―eClinicalWorks Billing Partner
eClinicalWorks (eCW) Billing & RCM Services for Behavioral Health Practices
We work inside your eClinicalWorks system as an extension of your team, not a replacement for it. Purpose-built behavioral health billing expertise, applied directly to the platform you already run on.
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years BH RCM
The eClinicalWorks + BehavioralProz Advantage
Your practice is already invested in eClinicalWorks. We make sure that investment pays off in fewer denials, faster reimbursement, and less staff time spent chasing claims. Our team works inside your eCW instance daily, no separate portal, no duplicate data entry, no learning curve for your staff.
01
RCM Dashboard Fluency
We monitor your RCM Dashboard and Provider Analytics daily, not monthly. Denials and AR trends get flagged before they become a backlog.
02
Claim Scrubbing
eCW's claim scrubbing bots catch generic errors. We configure the rules behind them for time-based psychotherapy codes, H-codes, and carve-out payer requirements.
03
Authorization Tracking
We manage Service Authorization Requests via eCW Provider Solutions, tracking session limits and expiration dates to prevent care interruptions
Services Designed Specifically for eClinicalWorks Users
Your practice is already invested in eClinicalWorks. We make sure that investment pays off in fewer denials, faster reimbursement, and less staff time spent chasing claims. Our team works inside your eCW instance daily, no separate portal, no duplicate data entry, no learning curve for your staff.
Claim Scrubbing Rule Configuration
We build and maintain behavioral health-specific edit rules inside your claim scrubbing bots covering time-based CPT codes, H-codes, and payer-specific requirements before claims leave your system.
Electronic Remittance Advice (ERA) Reconciliation
We manage ERA auto-posting and reconcile it against expected reimbursement, flagging underpayments your front office wouldn't otherwise catch.
Service Authorization & Documentation Tracking
We track authorization requests submitted against session counts and treatment plan periods, so billing stays aligned with what's documented in the chart.
Visit-Type Charge Accuracy
We audit your visit-type charge configurations so front-desk staff collect the correct rate at the time of service for intakes, individual sessions, and group visits alike.
Denial Management & AR Follow-Up
We work denials surfaced in your RCM Dashboard to resolution, appeals, resubmissions, and payer follow-up instead of leaving them in a queue.
Telehealth Billing
We bill TeleVisits and group sessions correctly, including behavioral health group visit codes and applicable telehealth modifiers.
Out-of-the-Box eCW vs. BehavioralProz-Configured eCW
| Out-of-the-Box eCW | ✓ BehavioralProz-Configured |
|---|---|
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Generic claim scrubbing rules
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Behavioral health-specific edit rules, built and maintained
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Manual authorization tracking
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Session limits and expirations tracked against Provider Solutions
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Denials sit in the dashboard queue
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Denials worked daily to resolution and resubmission
|
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Inconsistent multi-site charge capture
|
Standardized coding and charge configuration across sites
|
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ERA posting reviewed monthly
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ERA auto-posting reconciled daily against expected reimbursement
|
Common eClinicalWorks Billing Challenges We Solve
PT, OT, SLP, and IRF BehavioralProz manages the complete rehab revenue cycle across every clinical setting and every payer, with coding compliance and denial prevention built into every workflow.
Generic Scrubbing Rules, Specialty-Specific Denials
Out-of-the-box claim scrubbing isn't built for 90837 time documentation or H-code billing. We rebuild the rule set around your specialty before claims go out.
Authorizations Tracked Manually, Missed Silently
Handling the request, but nothing in eCW automatically flags an authorization about to expire mid-treatment. We track it so care isn't interrupted.
Dashboards Show the Problem, Not the Fix
The RCM Dashboard surfaces denials and AR aging in real time, but someone still has to prioritize, appeal, and rework each claim. We do that work.
Multi-Site Billing Consistency
Practices running multiple locations or providers on one eCW instance often see inconsistent coding and charge capture across sites. We standardize it.
How We Work With Your eClinicalWorks System
Gap Analysis
We review your current eCW configuration, claim scrubbing, visit-type charges, and authorization workflows against behavioral health billing standards.
Rule Configuration
We rebuild or tighten the rules inside your system to match your specialty's CPT/HCPCS codes and payer mix.
Daily Claims Management
We work claims, denials, and authorizations inside your existing eCW instance — your staff keeps full visibility.
Ongoing Reporting
We review RCM Dashboard and Provider Analytics data with you on a set cadence, so you always know where revenue stands.
Your practice is already invested in eClinicalWorks. We make sure that investment pays off in fewer denials, faster reimbursement, and less staff time spent chasing claims. Our team works inside your eCW instance daily, no separate portal, no duplicate data entry, no learning curve for your staff.
Specialties We Support on eClinicalWorks
We bill for behavioral health practices across every setting and level of care:
ABA Therapy
H-code and Medicaid prior auth billing, tracked against session limits.
Substance Use Disorder (SUD)
HCPCS billing with 42 CFR Part 2-aware documentation handling.
Outpatient Mental Health
Time-based CPT code billing (90832, 90834, 90837) and documentation matching.
Psychiatric & Prescriber Services
E&M and psychotherapy add-on code billing for MDs and NPs.
PHP/IOP Programs
Per diem and per-service billing aligned to level-of-care changes.
Group Practices
Multi-provider, multi-site billing consistency across one eCW instance.
Telehealth Behavioral Health
TeleVisits and Meet billing with correct modifiers by state.
Child & Adolescent Behavioral Health
Family and individual session billing, including 90847.
FAQ's
Yes. We work inside your existing eCW instance; we don’t require you to move to a separate billing platform or portal. This means no duplicate data entry and full visibility for your staff.
Yes. eCW’s claim scrubbing bots ship with general edit rules; we build behavioral health-specific rules on top, covering time-based psychotherapy codes, H-codes, and payer carve-out requirements.
BehavioralProz is not an eClinicalWorks reseller or certified partner. Our team has hands-on daily experience billing inside eCW for behavioral health practices specifically.
No. You retain full access to your eCW instance and dashboards at all times. We work as an extension of your team, not a replacement for your oversight.
Stop losing revenue inside a system you already own.
We start with a no-cost audit and billing configuration review with no commitment required to see where you stand.