Concierge RCM for Therapist-Led Practices: 4 Pillars of Growth-Focused Billing

When most billing companies step in, you lose control.

Suddenly your NPI, payer relationships, and billing data are tied up in someone else’s system. If you ever want to change partners or bring billing in-house, you’re starting from scratch.

We think that’s backwards.

At Breksey, our concierge revenue cycle management (RCM) model is built so that you retain full business ownership of contracts, relationships, and data while we handle the hard parts.

Here are the four pillars of our approach, with deep dives you can explore for each one.

1. Insurance Verification: Where Revenue Really Begins

The revenue cycle doesn’t start when you submit a claim.
It starts the moment someone reaches out.

If intake data is incomplete, verification becomes guesswork, and that’s when denials, delays, and write-offs begin long before care does.

With Breksey, automated intake captures clean, complete data (demographics, insurance details, plan info) so your team can verify eligibility within minutes, not days. That means:

• Active coverage confirmed before the first session

• Clear expectations for copays, deductibles, and coinsurance

• Fewer surprises, fewer cancellations, and faster payments

Read the full article. 

2. Claim Submission & Tracking: Turning Care Into Cash Flow

A session isn’t truly “complete” until it’s paid.

In behavioral health, with multiple service types and payer rules, the way you submit and track claims directly shapes your cash flow.

We focus on:

• Accurate charge capture from documentation

• Claim scrubbing to hit 90%+ clean-claim rates

• Timely electronic submission (within 24–48 hours whenever possible)

• Real-time tracking until payment, not just “sent” status

Your team gets clear visibility into what’s been submitted, what’s paid, what’s stuck, and what needs action, so revenue doesn’t quietly sit in limbo.

Read the full article. 

3. Adjudication & Denial Handling: Fixing Revenue Leaks

You’ve done the work. The claim goes out.
Then… silence. Or worse — “Denied.”

Most denials aren’t dramatic failures; they’re small, preventable issues:

• Missing or incorrect intake data

• Prior authorization gaps

• Coding or modifier mistakes (especially for telehealth and family sessions)

• Late filing
• Credentialing mismatches
  

Breksey treats denials as data, not just headaches. We:

• Monitor denial reasons by payer, code, and clinician

• Escalate quickly instead of letting aging claims drift

• Close the loop by fixing upstream workflows (intake, verification, documentation)

The result: lower denial rates, faster recoveries, and a revenue cycle that supports growth instead of fighting it.

Read the full article.

4. Consulting on Best Practices: Billing as a Growth Lever

Billing isn’t just about “getting paid.”
Done well, it becomes a strategic tool for growth.

For therapist-led practices, we regularly advise on:

• Payer mix and reimbursement strategy

• When (and how) to go in-network or out-of-network

• Credentialing alignment with your tax ID so you own the relationships

• Operational benchmarks (clean-claim rates, days in A/R, denial thresholds)

• How to plan hiring, expansion, and new services based on revenue data 

Instead of generic RCM advice built for hospitals or primary care, you get behavioral-health-specific guidance tailored to group practices and clinician-owners.

Why This Model Matters for Clinician-Owners

Traditional billing models often leave clinicians feeling dependent and in the dark.

Breksey’s concierge billing model is different:

• You keep ownership of your NPI, contracts, and data

• We manage the entire revenue cycle like it’s our own

• Your practice gains the stability and visibility it needs to hire, expand, and plan ahead

You didn’t build your practice to become a full-time billing manager.
You built it to deliver excellent care and grow something that lasts.

We’re here to make sure your revenue cycle supports that.