Streamlining Your Practice, Elevating Your Focus

At XCV Fiscal Solutions, we understand the unique billing challenges faced by counselors and therapists running their own practice. We're here to alleviate those burdens, allowing you to focus on what truly matters: your clients' well-being.

Billing Challenges Solved

Independent mental health providers in private practice often grapple with time-consuming billing processes, complex insurance interactions, and unpredictable cash flow. XCV Fiscal Solutions offers tailored solutions to overcome these obstacles.

  • Reclaim Your Time: We handle insurance verification, claim submission, and payment posting, freeing up 5-9 hours per week for client sessions or personal time.
  • Navigate Insurance Hassles: Our team manages all payer communication, preauthorizations, and appeals, eliminating the need for frustrating phone calls and portal navigation.
  • Minimize Claim Denials: We validate coding, track prior authorizations, and correct errors before submission, reducing denials and ensuring timely payments.
  • Stabilize Cash Flow: Proactive follow-up and monthly revenue reports provide a steady and transparent reimbursement process.
  • Gain Financial Clarity: Our clear dashboards and summaries offer complete visibility into your billing status and financial standing.
  • Ensure Compliance: We provide a signed BAA, HIPAA-aligned processes, and compliance checks to navigate ever-changing regulations.
  • Scale Your Practice: Our tiered pricing structure adapts to your practice's growth, from low-volume to high-volume, compliance-heavy providers.

Tiered Billing Structure

XCV Fiscal Solutions, LLC Solo Counseling Practice Billing Tiers – Optimized for Volume and Growth

XCV Fiscal Solutions offers a 2-tier billing structure with add-on services designed specifically for independent private practice practitioners. Each level provides tailored support based on your caseload, billing complexity, and stage of practice growth.

🔹Tier 1: Essential Billing Support

Pricing:

  • 6% of collected revenue for fewer than 60 claims per month

  • 8% of collected revenue for 60 or more claims per month

 

Best for: Best for: Independent private practice practitioners or new practices with steady but manageable caseloads.

Services Include:

  • Insurance Eligibility & Benefit Verification (coverage, copays, deductibles, session limits, pre-auth needs)

  • CPT/ICD-10 Coding Validation (basic checks for accuracy and compliance)Claim Preparation & Electronic Submission (EDI/Clearinghouse)

  • Payment Posting from ERAs/EOBs

  • Reconciliation with Payer Contracted Rates

  • Denial Management (basic resubmissions/corrections)

  • HIPAA-Compliant Communication & Secure Data Handling

  • Monthly A/R Summary Report (outstanding balances by 30/60/90+ days)

 

🔹Tier 2: Enhanced Revenue Cycle Management (Most Popular)

Pricing: 

  • 8% of collected revenue for fewer than 60 claims per month

  • 10% of collected revenue for 60 or more claims per month

 

Best for: Growing practices needing full-service revenue management and payer follow-up.

Includes all Tier 1 services, plus:

  • Authorization Submission & Tracking (session limits, extension requests)

  • Comprehensive Denial Management & Appeals (formal appeal tracking, documentation, corrected claims)

  • Direct Payer Communication (resolution of unpaid or underpaid claims)

  • Ongoing A/R Follow-Up (systematic collections at 30/60/90+ days)

  • Patient Statements & Billing Support (client invoicing & balance management)

  • Monthly Revenue & Performance Reporting (denial trends, payer mix, reimbursement insights)

  • Provider Support for Billing/Coding Questions

  • Ongoing Support for CAQH and Availity Accounts

🔹Add-On Services (Flat Fee or Project-Based)

 

With add-ons, you get tailored solutions exactly when you need them—no more, no less. Contact XCV Fiscal Solutions today for a personalized quote.

  • CAQH & Availity Enrollment and Portal Setup
  • Insurance Credentialing & Re-Credentialing ($150 per payer fee)
  • A/R Cleanup Projects (one-time or ongoing recovery of aged claims)
  • Out-of-Network Billing & Superbills (support for client reimbursement)
  • Telehealth Billing Support (modifiers, parity laws, cross-state billing compliance)
  • Custom Financial Dashboards & KPI Reports (clean claim rate, denial %, reimbursement trends, A/R days)
  • EHR Setup & Workflow Optimization (configuration, billing workflow design, efficiency recommendations)
  • Compliance & Strategic Consulting (audit-ready records, denial prevention, process improvement strategies)

 

Unwavering Data Security

Beyond HIPAA compliance, XCV Fiscal Solutions employs comprehensive measures to ensure the security and confidentiality of your client data:

  • Business Associate Agreements (BAAs): Clearly defined responsibilities for protecting Protected Health Information (PHI).
  • Secure Access Controls: Role-based access, credential logs, and two-factor authentication (2FA) for enhanced security.
  • Encrypted Communication: All files, claims, and reports are transmitted via encrypted channels (TLS/SSL). No PHI is exchanged over unsecured email.
  • Data Storage & Backup: Client data is stored in encrypted, cloud-based systems with automatic backups, complying with NIST and HITECH security standards.
  • Regular Security Audits: Quarterly internal access audits and annual system reviews for vulnerabilities and compliance updates.
  • Staff Training & Confidentiality Agreements: Annual HIPAA and data security training, along with signed confidentiality agreements.

Create Your Own Website With Webador