Billing & operations support for mental health providers.
A billing company built by a clinician, for clinicians. Let us handle the revenue cycle so that you can handle what you do best - the clinical care.
Most therapists become clinicians to help people — not to deal with claims, denials, and payer credentialing.
Perennial Practice Services is run by a Licensed Clinical Professional Counselor with 20 years of experience doing both: providing clinical care and running the business behind it.
Behavioral health billing is its own specialty, with a coding system and payer quirks that general medical billers can miss. Let us take the business side off your plate, so you can stay focused on providing care.
Check out how we can help.
Our servicesWe’ve got your back - and bottom line. Customizable services built to fit your practice and protect your revenue.
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01 - Full Cycle Billing
We’re here to manage every part of the billing and revenue cycle, including insurance billing and client collections:
Eligibility and benefit verification
Clean and timely claim submission
Troubleshooting rejected and denied claims
Accurate posting of payments to accounts
Ongoing review and follow up on insurance aging
Client billing, collections, and charge processing
Client statements and superbills
Communication with clients
Responsive communication and transparent progress reporting
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02 - Practice Start Up
Many aspiring practice owners get tripped up on the backend billing setup that keeps a practice functioning smoothly (and gets you paid!). Let us handle:
Set up insurance paneling including contracting and credentialing
Electronic Health Record (EHR) set up, including ERA and EFT enrollment
Setting up processes and procedures to keep your practice running
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03 - Billing Clean Up
Got a big problem on your hands? Let us step in and clean it up. We can:
Go after clawbacks and insurance denials
Untangle messy accounts
Advocate with insurance on your, and your clients’, behalf
Collect outstanding balances from clients
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04 - Ad Hoc Services
Things come up. We're here for as needed support with anything operations or billing related:
Credential new employees
Contract with new insurance panels and EAPs
Generate custom payroll reports
Why UsWe’ve been on both the clinical and operations side of mental health practices. Then we built a billing service around doing it better.
Clinical Background
We’ve sat in the therapist’s chair. Our founder is a therapist with 20 years in the field. We understand your work, your clients, and the unique pressures of running a practice.
Operations Experience
We’ve run practices, not just billed for them. From solo to a group practice, we've managed the full operational picture — hiring, workflows, and the many day to day business decisions that keep a practice running.
Behavioral Health Expertise
We are specialists, not generalists. Behavioral health billing has its own codes, payer rules, and pitfalls — from session-based coding to telehealth modifiers. This is the only kind of billing we do and we’ve gotten pretty good at it.
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15+
Years in Revenue Cycle Management
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$1 mil
Annual Revenue Managed
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20+
Clinicians Supported
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80k
Claims Processed
testimonials“Run don’t walk. Having Perennial Practice Services as a partner eliminates so much stress!
Sarah S., LCSW
The process
We make it simple and straightforward to get your billing services set up and straightened out.
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01/
Discovery Call
We start with a conversation about your practice - your challenges, your goals, and what support you need.
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02 /
Assessment & Onboarding
We take a full look at your systems and processes, uncover opportunities, and map out a clear plan tailored to your practice.
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03 /
Ongoing Management
We handle the day-to-day, backed by regular reporting and clear communication - so you always know where things stand.
Get in Touch
We're here when you're ready to hand off the billing and get back to what you do best.
