

Percentage-of-collections medical billing commonly runs about 4% to 10% of collections. That is the range Tebra gives billing companies as typical, and the range Physician Side Gigs reports, where the majority of private practices in its physician communities say they pay 5% to 7%. Neither is audited data, a random sample, or specific to behavioral health; we have not found a behavioral-health-specific range. Recoup charges 3% of the insurance payments we collect for you, everything included: $1,000 a month minimum, no setup fee, month to month. (Tebra: how much to charge for medical billing services) (Physician Side Gigs: what percentage of collections to pay a billing company)

Do we have to change our EHR to use a billing service?

No. You keep the system you run. We take the billing data from it, on a standard we publish or through a connection we build for you at no charge, and everything after that is ours to run. Switching billers does not mean switching systems.

Do you bill for psychiatry practices as well as therapy practices?

Yes. Psychiatry and psychiatric nurse-practitioner practices bill evaluation-and-management visits, including medication management, with psychotherapy add-on codes when therapy is delivered in the same visit; therapy practices bill time-based psychotherapy codes. We run both, and the review before a claim goes out checks that the note supports the code and the time billed either way.

Which clinicians can you bill insurance for?

Any licensed clinician the payer recognizes as in network: psychiatrists, psychiatric nurse practitioners, psychologists, licensed clinical social workers, licensed professional counselors, and marriage and family therapists, among others. Which license types a payer will contract with, and whether a pre-licensed clinician can bill under a supervisor, varies by payer and by state, so provider status is one of the things checked before a claim goes out rather than after a denial.

Do you sign a BAA, and how does our data move?

Yes, before any data moves. We handle PHI under HIPAA and sign a BAA with every practice. Billing data travels over a secure, BAA-covered channel we set up with you, never through the form on this site.

Start with your own numbers.

The free Revenue Leakage Analysis comes first: a written account of where revenue is being lost, within five business days of receiving your data. No obligation, no sales call.