Explore the full range of solutions Helpware divisions provide:
We handle coding, claim submission, and denial follow-up so your claims go out clean, denials get resolved faster, and reimbursement stays on track. See our medical billing team in action.
We work inside your EHR, submit claims every day, follow up on denials within the week, and handle patient billing calls in your voice, so reimbursement keeps moving from day one.
We staff certified coders, billers, and AR specialists to handle your billing workflow so you avoid the cost of building an in-house team.
Your gain:
Lower payroll costs, flexible billing capacity, more budget for clinicians.
We check units, modifiers, and place of service before claims leave your EHR, catching errors before submission.
Your gain:
Less rework, faster reimbursement, fewer resubmissions.
We track denial codes by payer and clinician and fix the cause in your billing workflow so the same errors do not keep coming back.
Your gain:
Steadier collections, fewer write-offs, lower denial volume.
We review claim samples every week against payer and CPT rules to spot and fix coding and documentation errors before they cause problems.
Your gain:
Fewer takebacks, cleaner audit trails, less billing rework.
We are fully compliant with all necessary data protection protocols and implement advanced security measures across our operations. This approach reduces compliance risks, simplifies audit processes, ensures transparency, and increases customer trust in highly regulated and sensitive environments.
We enforce strict access controls, ensuring security and confidentiality across on-site and remote teams to maintain the integrity of client data.
We collect only necessary personal data, retain it for defined periods, implement multilevel security, and provide full user control over it.
We safeguard protected health information through end-to-end encryption, secure access protocols, and real-time threat detection.
We secure payment data throughout processing and storage, continuously monitoring our systems to identify and address potential risks.
Our behavioral health coders submit claims, resolve denials, and handle patient billing with AI support, keeping your claims accurate and your collections moving.
With daily submission, our billing experts send charges from your EHR coded, scrubbed, and matched to each payer’s rules.
We match each code and modifier to the clinical note, including 90837 time thresholds and telehealth requirements.
Our appeals team helps you recover denied sessions by building each response from the clinical record and filing it within 48 hours.
Our team posts ERA and EOB payments the same day and flags underpayments against your contracted rates.
Our specialists handle patient balance calls, payment plans, and statements in the clear, respectful tone you set.
Our credentialing team tracks CAQH attestations, payer rosters, and revalidation dates to keep provider enrollment current.
Billing pressure looks different across a 12-clinician therapy group and a national telehealth network, so we build billing workflows around your payer mix, claim volume, and staffing needs.
Coding variance shows up first in reimbursement per session, with different clinicians billing the same visit differently. Our behavioral health coders standardize documentation requirements and audit claims by clinician each week. Consistent coding keeps reimbursement per session steady as your roster grows.
During concurrent review, an authorization lapse can turn an approved admission into unbilled days. Our team tracks authorizations and required documentation in one queue and follows up before approvals expire. More authorized days stay billable through discharge.
With limited billing capacity, new charges take priority while aged claims remain unresolved. Our dedicated billing teams separate new submissions from aged AR and assign each payer group to a dedicated team. Your claims stay current and aged AR continues moving as billing volume grows.
Claim volume jumps every January as employer groups renew and new members book their first session. We flex billing capacity with the enrollment calendar and keep submissions running daily through the surge. Your team avoids a growing submission backlog during peak months.
Get ROI projection for current support needs.
-40% annually
/monthly costs with Helpware
vs
/internal team costs (approx)
Your requirements fall outside our standard parameters.
Fill in your details to schedule a consultation.
-40% annually
/monthly costs with Helpware
vs
/internal team costs (approx)
Your requirements fall outside our standard parameters.
-40% annually
/monthly costs with Helpware
vs
/internal team costs (approx)
Your requirements fall outside our standard parameters.
Shared Team Leader
Shared L&D Specalist
Shared QA Specialist
Account Executive by default
Shared Ops Delivery Manager
Admin/Finance/Legal support for the agents by default
1-2 Dedicated Team Leaders
Shared L&D Specialist
Shared to 1 Dedicated QA Specialist
Shared Ops Manager
Account Executive by default
Admin/Finance/Legal support for the agents by default
Shared Real Time Analyst
2-5 Dedicated Team Leaders
0,5 to 1,5 Dedicated L&D Specialists
1-2 Dedicated QA Specialists
Up to half of a dedicated Ops Manager
Account Executive by default
Admin/Finance/Legal support for the agents by default
1 Dedicated Real Time Analyst
Ready to get a personalized estimate for your team?
Contact us for a personalized assessment tailored to your specific needs.
*These projections are estimates for informational purposes only and do not represent a formal offer. Contact us for a personalized quote.
Thank you!
You’ll hear from us within one business day.
AI handles repetitive billing work such as claim scrubbing, status checks, and payment retrieval. Our billing specialists handle the work that requires judgment, from interpreting payer policies and writing appeals to explaining unexpected balances to patients.
Checks claim status electronically through payer systems, avoiding manual calls and reducing time spent waiting for updates.
Returns payer status directly to the worklist, giving billers back the time they would spend checking each claim manually.
Checks units, modifiers, and authorization fields before submission, catching administrative errors that can lead to denials.
Sends progress notes electronically when payers require supporting documentation, reducing manual fax and portal uploads.
Write payer appeals using the clinical note and the medical necessity criteria the session meets.
Track behavioral health policy updates by payer and adjust billing rules before new requirements lead to denials.
Explain deductibles and session costs clearly to patients, without using a collections-style script.
Show prescribers and therapists which details in their notes affected claim outcomes and where documentation can improve.
We review denial rates, days in AR, and clean claim rates by payer and set performance targets along with a reporting schedule.
We assemble behavioral health coders, AR specialists, and patient billing staff based on your session volume and billing needs.
We train the team on your EHR, note templates, sliding-scale policies, and your approach to explaining patient balances.
We submit claims daily, post remits the same day, work denials within 48 hours, and report payer trends to your leadership every week.
We analyze denial causes each month, update billing rules, and coach clinicians on documentation details that affect reimbursement.
Behavioral health billing requires more than coding expertise. Our teams combine payer knowledge, billing experience, and patient support to keep claims moving, reduce avoidable denials, and improve the patient experience.
Our agents explain patient balances clearly and respectfully, helping practices maintain a positive patient experience during difficult billing conversations.
We retain experienced billers, so your account keeps the same trained team and retains payer knowledge instead of losing it through constant staff changes.
Our global coverage keeps billing work moving across time zones, helping you maintain daily submission and follow-up as volumes change.
Clients stay with us long term because our teams learn their payer mix, refine billing processes, and continue improving performance as their needs change.
CSAT
ESAT
locations
years average length of client partnership
We combine proven billing expertise with consistent quality and strong security controls. Our 30+ industry awards recognize delivery excellence, while SOC 2 Type II, HIPAA, and ISO 27001 standards help protect your billing operations and patient data.
We code sessions, submit claims daily, post remittances, work denials, follow up on aged AR, answer patient balance calls, and manage payer credentialing. Our mental health billing teams handle these functions across 19 locations and maintain a 98% quality score on audited claims.
Behavioral health claims face added scrutiny around time-based codes, session limits, authorization requirements, and medical necessity documentation. KFF found that marketplace insurers denied 20% of claims in 2024, with administrative issues accounting for 25% of in-network denials.
Most practices start with a pilot of five to 10 specialists over 30 to 60 days. We first map your EHR, payer roster, and fee schedule, run submissions in parallel for two weeks, then take over the full charge volume.
We work aged AR alongside new submissions and pursue appeals when a denied claim can be recovered. KFF found that 67% of Medicare Advantage prior authorization denials were overturned on appeal, showing the potential value of reviewing and appealing previously denied claims.
Yes. Our coders check the place of service code, modifier, and licensure requirements for each telehealth claim. We maintain payer rules by state and verify clinician licensure against the service location before submission.
Our agents explain deductibles, session rates, and payment plans using the tone you set for patient communications. They answer in your practice name and document each conversation in the patient record without using a collections-style script.
Outsourced billing can cost 20% to 40% less than a fully loaded in-house operation when payroll, benefits, software, and turnover coverage are included. Pricing scales with charge volume and clinician count, rather than the number of full-time employees you maintain.
