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.
- 99%
- Clean claim rate target
- 98%
- Client retention goal
- 34%
- AR reduction target
- 22%
- Collections lift goal
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
Schedule a free audit of your billing — a clear look at your current numbers. No pressure, no obligation, and you'll leave with a clear read on where your revenue is going.
Free · No obligation
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.
Every one of these leaks is measurable — and fixable. A free audit shows which ones are costing your practice.
Schedule a Free Billing AuditServices
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
The full path from scheduled session to deposited payment, worked daily by a named team — not a ticket queue.
Insurance Verification
Eligibility checked before the first session, so coverage surprises never reach the patient.
Benefits Verification
Written benefit summaries with copay, deductible, and visit limits — patient responsibility known from day one.
Prior Authorization
Authorizations requested, tracked, and renewed before units run out, so sessions never become unbillable.
Claims Submission
Clean claims out within days of the session, on a fixed weekly cadence you can plan cash flow around.
Claims Scrubbing
Every claim checked against payer-specific behavioral health edits before it leaves, not after it bounces.
Payment Posting
Remittances posted line-by-line and reconciled against contracted rates, so underpayments surface immediately.
Denial Prevention
Denials categorized and traced to root cause — recurring causes become workflow fixes, not repeated rework.
Appeals Management
Every appealable denial pursued with tracked deadlines, including timely-filing appeals with proof of submission.
Accounts Receivable
Daily aged-AR worklists sorted by dollar value and filing deadline, so old claims never quietly expire.
Collections Optimization
Patient balances handled with clear statements and respectful follow-up that protects the therapeutic relationship.
Credentialing & Enrollment
Providers enrolled before their start date, calendars managed forever after — no revenue lost to paperwork.
Credentialing
Initial applications prepared and followed through with each payer until the effective date is confirmed.
Payer Contracting
Contracted rates reviewed against benchmarks, with renegotiation requests backed by your utilization data.
Provider Enrollment
Group and individual enrollment across commercial, Medicaid, and Medicare — including PECOS.
Roster Maintenance
Payer rosters kept current as providers join, leave, or change locations, so claims never reject on demographics.
Re-credentialing Calendars
Every re-credentialing and attestation deadline tracked years out, with reminders long before lapse risk.
CAQH Management
Profiles kept complete and attested on schedule, the quiet detail that keeps every payer file active.
Analytics & Compliance
You see exactly what your practice earned and why — and every claim is handled inside HIPAA-compliant process.
Compliance Monitoring
Signed BAAs, role-based access, audit logging, and annual training — verified process, not a promise.
Revenue Analytics
Collections, denial trends, and payer performance analyzed monthly, with written commentary you can act on.
Financial Reporting
A written monthly review covering collections, AR aging, and provider-level productivity — not just a PDF of charges.
Custom KPI Dashboards
A live dashboard showing clean claim rate, AR days, and collections by payer and provider, always current.
Underpayment Recovery
Every remittance audited against your contracted rates; variances appealed and recovered.
Documentation Audits
Chart documentation reviewed against billing, catching compliance gaps before a payer audit does.
Practice Advisory
Two decades of behavioral health operations behind practical advice on growth, transitions, and systems.
Practice Consulting
Straight answers on payer mix, fee schedules, and staffing models from people who have run these practices.
Revenue Optimization
A structured review of where your revenue leaks — denials, underpayments, unbilled services — with a fix plan.
New Practice Setup
Entity guidance, credentialing, fee schedule design, EHR configuration, and billing workflow built from scratch.
Practice Expansion Support
New providers, services, or locations enrolled and billing-ready before opening day.
Multi-Location Billing
Consolidated oversight with location-level KPIs and standardized workflows across every site.
Transition Management
A written, dated handoff plan that overlaps with your current biller so you never lose a collection day.
EHR Optimization
Your existing system configured for clean billing — templates, codes, and workflows tuned to behavioral health.
Workflow Audits
Front-desk-to-deposit process reviewed end to end, with the bottlenecks named and a plan to clear them.
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
$139,968
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 |
|---|---|---|---|
| Psychiatry Group A | Psychiatry | $214,800 | 99.4% |
| ABA Practice B | ABA | $186,300 | 98.9% |
| Counseling Practice C | Counseling | $121,450 | 99.7% |
| Psychology Practice D | Psychology | $104,920 | 99.1% |
Illustrative dashboard. Figures shown are representative, not client data.
This is the visibility every Lumiere client gets. Want a dashboard like this for your practice?
Schedule a Free Billing AuditClient 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.
“I went through three billing companies before finding Lumiere Billing and they handled my account with the diligence and attention to detail that others promised but couldn't deliver. My revenue increased and so did my patient caseload because I was finally able to focus on being a provider instead of chasing down missing payments and trying to smooth over issues with patients who were over billed.”
“The biggest thing for me is peace of mind. I know our billing is being watched closely and that someone is following up when something doesn't look right.”
“One of the biggest improvements for us has been consistency. Claims are being worked, issues are being followed up on, and we're not constantly wondering what happened with something.”
“I trust Lumiere Billing. They are ethical, helpful, and transparent. I would highly recommend to anyone.”
Join the practices that stopped wondering where their revenue went.
Schedule a Free Billing AuditWhy 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 |
Not sure how your current billing company measures up? A free audit puts the numbers side by side.
Schedule a Free Billing Audit
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.
Start Here
Find out what your billing is really costing you.
Tell us a little about your practice. A billing strategist replies within one business day with next steps for your free audit — no pressure, no obligation.
Schedule a Free Billing Audit
What happens next
- 01
A person reads it today
A strategist reads it personally — reply within one business day.
- 02
We reach out your way
By phone or email, whichever you left. Mon–Fri 8am–6pm CT.
- 03
Your audit is scheduled
We review your payer mix and show where revenue is leaking.
Direct lines
- (754) 300-9906Mon–Fri, 8am–6pm CT
- hello@lumierebilling.comGeneral enquiries and audit requests
- United StatesRemote-first, serving practices nationwide
Please do not include protected health information in this form. We'll set up a secure channel before any PHI is exchanged.