TherapyNotes:

First Clinician:$59/month

Additional Clinicians:$30/month

Schedulers/Billers:Free

Clearinghouse Services

Real Time Eligibility Requests: $0.14 each

Electronic Claims: $0.14 each

Remittance Advice (ERAs): $0.14 per claim

Mailed Paper Claims: $0.49 each

Email Reminders: Free

SMS (Text Message) Reminders:$0.14 each

Automated Phone Reminders:$0.14 each

Telehealth:  Free

TherapyNotes ePrescribe: Each Prescriber:$65/month

Simple Practice

Stater Plan: $29/mo.              

Unlimited clients

Paperless intakes

Client portal

Progress notes

Diagnosis and treatment plans

Automated invoicing and billing

Credit card processing

Live customer support

Mobile app

Telehealth Add for $15/mo

Essential Plan: $69

Everything in Starter, plus:

Customizable notes and assessments

Appointment reminders

Online appointment requests

Secure client messaging

Monarch directory (practitioner directory)

Professional website

Analytics dashboard

Insurance claim filing (starting at $.25/claim): 10 claims included/mo

Wiley Treatment Planner: Add for $15/mo

Telehealth Included

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Essential Plus Plan: $99/mo.

Calendar sync

Appointment request widget

Advanced calendar filters

Add team members

Add practice managers ($39/mo per person)

Add clinicians ($59/mo per person)

Insurance claim filing (starting at $.25/claim) 35 claims included/mo

Wiley Treatment Planner Included

Telehealth Included

Wiley Practice Planners

Build effective, well documented treatment plans with Wiley PracticePlanners®. Access the treatment plans, progress notes, and homework assignments that are already seamlessly integrated into your EHR system. Wiley PracticePlanners® offer comprehensive treatment approaches that can be customized for individual needs.

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Therabill

$149 per month/per provider

+ $199 one-time setup cost

Your membership includes:

• Unlimited non-provider logins

• Unlimited email support

• Unlimited claims, scheduling, and documentation

• 2 GB of attachment storage

• Online training and onboarding

• No per-claim or clearinghouse costs

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My Clients Plus

Monthly Plan

$29/month per provider

• Unlimited clients

• Multi-user access to your account.

• Multiple office location support.

• Unlimited email reminders

• In-depth reports to keep track of revenue, number of sessions,
  type of session and other metrics important to your practice.

• Credit card processing.

• Generate invoices and superbills with ease.

• Client portal access included for first provider

• $5/monthly claim subscription

• • Includes 10 claims, additional claims are 25¢ each

Enrollments

• $5 per payer enrollment for annual plan subscribers

• $10 per payer enrollment for monthly plan subscribers

Add Ons

• Wiley Practice Planners: $25 per month, per provider

• Telehealth: $15 per month, per provider

• Appointment Reminders: Price Varies for SMS Text and Voice Reminders. Email Reminders Free.

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Annual Plan

$319/year per provider

• Unlimited clients

• Multi-user access to your account.

• Multiple office location support.

• Unlimited email reminders

• In-depth reports to keep track of revenue, number of sessions, type of session and other metrics important to your practice.

• Credit card processing.

• Generate invoices and superbills with ease.

• Client portal access included for first provider

Claims Processing: $5/monthly claim subscription, Includes 10 claims, additional claims are 25¢ each

Enrollments

• $5 per payer enrollment for annual plan subscribers

• $10 per payer enrollment for monthly plan subscribers

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TheraNest

Cost:

• 30 Active Clients: $39

• 40 Active Clients: $50

• 50 Active Clients: $60

• 80 Active Clients: $91

• 100+ Active Clients: 205-537-9167

Add Ons:

• Wiley: $25/ per user

• Client Portal: $6 per therapist

• Telehealth: $12 per therapist

Features:

• Unlimited staff members

• World class customer support, including live phone support

• Full-featured calendar that keeps you organized

• Automatic email, phone, and text appointment reminders*

• Client Portal with client self-scheduling

• Customizable Intake Forms

• Integrated credit card processing that allows you to store and charge cards

• Batch Payments feature for easy payment collection

• Robust reporting features with over 25 reports available

• Eligibility Checks for TheraNest Pro and TheraNest Enterprise (Apex Customers Only)

• Unlimited note templates with Custom Forms

• Seamless client and insurance billing

• Electronic claims filing*

• Integrated ERA/ EOB

• Comprehensive knowledge base with articles, videos, and on-demand training

• HIPAA compliant secure messaging

• Unlimited document storage for clients and staff members

• Customizable superbills and client statements

• Practice chat for secure internal communication

• iPhone and Android mobile apps available

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Kareo

• Comprehensive Dashboard: Enjoy intuitive dashboard, task lists, and customizable multi-resource calendar.

• Simple Charting: See how simple and fast it can be to create patient encounter notes.

• E-Prescribe: Save time and eliminate phone calls for you and your staff with electronic prescribing. 

• Convenient eLabs: Automate inefficient paper based processes

• Electronic Superbills: Complete and submit an accurate superbill in just a few clicks.

• Integrated Patient Portal: Share medical records and billing information and communicate with patients securely at any time.

• Secure Messaging: Conveniently message anyone in your practice, your biller or billing team, even your patients.

• Meaningful Use Stage 2 Certified: Meet the highest standards for maintaining data confidentiality and secure sharing of information.

• ICD-10 Ready: Trust Kareo to guide you and your practice through a successful ICD-10 transition.

• Maximize productivity:Support your staff's entire practice workflow including managing patients, uploading documents and sending secure messages.

• Flexible Calendar: Save time and customize your schedule so your front office can easily manage important patient communications.

• Agenda Overview: Get complete visibility at a glance by showing you outstanding items that need your attention for the day.

• Integrated Prescription Discounts:Search and compare prices at the point of prescribing. Increase likelihood of patients filling their prescriptions by providing them with discounts to save money.

• Flowsheets: Easily review and make necessary adjustments to individual lab and vital trends on one screen while getting a holistic view of your patient's key data over time.

Pricing

• Full Platform plus 50 claims/month: $174/month (each additional claim is only $0.99 cents)

• Full Platform plus Unlimited claims/month: $224/month

• Typical Promotional Offers: 50% off your first 4 months, plus Free Dedicated Success Coach for your first 90 Days

• No Startup Costs

• No Hidden Fees

• Free and Unlimited Live Support

• Free Training and Onboarding Assistance

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TheraPlatform

Basic $ 39

can not add additional providers

• Unlimited Clients

• Scheduling

• Documentation

• Billing

• Unlimited Telehealth

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Pro $ 49

$39 each additional provider

• Unlimited Clients

• Scheduling

• Documentation

• Billing

• Automated Billing

• Insurance Billing

• Unlimited Telehealth

• Telehealth Tools

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Pro Plus $ 59

$49 each additional provider

• Unlimited Clients

• Scheduling

• Documentation

• Billing

• Automated Billing

• Insurance Billing

• Unlimited Telehealth

• Telehealth Tools

• Interactive Therapy Apps

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Billing e-Guide

Each payor will require you to complete a W9, here is the link

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Mental Health Resources Map

Belongly link 

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Credentialing For Hire: 

PLEASE NOTE.... Hiring an outside company to do your credentialing is costly, time consuming and confuses the process. You are better off credentialing yourself so that you become familiar with the process and so that you can monitor progress on your own. Groups use Group NPI and Group EIN. Individuals use your personal NPI and Personal EIN.

Typically a credentialer will charge on average $100-200 per payer. They can also do your billing and charge on average 3%-8%

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Federal No Surprise Act: 

Through new rules aimed to protect consumers, excessive out-of-pocket costs are restricted, and emergency services must Continue to be covered without any prior authorization, and regardless of whether or not a provider or facility is in-network.

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Ohio LACTS/ OHMAS:

Welcome to the OhioMHAS Licensure and Certification Tracking System (LACTS) Application web portal. LACTS allows you to electronically submit an initial or renewal application for an Adult Care Facility, an Adult Foster Home, a Residential Care Facility, a Community Mental Health Agency, and a Private Psychiatric Hospital; and review your licensure and or certification status, add sites, services, attach files, and update your facility and staffing information.

The LACTS User Guide is available to provide detailed instructions for managing license or certification applications for submission to Ohio Department of Mental Health and Addiction Services.

Liability Insurance Providers:

You should have one that covers the space you are working in and the one for liability. Liability may cover you or your practice. You should always carry your own liability insurance.

• Hiscox 

• biBerk

• Simply Business Proliability

• CPH Associates

• HSPO

• CHUBB

• The Hartford

• Pearl Insurance

• Liberty Mutual Insurance Nexus Insurance Medpro

• Nexus

• Medpro

• Amtrust Financial

• AIG

• Insureon

• Progressive

• NASW Assurance

• CPH & Associates

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OH Licensing Boards:

• LPC (Licensed Professional Counselor)

• MFT (Marriage & Family Therapist)

• LSW/ MSW (Social Work)

• LCDC (Chemical Dependency) 

• Psychology 

• Psychiatry

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Find your own insurance Self Employed Medical:

• PikHealthInsurance

License Reciprocity:

Counseling Compact (Also contact your board)

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SAMHSA State Certification:

The Substance Abuse and Mental Health Services Administration (SAMHSA) is the agency within the U.S. Department of Health and Human Services that leads public health efforts to advance the behavioral health of the nation.

ASAM Navigator

Practitioner Training

ASAM Levels of Care

Recovery Map: How it works

• Inpatient Detox (3-10 days depending on acuity)

• Inpatient (28 days)

• Partial Hospitalization: PHP (2 weeks, individuals get to go home in the evenings but attend 6 days a week, 3 hours a day)

• Intensive Outpatient: IOP (6 weeks, attend 3 days a week, 3 hours a day)

• Sober Living (average length of stay is 6 months, continued programming)

• Outpatient Treatment: Independent Counseling (Varies)

What you need to get started:

Information you will need on a continuous bases are below. You should have this information saved in a folder on your desktop. Also, do yourself a favor and start a spreadsheet of all the numbers you'll need to have access to in the moment.

• Licence(s): License numbers and copies

• EIN Number (Tax ID)

• NPI #'s: NPPES

• CEU's (Ongoing tracking for your continuing education): CE Broker

• Psychology Today, we also have a list of clinicians here for referral BHealthy Contacts (you will want to set up profiles as soon as you can. Most have a cost associated with it, BHealthy is free with membership. You will also want to set up your profile with each of the payors you get credentialed with and set up a profile in the EHR You will use.

• Resume: FYI You must show what you were doing during gaps of employment in your CAQH File.

• Secretary of State Articles of Incorporation (where you register your business name and thats by state)

• CAQH: Register and have access to your ID and Password (credentials will want it if you hire out). CAQH Link.

• W9

• Insurances Policy Information: Policy number, dates of coverage, coverage limits (Links above)

• Application to become a Medicaid Provider OH 

• Medicaid Number:  PECOS (Medicare provider Enrollment)

• Address/ Phone/ Fax  (note you must have a fax to take medicaid. You can find several sources for efax & Esign sites online)

• Web Address: We used WIX and GoDaddy

• EHR: (Bhealthy uses TherapyNotes)The place where you will submit notes, billing and create superbills. See the list below. While you are in waiting for your own credentialing, we recommend Headway, a quick and easy way to start taking private insurance clients without the months of waiting, and they pay well enough. 

• Fee Sheet: You'll need to have a good understanding of what you want to charge and that will need to be posted in your office and your website. When you are negotiating fees with the payors, have these numbers ready. Average is $170/hr. until you have an established practice. You can renegotiate that annually with each payor. Link to Ohio medicaid fee sheet is a good place to start. Medicaid Fees will vary by state so make sure you know your own. You can choose a higher number, this is simply for illustration.

• Business Bank Account: You'll a front and back copy of a voided check

• Drivers License Copy

Payers (Insurance Companies):

Apply to each of the payors here once you have all your affairs in order

​For Medicaid by state click this link

• Anthem

• Aetna

• Buckeye (Ohio)

• Caresource (Ohio)

• Cigna

• Humana

• ​Medicaid (Ohio) 

• Medical Mutual

• Molina (Ohio)

• Ohio Health (Ohio)

• Oxford

• Oscar

• United healthcare

Register with the Exchanges: 

They actually process billing claims for some of the insurance companies​

• Availity: portal for eligibility/benefits, submit claims, authorizations (depends on the payor what you have access to)

• ​Availity Clearinghouse Provider Portal

  • Availity Identity Verification Form​