PIMSY Launches Revenue Cycle Management Services Purpose-Built for Behavioral Health
Waynesville, NC – PIMSY is proud to announce the launch of its behavioral health Revenue Cycle Management (RCM) service. Unlike third-party billing add-ons, PIMSY’s RCM offering is built directly into the EHR, where the clinical data already lives. After processing over $2.1 billion in behavioral health claims for practices across the United States, the PIMSY team built the billing service their customers had been asking for.
Why PIMSY Built This
Mental health claims are denied at two to three times the rate of primary care claims. Thirty percent of mental health claims were denied in 2023, compared to 19% across other specialties.1 Sixty percent of behavioral health providers reported that their denial rates increased in 2024.2
Most billing companies retrofit primary care workflows for behavioral health. That mismatch is costly. Psychotherapy modifiers, group billing rules, state-specific Medicaid requirements, and payer-specific authorization workflows require people who actually know this space.
“We’re rolling out a billing service specifically for mental health to fix this: mental health providers are generally already underpaid, and it is getting increasingly difficult to run a growing practice,” said Nathan Boyd, CEO of PIMSY. “Combining software and industry expertise in mental health billing is an obvious way to support our customers. With our tools and expert staff, we can reduce denials and increase practice revenue, which is exactly what our providers need to focus on delivering more care.”
What Makes It Different
PIMSY’s RCM service generates claims directly from clinical notes. No re-keying, no copy-paste between systems, no integrations that quietly break your workflow.
Key capabilities include:
- Front-end claim scrubbing with a 98.1% first-pass acceptance rate, compared to the 85% industry average
- Real-time eligibility verification with batch checks for entire caseloads before sessions happen
- Proactive authorization alerts that flag expiring auths before the service is delivered
- 835 auto-posting that reconciles payments automatically, replacing hours of manual Medicaid reconciliation
The results show in the numbers. PIMSY’s behavioral health RCM delivers a 96% net collection rate, against an industry average of 79%. Days Sales Outstanding runs 26 days, compared to the 46-day average.
Pricing That Aligns Incentives
PIMSY charges a percentage of collections. The rate varies by practice size and payer mix.
That structure matters. When your vendor earns a flat monthly fee, performance is optional. When they earn what you earn, the incentive is the same: get your claims paid. PIMSY also offers a price match guarantee for practices that have received a quote from another behavioral health RCM vendor.
Built on Nearly Two Decades of Behavioral Health Experience
PIMSY has processed 11.5 million behavioral health claims. Nathan Boyd, PIMSY’s CEO, has spent over fifteen years building practice management technology for mental health providers and has worked as a mental health care provider himself. The billing team carries over a century of combined experience in mental health billing.
Practices interested in learning more can schedule a conversation with the PIMSY team to review their current billing performance and see what the numbers could look like with PIMSY managing it.
About PIMSY EHR
PIMSY is a comprehensive, ONC-certified practice management solution, actively supporting thousands of mental and behavioral health providers, impacting millions of patients nationwide. Recognized as a prominent leader in the EHR space, PIMSY is purpose-built for mental and behavioral health. The software has been effectively providing solutions since 2007. Leveraging extensive industry experience to consistently meet the changing requirements of mental and behavioral health services, PIMSY maintains a steadfast commitment to cost efficiency and an elevated user experience.
For additional information, please visit https://www.pimsyehr.com or visit our LinkedIn page.
Sources
1Mental Health Claim Denial Rates – NAMI and Industry Research (2023)
2Behavioral Health Billing Denial Rate Trends (2024) – MGMA/Industry Survey Data
