The Revenue Cycle Work
Behind Better Patient Care.

North Star Direct Management helps behavioral health providers manage the billing, claims, payer follow-up, credentialing, and revenue-cycle work that can pull attention away from patients.

From verifying benefits before care begins to following aging accounts receivable after a claim is submitted, NDM provides hands-on support built specifically around behavioral health practices.

Who We Serve

Built Around Behavioral Health Practices.

Independent Therapists & Counselors

For providers who need reliable revenue-cycle support without spending evenings handling billing themselves.

Psychiatrists

Support for practices managing behavioral health billing and the additional coding and reimbursement considerations that come with prescriber-involved care.

Small to Mid-Sized Group Practices

For growing practices that need stronger billing processes, better visibility, and support as additional providers come onboard.

Outpatient Behavioral Health Practices

Revenue-cycle support designed around the day-to-day realities of outpatient behavioral healthcare.

From the First Coverage Check to the Final Payment.

A revenue cycle is not one isolated billing task. Every stage affects the next — from verifying coverage and managing authorizations to submitting clean claims, addressing denials, posting payments, and following outstanding balances.

NDM helps keep those pieces connected so providers have a clearer picture of what’s happening with their revenue.

Front-End Revenue Cycle Support

Setting up the details that determine whether claims get paid — before the first session even happens.

Service

Verification of Benefits (VOB)

Know what each patient's plan covers before the first session — so there are no surprises on the back end.

What It Is

Verification of Benefits helps determine what a patient's insurance plan indicates about behavioral health coverage before services are provided.

Why It Matters

Behavioral health benefits can involve plan-specific coverage details, deductibles, copays, coinsurance, network status, and authorization requirements. Getting that information early can help reduce confusion later in the billing process.

What NDM Handles

NDM helps verify available behavioral health benefit information so the practice has greater clarity before claims begin moving through the revenue cycle.

Service

Utilization Review (UR)

Stay ahead of payer authorization requirements so covered care doesn't get interrupted.

What It Is

Utilization Review helps practices stay on top of payer requirements related to the ongoing authorization and medical-necessity review process where applicable.

Why It Matters

When payer requirements or authorization timelines are missed, the financial impact can show up later through delayed or denied claims. Behavioral health practices need a process for staying aware of these requirements rather than discovering an issue after services have already been provided.

What NDM Handles

NDM supports the administrative side of utilization review and helps practices stay organized around applicable payer requirements and authorization activity.

Service

Credentialing

Credentialing handled so providers can bill — and get paid — for the work they're already doing.

What It Is

Credentialing is the process of establishing and maintaining a provider's participation with insurance payers where applicable.

Why It Matters

When a new provider joins a behavioral health practice, credentialing delays can quickly become a billing bottleneck. A provider may be ready to see patients while payer enrollment is still catching up.

What NDM Handles

For active NDM clients, credentialing assistance can support the ongoing revenue-cycle relationship and help practices stay organized as providers are added or payer participation changes.

Clean claims and accurate payment posting keep the revenue cycle moving — so providers aren’t left chasing what went wrong.

Claims & Payment Management

Moving clean claims through the payer system and making sure every payment lands in the right place.

Service

Claims Management

Clean, accurate claims submitted correctly the first time, so the revenue cycle keeps moving.

What It Is

Claims Management covers the process of preparing, submitting, tracking, and following claims as they move through the payer system.

Why It Matters

A claim that starts with incorrect or incomplete information can create delays throughout the rest of the revenue cycle. For behavioral health practices, details such as CPT coding, session duration, provider information, and payer requirements can all affect whether a claim moves cleanly.

What NDM Handles

NDM helps manage claims from submission through follow-up so providers do not have to spend their time watching claim statuses or figuring out what happened after a submission.

Service

Denial Management & Appeals

Denied claims worked, appealed, and followed through — not just logged and forgotten.

What It Is

Denial management means identifying why a claim was denied, determining the appropriate next step, correcting issues where possible, and pursuing appeals when appropriate.

Why It Matters

Denied claims should not simply sit in a queue. The longer a denial remains unresolved, the harder it can become for a practice to understand what revenue is actually collectible and what needs attention.

What NDM Handles

NDM reviews denial activity, follows up on unresolved claims, helps address correctable billing issues, and supports the appeal process when appropriate. Behavioral-health-specific billing knowledge helps NDM look beyond the denial code itself and understand the context behind the claim.

Service

Payment Posting & Reconciliation

Every payment matched to the right claim, so your books reflect reality.

What It Is

Payment posting records payer and patient payments accurately and connects those payments back to the appropriate claims and balances. Reconciliation helps make sure the numbers reflected in the billing system line up with what was actually paid.

Why It Matters

If payments are not posted accurately, the practice can lose visibility into what is truly outstanding. That can distort A/R, create unnecessary follow-up, and make revenue reporting harder to trust.

What NDM Handles

NDM helps keep payment activity organized and reconciled so the practice has a clearer picture of what has been paid and what still requires attention.

Who We Serve

One Revenue Cycle. Multiple Moving Parts.

These services are not isolated tasks. NDM looks at the revenue cycle as a connected process — each stage affects the next.

1
Benefits & Authorization
↓
2
Claims Submission
↓
3
Payment & Reconciliation
↓
4
Denial Follow-Up
↓
5
A/R Management
↓
6
Revenue Visibility
↓
Supporting Layers

Credentialing and compliance wrap around the entire cycle, keeping the foundation steady while claims and payments move through.

Credentialing
Compliance

A/R isn’t just a report — it’s a question of what’s outstanding, why, and what happens next.

Collections, Oversight & Compliance

Recovering earned revenue and keeping the practice’s processes protected over time.

Service

A/R Management & Collections

Aging receivables worked systematically, so earned revenue doesn't quietly disappear.

What It Is

Accounts Receivable Management focuses on money that has been billed but has not yet been collected.

Why It Matters

A practice may be busy and still have significant revenue sitting unresolved in aging A/R. Without consistent follow-up, older claims can become harder to recover and practices can lose visibility into where cash flow is being held up.

What NDM Handles

NDM monitors outstanding balances, follows aging claims, identifies problem areas, and helps move appropriate balances toward resolution.

The goal is not simply to produce an A/R report. It is to understand what is outstanding, why it is outstanding, and what needs to happen next.
Service

Compliance Training

Your team trained on the compliance basics that protect both the practice and the patient.

What It Is

Compliance training helps practices better understand the administrative and billing-related responsibilities that come with handling healthcare information and revenue-cycle processes.

Why It Matters

Behavioral health practices work in an environment where privacy, documentation, payer requirements, and billing processes need to be handled carefully. For some areas of behavioral health, additional requirements may also apply.

What NDM Handles

NDM provides compliance-oriented support and training relevant to the billing and revenue-cycle relationship so practices have clearer processes around the administrative side of care.

Why Specialization Matters

Behavioral Health Isn't a Specialty Tab Here.

North Star Direct Management is not a general medical billing company that happens to accept behavioral health clients. Behavioral health is the focus. The work is built around the revenue-cycle realities of the practices below — not adapted to them after the fact.

Built For
  • Therapists
  • Counselors
  • Psychiatrists
  • Outpatient behavioral health practices
  • Small and growing group practices
Considerations We Understand
Session-length coding
Authorization requirements
Credentialing
Behavioral health benefit structures
Psychiatry billing differences
Behavioral-health-specific compliance considerations

The Bigger Picture

Less Time Managing Billing. More Clarity Around the Business.

Fewer Loose Ends

Claims, denials, payer follow-up, and outstanding balances have a defined process.

Better Visibility

Understand what is happening with revenue instead of guessing what's sitting in A/R.

Less Administrative
Pressure

Reduce the amount of billing work that follows providers beyond the clinical day.

More Room for Patient Care

Give providers more time and mental bandwidth to focus on the people in front of them.

Need Help With a Specific Project?

Project-Based Support When You Don't Need Full RCM.

These are separately billed project services — distinct from the ongoing partnership levels.

AR Cleanup Projects

For practices with aging or disorganized accounts receivable that need focused attention outside of ongoing billing management.

Pricing

15%–25% of recovered collections

Practice Startup Setup

Support for new behavioral health practices that need help establishing the billing and revenue-cycle foundation required to begin operating.

Pricing

$750–$1,500 flat fee

Credentialing Projects

Standalone credentialing support for practices that need payer credentialing assistance without an ongoing NDM RCM relationship. This is different from the credentialing assistance included within applicable ongoing service relationships.

Pricing

$300–$500 per provider, per payer

Partnership Levels

The Right Level of Support
Depends on the Practice.

North Star Direct Management offers three percentage-of-collections partnership levels — so not every practice needs the same level of support.

Level 1

Essential Billing

6%

of collections

Level 2

Growth Optimization

8%

of collections

Level 3

Full Revenue Cycle
Partnership

10%

of collections

Full tier comparison lives on the Pricing page.

View Pricing

Not Sure What Your Practice Needs?

Start With a Conversation.

You don’t need to know which service or partnership level is right before reaching out. Tell us what’s happening with your billing, claims, credentialing, or A/R, and we’ll help determine where NDM may be able to support your practice.