- info@rcmexperts.us
- 2701 Taft Blvd, Wichita Falls, TX 76308
- Medical Billing Full Time Employee Charges - $11/hour
SimplePractice billing services that go beyond claim submission. RCM Experts helps therapists and behavioral health practices manage unbilled appointments, electronic claims, ERAs, denials, and insurance follow-up.
You already have the platform. Let us manage the billing work behind it. Our outsourced medical billing for SimplePractice helps reduce administrative workload and keep your revenue cycle moving.
Get Your Free SimplePractice Billing Assessment
SimplePractice gives practices the technology to manage insurance billing, including electronic claim filing, claim monitoring, payment reports, and a centralized Billing hub. But having billing functionality doesn’t mean someone is actively managing your revenue cycle.
A claim can still require attention after it leaves your office. An appointment can remain unbilled. A claim can be rejected, denied, or left unpaid. An ERA can require review and reconciliation. And older accounts may need payer follow-up before they turn into permanent revenue loss.
That’s where RCM Experts comes in.
As a third-party billing company for SimplePractice users, we can take responsibility for the day-to-day billing work that keeps your insurance revenue moving.
Our team can help you:
Your billing process doesn’t end when a claim is submitted. Our SimplePractice billing services are designed to support the revenue cycle from appointment review through payment and follow-up.
Accurate insurance information is the starting point for clean billing. We help verify insurance details and identify potential coverage issues that could otherwise lead to avoidable claim problems.
We review billable activity to help ensure appointments are properly prepared for the insurance billing process. Appointment status can affect whether an appointment is billable, making accurate billing workflows important from the beginning.
Unbilled appointments represent services that have not yet been included on an insurance claim. SimplePractice's reporting specifically identifies unbilled insurance appointment fees, making this an important area for ongoing revenue-cycle monitoring.
We help manage the preparation, review, submission, and monitoring of electronic insurance claims so your team doesn't have to spend valuable time chasing claim activity.
When a claim encounters an error before successful payer processing, we help identify the issue, make the appropriate correction, and move the claim back into the billing workflow.
We help monitor claim transmission and payment-report activity, including reviewing available electronic remittance information and ensuring payments are properly accounted for.
Insurance payments and adjustments need to be accurately reflected in patient accounts. We help review payment information and reconcile the billing record with payer activity.
We investigate unpaid and denied claims, determine the appropriate next action, and follow up with payers to pursue outstanding reimbursement.
Instead of treating claim submission as the finish line, we monitor claims throughout the billing cycle and identify accounts that need additional attention.
ffective revenue-cycle management requires more than submitting claims. It requires a process for identifying problems, following up, and keeping outstanding revenue moving.
Our SimplePractice billing workflow can include:
We review billing activity and identify appointments requiring attention.
We look for missing or inconsistent information that could interfere with claim processing.
We monitor appointments that have not yet been included in insurance claims.
We review available claim information before submission.
Claims are submitted through the appropriate electronic workflow.
We track claims after submission and identify those requiring follow-up.
We investigate errors and help move rejected claims toward correction and resubmission.
We review claim updates and determine when additional payer action is required.
Electronic payment information can be reviewed and used to update insurance payment and client-responsibility information.
We investigate why claims remain unpaid and pursue appropriate resolution.
Outstanding balances receive continued attention instead of simply aging in the system.
Billing trends can be reviewed to identify recurring issues and opportunities to improve the revenue cycle.
One of the easiest billing problems to overlook is an appointment that never makes it into the claims workflow.
SimplePractice provides billing tools that allow practices to review outstanding appointments and identify appointments that are ready to file or missing information.
But those tools still need to be monitored.
Our team can help monitor your billing workflow so that eligible appointments don’t remain unnoticed in an unbilled queue.
RCM Experts can help identify billing items requiring attention and keep them moving toward claim submission.
SimplePractice electronic claims processing helps keep insurance claims moving from submission to payment. RCM Experts reviews claim details, monitors payer responses, addresses rejections, and follows up on unpaid claims to minimize delays and keep your revenue cycle on track.
Rejected vs. Denied Claims
| Claim Issue | What It Means | Our Billing Action |
|---|---|---|
| Rejected Claim | The claim could not move forward because of a submission or claim-data issue. | We identify the error, correct the claim details, and resubmit when appropriate. |
| Denied Claim | The payer processed the claim but did not issue payment for a specific reason. | We review the denial reason, determine the next step, and pursue correction, resubmission, or appeal when appropriate. |
| Unpaid/Pending Claim | The claim has been submitted but payment is still outstanding. | We monitor claim status and perform payer follow-up to keep the claim moving. |
| Outstanding AR | Payment remains unresolved after the expected reimbursement cycle. | We track the balance and follow up based on the claim's status and payer response. |
Electronic claims are only part of the process. Your practice also needs to know what happened after the claim was submitted and what the payer ultimately paid.
SimplePractice supports electronic Payment Reports, also known as ERAs, and requires payer enrollment to receive these reports electronically.
Our clearinghouse and ERA management support can include:
We review denial reasons, identify correctable issues, and determine the appropriate action for each outstanding claim.
We correct eligible billing issues and resubmit claims when payer requirements allow further processing.
We track unresolved claims and communicate with payers to address pending payments and required next steps.
We prioritize older outstanding balances, monitor unresolved accounts, and focus follow-up efforts where payment remains due.
SimplePractice serves behavioral health, therapy, and wellness clinics. We optimize your practice's billing, navigating complex carve-outs, authorization limits, and session units to secure every dollar.
Our specialized RCM experts manage your complete claim workflow. We eliminate administrative friction, resolve insurance rejections, and protect revenue for the exact specialties using SimplePractice daily.
SimplePractice can give your practice powerful billing functionality. Your billing partner should provide something different: active oversight, follow-through, and revenue-cycle expertise.
We look beyond claim submission to the activities that determine whether claims actually move toward payment.
