Straight answers to the questions behavioral health and PT/OT practices ask most about billing, credentialing, prior authorization, switching billers, and HIPAA, plus our add-on training and website services. Don't see yours? Just ask Jennifer directly.
S2S specializes in behavioral health practices and in physical and occupational therapy practices, and also serves ABA, cardiology, podiatry, and home health practices.
If your specialty isn't listed, reach out. Chances are I have experience with it or can quickly onboard to your payer mix. See all specialties.
S2S is based in Bayonne, New Jersey, and works remotely with practices in New York, New Jersey, Washington State, and other states.
For practices in Bayonne, Jersey City, Hoboken, and the rest of Hudson County, I can also meet in person. Everywhere else, billing, credentialing, and payer follow-up happen through your EHR, clearinghouse, and payer portals, so distance rarely limits the work. See the local pages for behavioral health practices in NYC and North Jersey, behavioral health practices in Washington State, and PT and OT practices in Bayonne and Hudson County.
Yes, S2S works with solo providers, small group practices, and multi-location groups.
Because I'm a boutique firm — not a billing factory — you get direct access to me regardless of your size. I intentionally keep my client roster small so every practice gets full attention.
S2S charges a flat monthly retainer plus a per-claim fee — never a percentage of collections.
That keeps your billing costs predictable, and you're never penalized for having a healthy practice. Exact pricing is based on your specialty, volume, and payer mix; I provide a custom quote after a free 30-minute call. See published pricing.
I don't believe in percentage-of-collections models. They create a misalignment — the biller benefits from billing more, not necessarily billing correctly. My fee structure keeps us on the same side.
Yes. For physical and occupational therapy practices, I bill timed codes under Medicare's 8-minute rule, add the KX modifier once a patient's therapy services pass the annual threshold and remain medically necessary, and track plan-of-care certifications so visits aren't billed without a signed plan.
I also watch visit limits and authorization counts for commercial and Medicaid plans, so you hear about an expiring authorization before the visit, not after the denial. More on the PT and OT billing page.
Yes. I bill psychotherapy, psychiatric diagnostic evaluation, and E/M-plus-psychotherapy add-on codes for behavioral health practices, including telehealth sessions with the place-of-service codes and modifiers each payer requires.
Telehealth rules differ by payer and change often, so I track them payer by payer rather than applying one rule to every claim. See behavioral health billing.
S2S works in most major EHR and practice management systems, including SimplePractice, TherapyNotes, Jane App, Kareo/Tebra, AdvancedMD, athenahealth, and DrChrono.
If you're using something I haven't encountered, I'll get up to speed quickly — EHRs are just tools, and billing principles are billing principles.
A/R cleanup is a deep-dive into your aging accounts receivable to recover money that is still collectible and fix the reasons it got stuck.
It's typically for practices coming from another biller, after an EHR switch, or with a backlog of unresolved claims. I audit outstanding claims, identify denial patterns, file corrected claims and appeals, and work aged accounts before timely filing deadlines expire.
A/R cleanup is billed at $200/hour. After an initial review, I'll give you an honest estimate of what's recoverable and what it will cost to recover it. More on A/R cleanup and A/R after an EHR switch.
Clean claims are submitted within 24–48 hours of receiving complete encounter documentation.
Most new clients are submitting their first clean claims within 14 days of signing. ERA/EFT setup during onboarding ensures payments post directly to your bank without delay.
Credentialing costs $250 per insurance, per provider, and most commercial payers take 60–120 days to finish.
The fee includes application preparation, submission, follow-up, and confirmation of your effective date. Medicare and Medicaid timelines vary by state and MAC. I track every application and follow up proactively so nothing falls through the cracks.
Important: Credentialing timelines are controlled by the payers — not the biller. Anyone who guarantees a specific turnaround time is not being truthful with you. What I can guarantee is that your applications are complete, accurate, and followed up on consistently.
To get in-network, you need an NPI, a complete and attested CAQH profile, and an approved application with each insurance plan you want to join, followed by a signed contract with an effective date.
The order matters. Your NPI and CAQH profile come first, then applications go to each payer, and you shouldn't bill as in-network until the contract is signed and the effective date is confirmed. Before we apply, I check whether each plan is accepting new providers in your area, so you don't wait months on a closed panel. See getting in-network in NYC and North Jersey.
Yes, ongoing credentialing maintenance is available as part of ongoing billing service or as a standalone retainer.
That includes CAQH re-attestation, re-credentialing cycles, license and DEA expiration tracking, and payer-specific re-enrollment. Letting CAQH lapse or missing a re-credentialing cycle can result in denied claims, so I track these proactively for all clients.
Yes, I credential both individual providers and group practices, and I add new providers to existing payer contracts.
For groups, I manage group enrollment (NPI-2, group contracts) and individual provider enrollment under the group. I also manage panel status with commercial payers and Medicaid managed care organizations.
S2S handles credentialing in any state, including New York, New Jersey, and Washington State.
Credentialing is largely a federal and payer-specific process. State Medicaid programs vary, and I stay current on state-specific requirements. If you have providers in multiple states, I can manage all of them under one engagement.
Prior authorization management is $50 per authorization submitted.
That includes submission, tracking, and follow-up through approval or denial. If a denial requires a peer-to-peer review or appeal, that is handled at the same rate — no surprise add-ons. For practices with high auth volume, a monthly flat-rate retainer is available; ask about it on your free call.
Yes, I prepare peer-to-peer requests and write formal appeals when a prior authorization is denied.
For a peer-to-peer, I document the clinical rationale and coordinate scheduling between your provider and the payer's medical reviewer. For appeals, I write the appeal letter with supporting clinical documentation. Providers should never have to navigate this alone.
Onboarding typically takes 7–14 days from signed agreement to first claims submission.
You work directly with me — Jennifer — always.
There is no account manager who relays messages. No offshore team. No hand-off after signing. I intentionally keep my client roster small so that every practice gets my full attention and direct access to my 15+ years of experience. When you email or call, you're reaching me.
S2S has a 98% client retention rate.
After the initial 90-day period, agreements continue month-to-month, so clients stay because their billing is working, not because a contract requires it.
You can switch billers without a gap in claims: I manage the transition, the A/R handoff, and the overlap period so nothing falls through the cracks.
Switching billers is one of the most common situations I handle. I'll work with your current biller on the handoff, review your A/R so nothing is left outstanding, and have your first claims going out within days of the transition. Read the full guide to switching billing companies without losing revenue.
Secure access first: confirm you have administrator logins for your EHR, clearinghouse, payer portals, and bank deposits, then find out which claims were in progress and which are closest to their timely filing deadlines.
After that, keep new claims going out and work the oldest, highest-dollar A/R before it ages past filing limits. I wrote a step-by-step guide: Our biller quit. What now?
No. S2S agreements start with an initial 90-day period for onboarding and stabilization, then continue month-to-month.
I'm not interested in locking in clients — I'm interested in earning your continued business by delivering results. If something isn't working, we talk about it directly.
AI training from S2S is an add-on service that teaches your clinical and administrative staff how to use AI tools safely and effectively in a healthcare setting.
This isn't a generic "intro to AI." I teach your team how to use tools like ChatGPT, Claude, and specialty-specific platforms for documentation drafting, prior auth prep, patient communication, scheduling workflows, and more — with HIPAA compliance built into every use case.
AI training is delivered live via Zoom, one-on-one or in small groups, customized to your practice's actual tools and workflows.
This is not a pre-recorded course. You get real instruction, real Q&A, and real scenarios from your specialty. See pricing on the AI Training page.
Yes, AI tools can be used safely in a HIPAA-compliant practice when they are used correctly.
The key is understanding which tools offer Business Associate Agreements (BAAs), which use cases involve PHI, and how to structure prompts and workflows so patient information never goes into non-compliant tools. That's exactly what I cover in training. The risk isn't AI itself — it's using AI without a HIPAA framework around it.
The program is designed for front desk and intake staff (the Admin Track) and for billing staff and practice managers (the Billing Track).
The Admin Track (5 modules) covers patient registration, insurance verification, scheduling, collections, and HIPAA. The Billing Track (7 modules) covers EHR, claims, prior auth, denials, compliance, and credentialing basics. Practice owners and leads can complete both tracks.
Yes, every session is taught on your EHR, your payers, and your specialty's actual workflows.
This is not a generic course with stock screenshots. I log into your system with your staff member and we work through real scenarios from your practice. The curriculum covers the same core competencies for every client, but the instruction is fully customized to your environment.
Yes. Admin modules are $397 each and Billing modules are $497 each, so you can buy exactly what you need.
Full-track and practice-wide flat rates are available for better value, and you can start à la carte and upgrade to a package at any time. See the full pricing breakdown.
A billing expert writes accurate insurance and intake content and catches compliance issues that a generic web designer would miss.
A generic designer doesn't know what "in-network" means, can't write accurate insurance copy, and won't flag compliance issues in your patient intake content. I build practice websites from the perspective of someone who knows billing, credentialing, HIPAA, and what patients look for before booking with a specialty provider.
Every package includes a mobile-responsive design, professional copywriting, your branding, and a HIPAA-aware patient intake approach; the tiers differ by page count and SEO depth.
Add-ons include SEO setup (+$297), booking integration (+$197), and monthly maintenance ($150–$250/mo). Practices with active S2S billing services receive 20% off the setup fee.
Yes. Monthly maintenance plans start at $150/month (updates, security, uptime monitoring), and $250/month adds SEO content updates and ranking monitoring.
Maintenance is optional — you own your site outright after delivery — but most practices prefer having someone who already knows their practice handle ongoing updates.
Yes, S2S signs a BAA with every client, always before any PHI is exchanged.
A signed BAA is non-negotiable. It's a legal requirement under HIPAA, and any billing service or vendor who doesn't offer a BAA before accessing your patient data is a compliance liability. S2S provides a BAA as part of every onboarding, for every service line.
S2S accesses PHI only inside your own HIPAA-compliant systems and uses encrypted channels for any communication involving patient data.
All EHR access is through your credentialed system. No PHI is stored in unsecured personal drives or non-compliant platforms. I treat your patients' data with the same care and seriousness as you do — it's both a legal obligation and a professional standard I hold myself to.
Yes, S2S maintains both HIPAA and OSHA compliance standards in its operations.
For practice clients, I can also provide consulting on HIPAA and OSHA compliance documentation for your own practice — something I often assess during onboarding.
If you didn't find what you were looking for, reach out directly. Jennifer responds to every inquiry personally — usually within a few hours during business days. No sales team, no runaround.
