Behavioral health practices bill sessions rather than procedures, and a large share of that revenue never passes through a payer at all. Lemma tracks self-pay, superbill, and in-network revenue by clinician without adding work to a two-person back office.
Book a demoWhen clients pay you directly and seek their own reimbursement, your deposits are thousands of individual charges. Attribution by clinician has to be automatic.
Card and ACH charges from clients settle alongside in-network EFTs, each tagged to the session, so an out-of-network practice reconciles as cleanly as an in-network one.
Group practices pay clinicians on collected revenue, not billed. A virtual account per clinician makes the number you pay from a fact rather than an estimate.
A per-deposit fee is material when the average payment is one session fee. ACH in and out is free at any volume, in-network or self-pay.
Some plans and EAP contracts still mail checks and EOBs. They arrive at your Lemma address, get scanned and posted, and deposit the same day. $2.50 per check.
Out-of-network practices charge the session fee, issue a superbill, and leave the client to seek reimbursement. That makes your deposits card and ACH charges from individuals rather than batched remittances from a payer. Sliding-scale fees, no-show charges, and single case agreements then produce three different amounts for the same CPT code, which defeats any reconciliation that assumes one fee per service.
In-network work brings the opposite problem: rates that vary by plan, prior authorization for intensive outpatient levels of care, and telehealth place-of-service rules that cause quiet denials months after the session happened.
Client payments post against the session, so a practice collecting mostly at the time of service still gets a per-payer and per-clinician view of revenue.
For IOP and PHP, sessions past an authorization deny. Line-level remittance posting surfaces those the day the payment arrives, while the appeal window is still open.
Money collected up front for sessions not yet delivered is a liability, not revenue. Lemma tags those balances so unearned funds stay distinguishable from collected fees, and they earn 1.75% APY while they sit.
Yes, and it is where the difference is largest. Client card and ACH payments post against the session in the same ledger as any in-network EFT, so superbill practices get real per-clinician revenue reporting instead of a bank statement.
Virtual accounts per clinician track what actually landed, so a percentage-of-collections split is calculated from cleared deposits rather than from an accounts receivable report.
Yes. The professional entity holding the clinical licenses and payer contracts and the management entity holding the lease and administrative staff each get their own account, lockbox, statements, and FDIC coverage. The monthly intercompany management fee then runs as an automated cash sweep with a full audit trail instead of a transfer someone has to remember to send.
No. ACH is free and unlimited, and additional entity accounts and virtual accounts do not carry a per-account fee.
