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TherapyNotes billing services

TherapyNotes billing services from Remitwright put a dedicated biller inside your TherapyNotes account on the Practice Biller role, which TherapyNotes gives full access to billing without access to clinical notes.

See where claims are getting stuck. No patient data needed.

The biller creates and tracks claims through the Claim.MD clearinghouse connection, completes the per-payer enrollments for claims and ERA, posts remittances through the ERA Payment Poster, works the Insurance Aging Report and watches authorizations before the sessions run out, for solo clinicians and group practices alike. See the full list of billing software we work in, by type.

Independent: Remitwright is not affiliated with or endorsed by TherapyNotes. TherapyNotes is a trademark of its owner, named here to describe the system we work in.

Last reviewed by the Remitwright billing team. Editorial policy

  • EHR and practice management

Every day

What your biller does in TherapyNotes every day

  • Turn each completed session into a claim once the note is signed, checking the service code, the place of service and the telehealth modifier the payer expects before it goes to Claim.MD
  • Watch the Clearinghouse Services section on each payer's Info tab for the yellow caution sign: a payer that still needs claims or ERA enrollment is enrolled with the tax ID and NPI matched exactly to what the payer holds, and claims wait until the payer acknowledges it
  • Work the ERAs waiting under Billing, ERA or To-Do, Process ERAs, through the ERA Payment Poster, accepting the suggested copay, coinsurance and deductible amounts where they are right and correcting them where they are not
  • Resolve every No Match Found line by setting the client or the date of service it belongs to, and record why the mismatch happened so registration is fixed at the source
  • Read each claim-level adjustment alert, decide whether it applies to the service or belongs in Payment Adjustments, and work any denial behind it to its cause inside the appeal window
  • Update secondary coverage when the ERA shows the primary has paid, and send the secondary claim with the primary's payment data attached
  • Run the Prior Authorization Report by payer, expiration date and uses remaining, and ask for renewals while visits remain, before the authorization runs out
  • Read the Insurance Aging Report by clinician and by primary or secondary sequence and turn it into the one-page weekly report your owners receive

Access

Access and security

Your data, your systems

Patient data stays in your systems. Your biller works inside your own software, clearinghouse and payer portals and never exports, downloads or stores claim files, remittances or patient lists on Remitwright devices or systems.

  • BAA signed before any access
  • A user you create and can remove
  • MFA on every login that supports it
  • No claim files or patient lists exported
How access works

In TherapyNotes

  • Your Practice Administrator creates the user and assigns the Practice Biller role. TherapyNotes describes that role as full access to billing, able to generate and track claims, enter payments and run billing reports for all clients, without seeing clinical notes, and that is the whole of what the biller holds
  • We do not take the Practice Administrator or Clinical Administrator roles. Account settings, user creation, role changes and clinical access stay with you
  • The BAA is signed before the user is created, the login uses multi-factor authentication where the account provides it, and you can remove the role or the user at any time
  • Claims leave through the Claim.MD connection TherapyNotes already uses and remittances return the same way; claim files, remittances and client lists are not exported into systems of our own

Where the biller steps in

What TherapyNotes does not do, and the biller does

  • The ERA Payment Poster applies a suggested patient or insurance amount only when it can calculate one without ambiguity, and leaves conflicting suggestions for a person. It does not know your sliding scale, your out-of-network collection policy or a plan's habit of paying the wrong rate, so the biller reviews each line before it posts

  • A yellow caution sign tells you a payer needs enrollment; it does not fill in the form or chase the payer when approval stalls. The biller does both and keeps a log of where each enrollment stands

  • Underpayments are invisible until the allowed amount on the remittance is compared with the contracted rate for that code; the biller loads those rates and runs the comparison

  • Appeals with records attached, single-case agreements and payer portal reconsiderations are done outside TherapyNotes and documented on the claim afterwards

  • Group practices need the Insurance Aging and Revenue reports filtered by clinician to be useful; we agree those views with the owners before the first weekly report

Questions

Questions about billing in TherapyNotes

Which TherapyNotes role does the biller use?

Practice Biller. TherapyNotes defines it as full access to billing: generating and tracking claims, entering payments and running billing reports, across all clients, without access to clinical notes. The narrower Biller for Assigned Patients Only role cannot submit claims to insurance or run practice-wide billing reports, so it does not fit the work.

Which clearinghouse does TherapyNotes use?

Claim.MD. After the cyberattack on Change Healthcare shut its clearinghouse services down on February 21, 2024, TherapyNotes moved its claims and ERA features to Claim.MD and switched its payer list to Claim.MD payers and payer IDs. The biller works inside that connection, and TherapyNotes asks practices to take enrollment questions to its own support team rather than to Claim.MD.

Do we have to enroll with every payer again?

Only where the payer requires it, and the account shows you which ones. The Payers Supported by Clearinghouse list marks each payer for claims, ERA and real-time eligibility, with a white checkmark where enrollment is required, and each payer's Info tab shows a yellow caution sign until enrollment is complete. The biller works through those payers and records the dates.

Can you post out-of-network ERAs?

Yes. When a primary out-of-network claim was set for the client to collect from the insurer but the payer paid the practice, TherapyNotes switches the assignment to Practice Collects from Insurance as the ERA posts, applies the payment and turns any earlier client payment the insurer now covers into an unassigned credit. The biller reviews those changes before the statement cycle so clients are not billed twice.

What happens when a client's secondary insurance changes after the primary paid?

TherapyNotes lets the secondary policy be added, changed or removed after the primary payment posts, as long as no secondary payment has been posted, and recalculates client and insurance responsibility. The biller makes the change, confirms the balances, and sends the secondary claim.

Which reports do you use for the weekly page?

The Insurance Aging Report for what payers owe, filtered by clinician and by primary or secondary claims, the Revenue Report for what came in, the Insurance Adjustment and Write-Off reports for what was given up and the reason recorded, and the Prior Authorization Report for what is about to run out. Each number on the weekly page is defined once, in writing.

Next step

See where claims are getting stuck. No patient data needed.

Three quick questions. No patient data. A billing specialist reads every request and replies in writing, with notes on how the work would run inside TherapyNotes.

  • Three questions, about two minutes
  • No patient data, no software to buy
  • A written reply from a biller, not a sales deck

What happens next

  1. You answer three questions

  2. A billing specialist reads them

  3. A written reply by email

Prefer email? sales@remitwright.com

Get a billing review

See where claims are getting stuck. No patient data needed.

Step 2 of 3

What do you bill for?

A little about your volume
How many providers? (Medical practice)

Trips per month? (NEMT)

Active clients? (Home care / home health)

Orders per month? (DME)

How many clinicians? (Behavioral health / therapy)

Claims per month, roughly? (Something else)

What's the biggest problem right now?

Where should we send the review?

Add details (optional)

We work inside your system; this tells us which login to ask for.

Please don't include patient information in this form.

  • No patient data requested
  • No obligation
  • Reply in writing
Get a billing review
Billing review

Get a billing review

See where claims are getting stuck. No patient data needed.

Step 1 of 3

What do you bill for?

A little about your volume
How many providers? (Medical practice)

Trips per month? (NEMT)

Active clients? (Home care / home health)

Orders per month? (DME)

How many clinicians? (Behavioral health / therapy)

Claims per month, roughly? (Something else)

What's the biggest problem right now?

Where should we send the review?

Add details (optional)

We work inside your system; this tells us which login to ask for.

Please don't include patient information in this form.

  • No patient data requested
  • No obligation
  • Reply in writing

BAA signed before any access, a user you create, MFA on. Patient data stays in your systems. How access works