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SimplePractice Billing Services for Behavioral Health and Therapy Practices
With SimplePractice billing services from MedXpert Services, practices can manage claims, payer follow-up, ERA and payment posting, denial resolution, and A/R while reducing administrative workload.
MedXpert Services provides SimplePractice billing services for therapists, behavioral health providers, psychologists, psychiatrists, and growing practices. Our team includes AAPC-certified coders (CPC) and billers (CPB) who help keep claims accurate, payments organized, and A/R moving toward payment.
Talk to a SimplePractice Billing Specialist
Outsourced Medical Billing for SimplePractice
Managing billing in SimplePractice can take valuable time away from client care. MedXpert Services simplifies the process with outsourced medical billing, including claim submission, payer follow-ups, payment posting, denial management, and A/R recovery.
Our experienced billing team helps solo therapists, independent providers, and group practices reduce administrative workloads, resolve billing issues, and improve revenue cycle efficiency.
Whether you need complete billing management or support with specific tasks, MedXpert Services offers flexible solutions that integrate with your existing SimplePractice workflow.
Using a different EHR as well? We also work inside athenahealth, AdvancedMD, Tebra, and NextGen. See all of our EHR billing solutions.
What Our SimplePractice Billing Services Include
From eligibility checks to payment posting, our team keeps each stage of the revenue cycle organized and moving toward payment.
Patient Eligibility and Insurance Verification
We verify patient coverage, benefits, and payer requirements before claims are submitted, helping identify potential billing issues early. Accurate eligibility checks can reduce avoidable denials and unexpected patient balances.
Charge Entry and Medical Coding
Our team supports accurate charge entry using CPT, HCPCS, and ICD-10-CM codes while reviewing documentation for potential errors. Proper coding and charge capture help ensure claims accurately reflect the services provided.
SimplePractice Electronic Claims Processing
We prepare and submit electronic claims while reviewing submissions for incorrect information that could lead to rejection. Our team also monitors claim status and addresses rejected claims to help keep reimbursement moving.
SimplePractice Clearinghouse and ERA Management
SimplePractice manages its own clearinghouse connection, so we work inside your account: resolving rejections, completing ERA enrollments, and reviewing ERAs (called Payment Reports in SimplePractice) for payer responses and payments.
SimplePractice Denial Management and A/R Follow-Up
Our denial management process identifies denial reasons, supports claim corrections and resubmissions, and follows up with payers on unresolved claims. We also monitor aging A/R, underpayments, and balances.
Payment Posting and Patient Balance Management
We accurately post insurance payments, adjustments, and ERA / EOB details to keep accounts current and balanced. Our team also reviews patient balances and billing discrepancies to support accurate statements and collections.
How It Works
How Our SimplePractice Billing Process Works
You keep using SimplePractice exactly as you do today. Our billers work inside your account, so there is no new software to learn and your client records never leave SimplePractice.
- No new software to learn
- Client records stay in SimplePractice
- Practice biller permissions only
01
Access granted
Give us access
Add our billers to your SimplePractice account as team members with practice biller permissions. Team member access depends on your SimplePractice plan.
02
Review complete
Billing review
We review your unbilled appointments, open claims, payer settings, and ERA (Payment Report) enrollments to find anything already holding up payment.
03
Claims in motion
Ongoing billing
We submit claims, post payments, work rejections and denials, and follow up with payers on unpaid claims.
04
Always in the loop
Status updates
You get regular updates on claim status, A/R, and any items that need information from your practice.
Managing Unbilled Appointments in SimplePractice
SimplePractice keeps an Unbilled appointments list of sessions that have not been turned into claims yet. Managing unbilled appointments in SimplePractice is a core part of our workflow: MedXpert Services reviews each one for missing charges, client and insurance details, documentation, or coding, and fixes what is holding it back.
We apply payer-specific rules for Medicare, Medicaid, and commercial plans, and can also handle New York No-Fault and Workers’ Compensation claims when your practice sees those patients. That way, no completed session stays unbilled because of missing or inaccurate information.
Insurance Claim Tracking for Therapists and Behavioral Health Providers
For therapists, insurance claim tracking means knowing where every session claim stands, not just which ones were denied. MedXpert Services follows each claim in SimplePractice from submission to payment and flags anything that stalls. A/R aging in 0–30, 31–60, 61–90, and 90+ day groups. Timely filing deadlines, which vary by payer (Medicare allows 12 months from the date of service). Underpayments compared with the rates you expect.
Claim Submission Status
We monitor submitted claims to confirm acceptance and identify claims that are returned or require correction. This helps prevent billing issues from delaying reimbursement.
Rejected vs. Denied Claims
Our team distinguishes rejected claims that need correction from denied claims requiring review, resubmission, or appeal. This helps ensure each claim receives the appropriate follow-up.
Payer Responses
We review payer responses and claim status updates to determine whether additional information or action is needed. Follow-up is prioritized based on claim status and payer requirements.
Outstanding Claims
We track unpaid and aging claims so they do not remain unresolved in the billing queue. Our team follows up with payers on claims that require additional attention.
ERA/Payment Status
We monitor electronic remittance advice (ERA), insurance payments, adjustments, and remaining balances. This supports accurate payment posting and helps identify unresolved reimbursement issues.
Follow-Up Documentation
We maintain records of payer contacts, claim status, responses, and follow-up actions. Clear documentation helps billing teams maintain continuity and determine the next step for unresolved claims.
Why Accurate Billing Matters in SimplePractice
Most therapy claims are denied for small, avoidable reasons rather than complex coding problems. Accurate billing in SimplePractice protects revenue for sessions you have already delivered and keeps A/R manageable.
- Session length and CPT code: psychotherapy codes are time-based (90832 for 16–37 minutes, 90834 for 38–52, 90837 for 53 or more), so a mismatch with the session note can lead to denials or audits.
- Telehealth details: payers differ on place of service (02 or 10) and modifiers such as 95, so one setting rarely fits every plan.
- Authorizations and visit limits: some plans require prior authorization or cap the number of covered sessions per year.
- Eligibility changes: clients switch plans during the year, so coverage needs rechecking before claims go out.
SimplePractice Billing FAQs
Can a third-party biller work inside my SimplePractice account?
Yes. SimplePractice lets you add team members with practice biller permissions, so our billers can file claims, post payments, and view Payment Reports without you sharing your own login. Team member access depends on your SimplePractice plan.
Do I need to switch from SimplePractice to outsource my billing?
No. We work inside your existing SimplePractice account, and your client records, calendar, and documentation stay where they are.
Do you handle ERA (Payment Report) enrollments?
Yes. We complete ERA enrollments with your payers through SimplePractice, so payments and adjustments come in as electronic remittance instead of paper EOBs.
Which providers do you bill for?
Licensed therapists and counselors (LPC, LMHC, LCSW, LMFT), psychologists, psychiatrists, and group behavioral health practices that use SimplePractice.
Can counselors and marriage and family therapists bill Medicare?
Yes. Since January 1, 2024, licensed marriage and family therapists and mental health counselors can enroll in Medicare and bill for their services. We handle the claims once your Medicare enrollment is active.
How much do SimplePractice billing services cost?
Pricing depends on your claim volume and which billing tasks you hand off. Contact us for a quote based on your practice.
Get Expert SimplePractice Billing Support
Take the billing workload off your team with SimplePractice billing services from MedXpert Services. Our billing team supports claims, denials, payment posting, A/R follow-up, and insurance workflows. You get dedicated billing support without adding more administrative work to your practice.
Tell us which SimplePractice billing tasks you want to hand off, and our team will walk you through how onboarding works. MedXpert Services is a third-party billing company for SimplePractice users and is not affiliated with or endorsed by SimplePractice.
