Applied Behavior Analysis
Authorization-heavy ABA billing with unit tracking, session reconciliation, and payer-specific rules.
Revenue Cycle Management for Behavioral Healthcare
Illuminate Your Revenue.
Comprehensive revenue cycle management built exclusively for behavioral healthcare providers.
We simplify billing, maximize collections, reduce denials, and become an extension of your team — so you can focus on changing lives.
- 0%
- Clean claim rate
- 0%
- Client retention
- 0%
- Average AR reduction
- 0%
- Average collections lift
Experienced with the platforms behavioral health runs on
CentralReachTherapyNotesKareoAdvancedMDathenahealthOffice AllyWaystarAvailityTrizettoChange HealthcareClaim.MDSimplePracticeValantDrChronoTheraNestTherapy BrandsCentralReachTherapyNotesKareoAdvancedMDathenahealthOffice AllyWaystarAvailityTrizettoChange HealthcareClaim.MDSimplePracticeValantDrChronoTheraNestTherapy Brands
Platform names are shown to indicate systems we are experienced with. No endorsement or partnership is implied.
Let's Illuminate
Your Revenue Cycle
A 30-minute conversation and a look at your current numbers. No pressure, no obligation — you'll leave with a clear read on where your revenue is going.
Who We Serve
Behavioral healthcare, and nothing else.
Specialization is not a marketing angle. Authorization rules, unit math, carve-outs, and documentation standards differ here — and generalist billers learn them on your money.
Behavioral Health
Full-spectrum behavioral health billing across outpatient, IOP, and PHP levels of care.
Mental Health Clinics
High-volume therapy billing with clean claim discipline and predictable weekly cash flow.
Psychology
Testing and assessment coding handled correctly the first time, including time-based units.
Psychiatry
E/M and psychotherapy add-on coding, telehealth modifiers, and complex payer contracts.
Medication Management
MD/DO/NP/PA billing with credentialing, supervision rules, and incident-to compliance.
Why Practices Lose Money
Revenue rarely disappears at once. It leaks.
Behavioral health billing fails in small, quiet ways — a lapsed authorization, a modifier, an appeal nobody owned. Here is where it happens, and what we do about each one.
Denied claims
Payer edits and missing modifiers slip through unreviewed batches.
Pre-submission scrubbing against payer-specific behavioral health rules.
Authorization failures
Units lapse mid-treatment and sessions become unbillable.
Authorization tracking with proactive renewal alerts before units run out.
Coding mistakes
Time-based therapy and E/M add-ons are coded inconsistently.
Certified review of code selection with clinician-facing documentation guidance.
Credentialing delays
Providers see clients before enrollment is effective; claims are lost.
Enrollment calendars started before hire dates, tracked to effective date.
Underpayments
Payers reimburse below contracted rates and nobody reconciles it.
Contract-rate variance auditing on every remittance, with recovery appeals.
Aging AR
Claims sit past timely filing while attention goes to new charges.
Daily AR worklists prioritized by dollar value and filing deadline.
Missed follow-up
Appeals expire because no one owns the second attempt.
Named account ownership with escalation paths and appeal deadlines.
Patient balances
Copays and deductibles go uncollected after the visit.
Front-end benefit clarity and respectful, automated patient billing.
Services
Everything between the session and the deposit.
A complete revenue cycle, owned end to end. You keep clinical focus; we keep the money moving.
Revenue Cycle Management
- Insurance Verification
- Benefits Verification
- Prior Authorization
- Claims Submission
- Claims Scrubbing
- Payment Posting
- Denial Prevention
- Appeals Management
- Accounts Receivable
- Collections Optimization
Credentialing & Enrollment
- Credentialing
- Payer Contracting
- Provider Enrollment
- Roster Maintenance
- Re-credentialing Calendars
- CAQH Management
Analytics & Compliance
- Compliance Monitoring
- Revenue Analytics
- Financial Reporting
- Custom KPI Dashboards
- Underpayment Recovery
- Documentation Audits
Practice Advisory
- Practice Consulting
- Revenue Optimization
- New Practice Setup
- Practice Expansion Support
- Multi-Location Billing
- Transition Management
- EHR Optimization
- Workflow Audits
How We Work
A deliberate sequence, not a handoff.
Every engagement follows the same disciplined path. You always know what stage you're in and what happens next.
- 01
Discover
We review your payer mix, contracts, EHR configuration, and current AR to understand where revenue is actually going.
- 02
Analyze
A written baseline: clean claim rate, denial categories, AR aging, underpayments, and credentialing gaps.
- 03
Implement
We build the workflow, connect systems, and take ownership of billing with a documented transition plan.
- 04
Optimize
Denials are fixed at the root cause, coding guidance goes back to clinicians, and fee schedules are enforced.
- 05
Monitor
Weekly cadence, monthly reporting, and a dashboard that shows exactly what your practice earned and why.
- 06
Grow
New providers, new locations, new payers — enrollment and billing scale with you rather than behind you.
Revenue Calculator
Estimate what your practice is leaving behind.
Adjust the inputs to your practice. The estimate below models the improvement typical of a disciplined revenue cycle — cleaner claims, faster AR, and enforced contract rates.
900
$120
12%
58 days
84%
Estimated Annual Opportunity
$0
Additional collections available annually at a 97% net collection ceiling, based on your current inputs.
- Annual billed volume
- $1,296,000
- Currently collected
- $1,088,640
- Denial-related recovery
- $40,824
- Days of AR removed
- 26 days
- One-time cash acceleration
- $92,318
Estimates are directional and for planning purposes only. Actual results depend on payer mix, contracts, documentation, and volume.
Reporting
You should never have to ask how the practice is doing.
Every client gets a live dashboard and a written monthly review. Collections, AR aging, denial categories, payer performance, and provider productivity — in plain language.
Practice Overview · Trailing 10 Months
Updated dailyNet Collections
$1.42M
+18.4% vs. prior period
Clean Claim Rate
99.1%
+6.2 pts vs. prior period
Days in AR
29
-24 days vs. prior period
Denial Rate
2.6%
-9.1 pts vs. prior period
Monthly Collections Trend
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
AR Aging
0–30 days71%
31–60 days18%
61–90 days7%
90+ days4%
Provider Performance
| Provider | Specialty | Collected YTD | Clean Claim |
|---|---|---|---|
| Dr. A. Reyes | Psychiatry | $214,800 | 99.4% |
| H. Cole, BCBA | ABA | $186,300 | 98.9% |
| M. Bell, LPC | Counseling | $121,450 | 99.7% |
| Dr. P. Raman | Psychology | $104,920 | 99.1% |
Illustrative dashboard. Figures shown are representative, not client data.
Client Experience
Trusted by the people who do the work.
Behavioral health leaders describe the same shift: fewer surprises, faster cash, and a partner who answers.
“Lumiere transformed our revenue cycle within the first three months. We finally have visibility into our business.”
“Our denial rate dropped from 14% to under 3%. The difference is not luck — it's process, and they own it.”
“They caught underpayments our previous biller never flagged. That alone paid for the engagement.”
“Credentialing used to take us months of chasing. Now it runs on a calendar and I simply get updates.”
Why Practices Stay
The difference is in what gets owned.
Most billing companies process claims. We manage a revenue cycle, and we report on it honestly.
| Capability | Typical Billing Company | Lumiere Billing |
|---|---|---|
| Behavioral health specialization | Generalist across all specialties | Exclusively behavioral healthcare |
| Response time | Ticket queues, multi-day replies | Same-business-day response |
| Account ownership | Rotating pooled staff | Named account manager and billing team |
| Reporting | Monthly PDF of charges and payments | Live KPI dashboard plus written monthly review |
| Denial handling | Rework after rejection | Root-cause prevention and tracked appeals |
| AR management | Focus on new claims only | Daily aged-AR worklists by value and deadline |
| Underpayments | Rarely reviewed | Contract-rate variance audits on every remittance |
| Credentialing | Separate vendor or your staff | Included and calendar-managed |
| Transparency | Limited system access | Full visibility into every claim we touch |
| Technology | Whatever you already use | EHR optimization and migration support included |
Technology Expertise
Extensive experience with EHR and PM implementation.
We have configured, optimized, and migrated the systems behavioral health practices depend on. That experience is included, not billed as a separate consulting project.
Seamless transitions
EHR and practice management migrations planned, tested, and executed with minimal downtime and no lost collection days.
System optimization
We tune templates, fee schedules, and claim rules inside your platform so the software finally works the way it was sold to you.
Automation with judgment
Eligibility checks, claim status, and worklist prioritization are automated. Coding and clinical judgment stay with credentialed people.
HIPAA-compliant by design
Signed BAAs, role-based access, encryption in transit and at rest, audit logging, and annual workforce training.