Full-Cycle Billing
Mental Health Billing & Revenue Cycle Management
Mental health billing and RCM for therapists, LCSWs, LPCs, and psychiatric providers — claims, denials, collections, and payment posting managed end-to-end. You pay on collections, not submitted charges.
Revenue Cycle Management is the entire financial workflow connecting a patient encounter to a deposited dollar — credentialing, eligibility, coding, claim submission, denial management, payer follow-up, and payment posting. Most practices outsource pieces of it to multiple vendors and wonder why nothing is accountable. Sharp Networks Group runs the whole cycle as a single operation, under one principal who knows your payers, your specialty, and your numbers.
What the Service Covers
Every Sharp RCM engagement includes claim submission, real-time eligibility verification before each encounter, denial management with documented appeal workflows, insurance follow-up through payment, payment posting reconciled to your bank statements, and monthly reporting tied to deposited revenue — not submitted charges.
We operate across specialties including primary care, behavioral health, multi-provider groups, and multi-state organizations. The work is calibrated to your payer mix, your authorization patterns, and your denial history — not a generic process built for the average practice.
Pricing Structure
RCM is priced as a percentage of monthly collections — you pay based on what you actually collect, not on what gets submitted. Rates scale by volume:
| Monthly Collections Volume | Rate | Best For |
|---|---|---|
| Under $50,000 / month | 7.0% of collections | Solo and early-growth practices |
| $50,000 – $150,000 / month | 6.25% of collections | Established multi-provider practices |
| Over $150,000 / month | 5.5% of collections | High-volume groups and multi-state organizations |
The Growth Package Explained
Standard Billing has a lower headline rate at every volume tier — that comparison is accurate and we don't obscure it. The Growth Package is not cheaper on paper. It is engineered to put more total dollars into your account by actively recovering patient balances that Standard leaves on the table.
The typical practice leaves 15–30% of its total receivables in unpaid patient balances. Standard Billing processes claims; it does not recover those balances. The Growth Package runs both under the same team and the same accountable principal, with patient-balance recovery workflows that compound with the RCM operation rather than running parallel to it.
The honest comparison is not Growth versus Standard — it is Growth versus doing nothing with aged patient balances, or versus sending them to a standalone U.S. collection agency at 25–35%. At Sharp's 20–28% recovery rate (by account age), the practice keeps more of every recovered dollar than it would with a separate agency, with no second vendor relationship to manage.
What We Don't Do
We don't submit claims and disappear into a dashboard. Every engagement has a named principal with direct accountability — the person who reviews denials, tracks payer-specific patterns, and responds when you call. We reconcile to deposited revenue, not submitted charges, so the number we report is the number that lands in your bank account.
Annual Commitment Discount
Growth Package clients who commit to a 12-month term have the $500/month collections program fee waived for the first five months — a $2,500 savings in year one, automatically applied at signing. The percentage rate doesn't change; this is a direct reduction in the flat program fee. Month-to-month remains available on every plan; annual is incentivized, not required.
Annual Growth Package clients are also covered by our 90-Day Confidence Guarantee: if the package isn't working for your practice in the first 90 days, you can cancel the annual term with zero early-termination penalty, paying only the month-to-month rate for the months you were with us.
Common questions
What is revenue cycle management for mental health practices?
Revenue cycle management (RCM) is the full financial workflow from patient encounter to deposited payment — including eligibility verification, claim submission, denial management, payer follow-up, and payment posting. For mental health practices, RCM also covers specialty-specific challenges like behavioral health carve-out networks, session code compliance, and payer-specific authorization requirements.
How much does revenue cycle management cost?
Sharp Networks Group prices RCM as a percentage of monthly collections: 7.0% for under $50,000/month, 6.25% for $50,000–$150,000/month, and 5.5% for over $150,000/month. The Growth Package (RCM + patient collections) is a flat 6.5% plus $500/month. You pay based on what you actually collect, not on submitted charges.
What is the difference between submitted charges and collected revenue?
Submitted charges are the total billed to insurance. Collected revenue is what actually lands in your bank account after denials, adjustments, and patient balances. Most practices collect 60–80% of what they submit. Sharp reports on and prices against collected revenue — not submitted charges — because that's the number that runs your practice.
Do you handle mental health billing specifically?
Yes. Sharp Networks Group works exclusively with behavioral health and mental health practices: therapists, LCSWs, LPCs, psychiatric nurse practitioners, and group practices. We manage CPT codes, modifier usage, behavioral health carve-out networks, and payer-specific session limits that general medical billing vendors often miss.
What happens to denied claims?
Every denial is reviewed, categorized by reason code, and worked through a documented appeal workflow. We track denial patterns by payer to identify systemic issues — not just individual claims. Appeals are written by the same principal who manages your account and knows your payer relationships.
Principal-Led
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