Request Demo Request a Demo Start a free trial
Mobile Navigation Icon
Request Demo Start a free trial
Request Demo Request a Demo Start a free trial

Ensora RCM

A billing team that works inside your EHR

Add-on managed billing for Fusion and TheraNest users. Our team submits claims, posts payments, and follows up on denials directly inside your EHR, so your billing keeps moving while you focus on clients.

Get a Quote

RCM your way

Whether you’re streamlining billing or need fully-managed insurance billing, there’s a plan built for your practice. Both plans are add-ons available for Fusion and TheraNest.

Self-guided

RCM Essentials

Set monthly rate
Outsourced billing for practices with 1-5 clinicians. Our team handles claims submission and payment posting.
Get a quote
Daily claim submission (Mon–Fri)
ERA posting within 3 business days
Rejected claim correction within 3 days
Payer setup assistance
Monthly educational sessions & office hours
Fully-managed

RCM Advanced

Pricing based on percentage of posted payments
Full revenue cycle ownership for growing practices. A dedicated team handles A/R, denials, and reporting.
Get a quote
Upgrade from Essentials available after 6 months
Everything in Essentials, plus
Assigned Performance Manager
Appeals filing as appropriate
Payer follow-up & A/R monitoring
A/R cleanup & investigation
Advanced Insights with KPI reporting
Proactive trend analysis & process feedback

Why practices love Ensora RCM

Our company has found it so helpful to have a company to partner with to get our RCM in line. They can make calls to insurance companies and dig deeper into rejections and denials for us when we do not have that time to give.

BS
Bernadette S.

I love the fact that Ensora RCM takes care of all my billing and insurance issues, so I don’t have to think about it. They handle rejected claims and follow up in a timely manner, ensuring I get paid quickly. The service I receive is exceptional.

AH
Ann H.

“The Ensora Health team became like co-workers we could count on. They didn’t just know the product; they understood our mission.”

TS
Tim S.

Signs your
practice is ready for RCM Advanced

Get a quote
Insurance collections
Collecting over $15,000/month from insurance payers
Staff growth needed
Practice growth that’s outpacing what your current billing setup can handle
Hiring challenges
Difficulty hiring or retaining skilled billing team members
Delayed payments
Delayed payments or cash flow struggles affecting the practice
High aged A/R
Accounts receivable over 90 days exceeds 20% of total outstanding
Low collection rate
Uncollected accounts receivable or collection rate below 95%

RCM Advanced in practice

Our team owns the insurance billing steps that slow practices down — so you stay
focused on client care.

Ensora RCM Handles
Claim submission
Daily scrubbing and submission Mon–Fri to primary, secondary, and tertiary payers
Rejected claim correction
Corrected and resubmitted within 3 business days of rejection
Payment posting
ERA remits posted within 3 business days; EOB paper posting when ERAs unavailable
Denial management
New denials worked within 5 business days; appeals filed as appropriate
Timely payer follow-up
A/R followed up at least every 30 days; unadjudicated claims proactively pursued
Advanced insights & KPIs
Monthly KPI reporting, denial trend dashboards, and proactive process feedback
A/R cleanup
Aged claims (<365 days) reworked, resubmitted, or written off within 90 days of go-live
Your team handles
Documentation & coding
Complete and sign daily notes for each billable session
Provider credentialing
Credentialing and licensing should be in place before go live
Prior authorizations
Obtain and upload authorizations in Fusion before services are rendered
Patient demographics & insurance
Add and maintain accurate patient info, insurance cards, and eligibility verification
Co-pay & patient responsibility
Collect and record patient payments at time of service
Notify Ensora RCM of correspondence
Upload paper remittances and insurance correspondence into Fusion
Communicate changes promptly
Notify Ensora of address, tax ID, or payer changes that affect claim processing

The Ensora RCM advantage

Ensora RCM isn’t a general billing vendor. The team is built around how mental health and rehab therapy practices actually bill: the payers you work with, the codes you use, the denials that show up most.

Comprehensive support

Specialized billing, posting, and A/R teams work your claims simultaneously — work your claims simultaneously and adapt as your volume changes.

Continuity & experience

Trained backup means your billing keeps running through PTO, illness, and turnover.

Data-driven insights

Identify denial trends, track KPIs, and get proactive improvement recommendations from your dedicated Performance Manager.

Performance benchmarks

Industry standards we help you hit

95-98%

Target collection rate for healthy practices

3 days

ERA posting SLA after receipt

30 days

Or less days in A/R target

90 days

Target to reduce aged
A/R to a healthy level

Service Plans

Ready to see RCM in action?

Talk to our team about which plan is right for your practice size and goals.

Get a quote

Frequently Asked Questions 

Questions for yourself
Common questions
Do you know how many claims are aged beyond 90 days?
Arrow Icon
Aged claims lead to lost revenue. Our team proactively works outstanding claims so you get paid for the care you provide.
Do you have a backup plan if your biller leaves tomorrow?
Arrow Icon
With an industry turnover rate of 22.7%, relying on one person is a risk. Our trained team ensures no billing gaps, ever.
Is your collection rate at or above 95%?
Arrow Icon
Best practice is 95-98%. We monitor performance and make sure you’re capturing every dollar you’ve earned.
Do you know why your claims are being denied?
Arrow Icon
Understanding root causes lets you fix upstream issues. We provide denial trend analysis and process improvement guidance.
Are payments posted within 3 business days of receipt?
Arrow Icon
Timely posting ensures accurate reporting and faster identification of denial trends, keeping cash flow healthy.
Does your team know how to appeal denied claims?
Arrow Icon
Payers have specific appeal windows and processes. Missing deadlines means lost revenue. Our team handles this for you.
Does the RCM Essentials plan handle out-of-network payers?
Arrow Icon
Yes, our RCM team ensures your claims are configured to reflect out-of-network status and payments are routed correctly.
Is there a limit to the number of claims I can submit?
Arrow Icon
No, both plans include unlimited claim submissions for each clinician on your account.
How do I change my contract to Advanced?
Arrow Icon
RCM Essentials contracts can be upgraded to Advanced at any time. Your account representative can assist you with signing a new amendment.
What are the key indicators my practice should upgrade to Advanced?
Arrow Icon
If you’re collecting over $15,000/month from insurance, experiencing A/R over 90 days above 20%, struggling to hire billing staff, or facing delayed cash flow, RCM Advanced is built for you. Upgrades from Essentials are available after a 6-month minimum contract period.
Does Essentials include denial management?
Arrow Icon
No, RCM Essentials does not include denial management. That’s part of RCM Advanced. Essentials covers rejected claim correction, but actively working denied claims and filing appeals is an Advanced-only feature.
What does “payer setup assistance” mean?
Arrow Icon
We assist with payer setup and configuration to ensure your clearinghouse enrollments are in place and claims contain required fields. Full payer enrollment is your responsibility, but we guide you through the process.
My EHR already has automated billing. Why do I need Ensora RCM?
Arrow Icon
Automated billing submits claims, but someone still needs to follow up on rejections, post payments, work denials, and manage A/R. Ensora RCM handles everything that happens after the claim goes out, seeing it through to final resolution.

Experience the Ensora Health difference.

See how we can transform your practice.

Contact us