Start a Mental Health Insurance Concierge and Revenue Management Firm

1. 1

   Own the full revenue cycle

   Offer end-to-end management: eligibility and benefit checks before visits, claim submission, denial management and resubmission, payment posting, and client balance collection. Behavioral practices feel the pain at every one of these steps, so owning the whole cycle is more valuable than any single piece. Position yourself as the practice's outsourced billing department.

2. 2

   Set up systems and access

   You need billing software or clearinghouse access, secure handling of protected health information under HIPAA with business associate agreements, and the ability to work inside the practice's EHR. Knowledge of behavioral codes (90791, 90837, 90834, 90832) and payer quirks is essential. Solid systems let you manage several practices without errors.

3. 3

   Price on collections

   The standard model is a percentage of what you actually collect, which aligns your incentive with the practice's revenue and makes the value easy to prove. Show a practice you lifted their net collections and reduced their denials, and the fee justifies itself. Percentage-of-collections pricing also scales your revenue with your clients' growth.

4. 4

   Win and keep practices

   Land clients through EHR partners, professional groups, and referrals from clinicians who hate billing, then retain them by reporting clearly on collections, denials, and aging. Trust is everything because you handle their money. Transparent reporting and steady results turn accounts into long-term retainers.

5. 5

   Know what this is not

   This is ongoing full-cycle revenue management for behavioral practices. Getting clinicians onto insurance panels in the first place is the credentialing service (a separate card). A focused billing-and-coding consultancy that advises and cleans up coding without running the whole cycle is also separate. This card runs the money in and out, continuously.

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