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Behavioral Health RCM

Stop Chasing Payments. Start Collecting Them.

Authorization denials. Payer rule changes. State Medicaid complexity.

Behavioral health practices face denial rates 2x higher than primary care. PIMSY Billing exists to fix that.

We’ve processed $2.1B+ in behavioral health claims, and our clients see 50% fewer denials, 26-day DSO, and a 96% net collection rate. Let us show you what you’re leaving on the table.

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Everything to manage your practice,
in one flexible solution.

From small practices to complex, multi-location agencies operating statewide programs, PIMSY can scale up with you and your clinical programs. We specialize in serving mental health programs with complex clinical service offerings, documentation requirements, and state reporting.

96%

Net Collection Rate with PIMSY billing, compared to the industry average 79%

26 days

Days in A/R (DSO) with PIMSY billing, compared to the industry average of 46 days

98.1%

First-Pass Acceptance rate (FPAR) with PIMSY billing, compared to the undsutry average of 85%

99.2%

Claim Acceptance Rate with PIMSY, compared to the industry average of 92%

Automated and simplified.

From Clinical Note to Clean Claim—Without the Chaos

Your billing team shouldn’t spend 20 hours a week posting payments manually. They shouldn’t re-enter data that already exists in your clinical notes. And they definitely shouldn’t be guessing why claims keep getting denied.

PIMSY connects your clinical documentation directly to your billing workflow. When a clinician completes a note, the charges flow automatically. When you submit a claim, our front-end scrubbing catches errors before they become denials. When payments arrive, 835 auto-posting reconciles everything in minutes.

This isn’t billing software bolted onto an EHR. It’s billing that was built inside the EHR, designed specifically for how behavioral health practices actually work.

We Only Win When You Win

PIMSY Billing is priced as a percentage of collections. That means if you don’t get paid, we don’t get paid. Our incentives are 100% aligned with yours.

Price Match Guarantee: If you have a competitive quote from another behavioral health billing service, we’ll match or beat it.

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Explore Our EHR Billing & RCM Features

From Clinical Note to Clean Claim—Without the Chaos

icon HIPAA Compliance

Real-Time Electronic Eligibility

Verify insurance coverage instantly with real-time eligibility checks. Catch coverage gaps, confirm benefits, and prevent claim rejections before your clinicians ever see the client. Batch verification lets you check your entire caseload in minutes.

Efficiency

Multiple Billing Formats

Generate clear, professional invoices that clients actually understand. Send statements via email directly from the platform, set up recurring billing, and give clients access to their balance through the Patient Portal. Less confusion means faster payment.

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Client Invoicing

Automate invoices for transparent, easy-to-understand statements that clients can access online through their Patient Portal anytime.

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Payment Processing

Accept payments however your clients want to pay—credit card, ACH, or in-person. All payments are instantly recorded and reconciled, eliminating manual tracking. Securely store cards on file for seamless recurring charges.

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Claims Tracking

Monitor every claim from submission to payment in one dashboard. Color-coded status indicators show you exactly where each claim stands. When something needs attention, you’ll know immediately—not 30 days later.

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Utilization Management

Stay ahead of authorizations with proactive alerts for expiring, incomplete, or missing utilization reviews. Create utilization plans directly from the treatment episode. Never lose revenue to an authorization you forgot to renew.

icon Telehealth Integration

Clearinghouse Integration

Seamlessly connect with major clearinghouses to submit claims, receive ERAs, and track rejections—all without leaving PIMSY. Our integration eliminates duplicate data entry and reduces the risk of manual errors.

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Superbill Generation

Generate detailed superbills automatically from completed sessions. Clients who need to submit for out-of-network reimbursement get professional documentation instantly. One click, done.

AI Note LP

Card on File

Securely store client payment methods for faster collections and reduced friction. Process co-pays at time of service, set up payment plans, or charge for no-shows—all while maintaining PCI compliance.

AI Note LP

Automations

Let PIMSY handle the repetitive work. Automated claim creation pulls directly from your Attendance Calendar. 835 auto-posting reconciles payments without manual entry. Scheduled eligibility checks run in the background. Your team focuses on exceptions, not data entry.

See What’s Slipping Through the Cracks

Most practices don’t realize how much revenue they’re losing to preventable denials, slow posting, and manual errors—until they look at the numbers. Let’s review your current billing workflow and show you exactly where PIMSY can help.

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Finally See Where Your Revenue Goes

Most practices are flying blind. They know collections are down but can’t pinpoint why. Is it denials? Slow payers? Authorization gaps? Self-pay drop-off?

PIMSY’s reporting answers those questions in seconds.

  • A/R Aging: See exactly how long claims have been outstanding, by payer
  • Denial Analysis: Identify which denial codes are costing you the most
  • Clinician Productivity: Track revenue per clinician, per session type
  • Payer Performance: Compare collection rates across your payer mix
  • Period Snapshots: Measure month-over-month, quarter-over-quarter trends

Stop guessing. Start seeing. Export to Excel when you need deeper analysis, or let PIMSY’s dashboards tell the story at a glance.

Benefits of PIMSY’s Billing-Friendly EHR

Why Behavioral Health Practices Choose PIMSY for Billing

Cut Posting Time by 95%

One PIMSY customer reduced their weekly Medicaid payment posting from 20 hours to just 1 hour. When billing data flows directly from clinical documentation, your team stops re-entering information and starts focusing on exceptions that actually need attention.

Get Paid Faster with Cleaner Claims

Front-end claim scrubbing catches errors before submission. Batch eligibility verification prevents coverage surprises. The result? Faster reimbursement, fewer rejections, and less time spent on appeals and corrections.

Up to 50% Fewer Denials

Cornerstone Behavioral Health cut their denial rate in half over nine years with PIMSY. Mind to Mindful saw a 73% reduction in just two years. When your claims are accurate the first time, revenue stops leaking.

Don’t just take our word for it

Hear from billing teams who made the switch to PIMSY.

“Our weekly Medicaid check typically has 400–500 line-item payments. It used to take us 20 hours per week to post and reconcile. PIMSY has taken that down to about one hour.”

– Phoenicia K.

“The PIMSY Portal reduces approximately 35% of the back-and-forth communications regarding scheduling and notes. It empowers users to manage their schedules, notes, and client charts in one easy location.”

– Joshua W.

Frequently Asked Questions

How is PIMSY Billing different from a generic medical billing service?

Most billing services were built for primary care and retrofitted for behavioral health. They don’t understand authorization-based therapy, group billing complexity, or state Medicaid rules like MaineCare. PIMSY was built exclusively for behavioral health—it’s all we do. That specialization shows up in our 96% net collection rate and 50%+ denial reduction for clients.

What if we already have an internal billing team?

PIMSY works both ways. If you want to keep billing in-house, PIMSY EHR gives your team the tools to bill more efficiently—automated claims, 835 posting, eligibility verification, and reporting. If you want to outsource, PIMSY Billing handles everything from coding to collections. Many practices start with one and transition to the other as they grow.

How long does implementation take?

Most practices are fully operational within 30 days. We handle configuration, data migration (including existing A/R), payer enrollment, and staff training. You’ll have a dedicated implementation specialist who knows behavioral health—not a generic onboarding queue.

What happens to our existing accounts receivable?

We take it over. PIMSY Billing inherits your outstanding claims and works them alongside new submissions. You don’t have to run parallel systems or manage a handoff—we handle the transition.

What does PIMSY Billing cost?

We charge a percentage of collections—typically in the 5-8% range depending on practice size, payer mix, and services needed. Because we only get paid when you get paid, our incentives are completely aligned. If you have a competitive quote from another behavioral health billing service, we’ll match or beat it.

Does PIMSY work with our current clearinghouse?

In most cases, yes. We integrate with major clearinghouses and can work with your existing relationships. If a switch makes sense, we’ll help you transition. Either way, you won’t lose continuity.

What kind of support do we get?

PIMSY Platinum customers get 24/7 support. All customers get a dedicated account manager, not a ticket queue. We also provide ongoing training, billing optimization reviews, and proactive alerts when we spot issues in your revenue cycle.

Stop Leaving Revenue on the Table

Every month you wait, claims are getting denied that shouldn’t be. Payments are sitting in payer queues longer than they need to. Your billing team is spending hours on work that should take minutes.

PIMSY Billing fixes that—not with promises, but with a 96% net collection rate and 11.5 million claims of behavioral health expertise behind every submission.

Let’s start with a 15-minute Revenue Analysis. We’ll show you exactly what you’re losing and exactly how PIMSY can help. No obligation. No pressure. Just clarity.

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