Billing and Credentialing for Therapists and Behavioral Health Practices. Done for you, inside the software you already use.
Medtransic is a billing and credentialing company for mental health, behavioral health, psychiatry, psychology, substance use treatment, ABA, speech therapy, occupational therapy and physical therapy practices. We file claims, work denials, follow up on A/R and get your clinicians in network with insurance companies, working inside the software you already use, such as SimplePractice and TherapyNotes. Billing is 4-8% of collections, credentialing is $150 per application, per provider, and there is no long-term contract. Practices outsource this work because it is deadline-bound and unforgiving - Medicare allows 12 months from the date of service to file a claim under 42 CFR 424.44, and several commercial payers allow 90. A claim that misses the window is usually a write-off, and an in-network practice usually cannot bill the patient for it.
Who we work with: Mental health, Behavioral health, Psychiatry, Psychology, Substance use treatment, ABA, Speech therapy, Occupational therapy, Physical therapy. Works inside SimplePractice, TherapyNotes, CentralReach, WebPT and Qualifacts. All systems.
The practices we specialize in
Billers matched to your specialty, who know its payers, its rules and its paperwork.
Mental and behavioral health
- Mental health billing - Therapists, counselors and group practices, including LPCs, LCSWs and LMFTs. Sessions, telehealth and the documentation payers ask for.
- Behavioral health billing - Agencies, clinics and groups with several clinicians, under one billing team.
- Psychiatry billing - Psychiatrists and psychiatric nurse practitioners: evaluations and medication management, billed alongside therapy.
- Psychology billing - Psychologists billing therapy, testing and assessment, with authorizations tracked before the work starts.
- Substance use treatment billing - Every level of care your program provides, from outpatient to residential. We bill whatever your clinicians bill.
Therapy
- ABA therapy billing - Authorizations, units and supervision rules, tracked for every client and every payer.
- Speech therapy billing - Evaluations and treatment sessions for speech and language practices, pediatric and adult.
- Occupational therapy billing - Timed units, plans of care and visit limits, tracked so claims go out right the first time.
- Physical therapy billing - Time-based billing, plan-of-care signatures and Medicare thresholds, handled for your clinic.
We also bill for many other specialties. See all specialties.
Everything between the session and the payment
From getting your clinicians in network to the last unpaid claim. Take one piece, or hand us all of it. Evaluating billing companies? See our guide on how to choose a medical billing company.
- Credentialing - Each clinician enrolled with the payers your clients use, followed up to an effective date, and kept current after that.
- Benefits and authorizations - Coverage checked before the first session, and approvals tracked for ABA hours, testing and higher levels of care, so nobody works past what the payer approved.
- Insurance billing - Claims built from your sessions and sent from your own software, telehealth included. Payments are posted and short payments flagged.
- Denials and unpaid claims - Every denial worked to its cause and appealed where it should be. Unpaid claims are followed up before the filing and appeal deadlines pass.
- Opening a practice, or leaving a platform - Starting out, or leaving Headway, Alma or Grow? We start credentialing early and set up billing in your software, so your own contracts are ready when you are.
- Your client portal - Every claim, denial, payer application and document we need from you, in one place you can check whenever you like. Included with every account.
- All services
Your EHR shows what you billed. Your portal shows what we are doing about it.
Your EHR or practice management system runs your practice, but it does not show you our work. The Medtransic HIPAA Compliant Portal does: every claim and its current stage, the denials we are working, your A/R by age, each payer application and its in-network date, and the documents we still need from you. It is the same record our team works from, and it comes with every client account.
In the portal: Claims and their stage, Denials being worked, A/R by age, Billed against collected, Payer applications, Documents we need, Messages to your team.
Did that claim get paid?
Every claim with its stage and amount, the denials we're working, and your receivables by age.
Where is my application with Aetna?
Each payer application shows its stage, its history, and the date you can start seeing that payer's patients.
What do you still need from me?
One list of the documents we're waiting on. Upload once, and it reaches every payer that asked for it.
It works in any browser, on your desk or your phone. iPhone and Android apps are coming soon. See the client portal.
What you can count on
Two things a practice should be able to check before it hands anyone its revenue.
A team that works in your software
Your billers and coders work in the system you already use, so you do not have to change software to work with us. We work in SimplePractice, TherapyNotes, CentralReach, WebPT, Qualifacts, Tebra (Kareo), AdvancedMD, athenahealth, eClinicalWorks, Practice Fusion, Office Ally, DrChrono and NextGen. Using something else? We take on other systems as clients need them.
A price you know before you sign
Billing is a percentage of what we collect, so we are paid when you are. Credentialing is a flat fee for each application. Billing: 4-8% of collections. Credentialing: $150 per application. Revenue audit: Free. Contract: No long-term contract. Full pricing.
How It Works
From a first look at your claims to your first login, in three steps.
- Free revenue audit: We look at a sample of your actual claims and show you, line by line, where money is going uncollected. No commitment follows it.
- We set you up: We set up your practice and providers, take over the work you hand us, and send each person their portal invitation.
- We start working your claims: Your team files claims, works denials and follows up on the A/R, and credentials your providers if you need it. You can follow all of it in the portal.
Questions therapy practices ask us
How much does Medtransic charge?
Billing is 4-8% of what we collect for you. Credentialing is $150 per application, per provider. The revenue audit is free and there is no long-term contract. See pricing.
Will you work inside SimplePractice or TherapyNotes?
Yes. We work inside the system you already use, including SimplePractice, TherapyNotes, CentralReach, WebPT and Qualifacts, so you do not have to change software to work with us. See the systems we work in.
How long does credentialing take for a therapist?
In our experience it usually takes 60 to 90 days with each insurance company, so it should start well before you plan to see clients under that payer. Credentialing for therapists.
Can I see what you are doing on my claims?
Yes. Every claim, denial, payer application and document we need from you is in your client portal, the same record our team works from. It is included with every account. See the client portal.
How do we get started?
It starts with a free revenue audit of a sample of your claims. We then set up your practice and clinicians, take over the work you hand us, and send each person their portal invitation. Book a free revenue audit.
Guides for therapy practices
Plain answers to the questions practices bring us most.
- Leaving Headway, Alma or Grow: a 90-day plan - Your in-network status stays with the platform when you leave. The steps to get your own contracts first, and a free checklist.
- Headway vs Alma vs Grow vs your own contracts - Who holds the insurance contract, who sets your rate, and what happens when you leave. Sourced and dated.
- How to get credentialed with insurance companies - The payer process step by step, what each payer checks, and why applications stall.
- CAQH provider profile guide - Setting up, attesting and fixing the shared profile many payers read before they approve you.
Book a Free Revenue Audit
We look at a sample of your actual claims and show you, line by line, where money is going uncollected. No commitment follows it. Call (888) 777-0860 or schedule a free consultation.