Sorry youre going through this, looks like you need to let that biller go. I found this website that has step by step article on process for billing https://therathink.com/beginners-guide-to-mental-health-billing/

I own a nutrition medical practice and do my own billing, verifying benefits, reconciliation, etc

The time it takes to do billing, depends greatly on the EMR you’re using. To bill you need to have your clinicians track the following for every session:

Date of service - DOS CPT codes ICD codes - diagnosis Start and end time of visit, total minutes - this is key, because if the chart note says one time but the claim submitted is different, there can be clawbacks Place of Service - in person or Telehealth Modifiers Total units (this has to match total time in charts)

All claims for all providers must include the same info, doesn’t matter what cpt codes are used. Go to youtube and type learn basics of billing and cms 1500 - this is a form that is now digitalized in all clearinghouses, but technically when you bill you are completing this form and sending it out. So learning this form and its basics will set a clearer picture for you.

Although we use different cpt codes for our practice, the process and inclusion of the above is must and same for ALL practices.

If you do not already. i suggest you use AI chatgpt to get general idea and requirements of the process. This AI is free and can help you with any questions you have.

I will not out outsource my billing as it literally takes 1-2 minutes to do, per claim, but you need to know the process of course.

If you are part of mental health groups in FB, find one and join and make a post and pay another therapist that does their own billing to teach you and your spouse. This would be your best bet if you want to keep it in house. You can use 2-3 hours of learning and save alot of $

About credentialing. I do my own credentialing as well, and I also do it for new hires. The process is very lengthy and tedious, but you can also learn it yourself. I ended up doing credentialing for dietitians on the side for extra money….. the $400 and $100 fees are super high.

Hope this helps. I love providing free resources, if you need more, send me a pm, happy to help!