Empowering Mental Health Providers & Supporting Clients with One Comprehensive Solution
At Pathway Practice Solutions, we bridge the gap between exceptional mental health care and seamless practice management. Whether you're a provider building your private practice or a client seeking medication management, our integrated services simplify your journey toward better mental health outcomes.
Comprehensive Solutions for Mental Health Practices
Professional Credentialing
Navigate the complex credentialing landscape with expert guidance. We handle commercial insurance panels, Medicare, Medicaid, CAQH profiles, and re-attestations so you can focus on client care.
Full-Service Billing
Maximize your revenue with our comprehensive billing services. From claim submission and denial management to monthly financial reporting, we ensure you get paid fairly and promptly.
Medication Management
Connect clients with compassionate psychiatric care through our network of licensed providers specializing in anxiety, depression, ADHD, and more. Available virtually or in-person.
Pathway Practice Solutions was founded by mental health professionals who understand the unique challenges of private practice. Our mission is to remove administrative barriers so providers can deliver exceptional care while building sustainable businesses.
With transparent pricing, no hidden fees, and personalized support, we've helped hundreds of mental health professionals streamline their practices and expand their reach. Our HIPAA-compliant systems and processes ensure the highest standards of privacy and security for both providers and clients.
Start Feeling Better with Compassionate Medication Management
Mental health challenges can feel overwhelming, but finding the right medication support shouldn't add to your burden. Our licensed providers offer personalized psychiatric medication management for adults navigating anxiety, depression, ADHD, and more. Whether you're new to treatment or continuing care, we're committed to supporting your mental wellness journey with expertise and compassion.
Conditions We Treat
Anxiety & Panic Disorders
Including generalized anxiety, social anxiety, panic disorder, and specific phobias that impact your daily functioning and quality of life.
Depression
From mild to major depressive disorder, persistent depressive disorder, and seasonal affective disorder, we provide medication support tailored to your specific symptoms.
ADHD
Comprehensive assessment and medication management for attention-deficit/hyperactivity disorder in adults, helping improve focus, reduce impulsivity, and enhance daily functioning.
Bipolar Disorder
Stabilization and ongoing management of mood fluctuations associated with bipolar I and bipolar II disorders through carefully monitored medication protocols.
PTSD & Trauma
Medication support as part of a comprehensive approach to managing symptoms related to post-traumatic stress and other trauma-related conditions.
Sleep Disorders
Treatment for insomnia and other sleep disturbances that may be primary or secondary to other mental health conditions.
Our providers stay current with the latest research and treatment approaches, ensuring you receive evidence-based care that addresses your unique needs. We believe in collaborative decision-making and work with you to find the medication approach that best supports your wellness goals.
Your Medication Management Journey
Book Your Appointment
Select a convenient time through our secure online scheduling system. We offer flexible appointment times, including some evenings and weekends, to accommodate your busy schedule.
Initial Evaluation
During your 45-60 minute comprehensive assessment, we'll discuss your symptoms, medical history, previous treatments, and goals. This thorough evaluation helps us develop a personalized treatment plan.
Ongoing Support
Regular 15-30 minute follow-ups to monitor your progress, adjust medications as needed, and address any concerns. We're committed to finding the right approach for your unique situation.
Why Clients Choose Pathway for Medication Management
Licensed psychiatric providers with specialized mental health expertise
Convenient virtual appointments from the comfort of your home
In-person options available in select locations
Most major insurance plans accepted
Competitive private pay rates for those without insurance
HIPAA-compliant, secure telehealth platform
Respectful, judgment-free environment
Coordination with your therapist or primary care physician when appropriate
Medication Management Only: We currently focus exclusively on psychiatric medication services. While we don't provide therapy, we can refer you to trusted therapy partners who complement our medication approach.
Yes, we accept most major insurance plans including Aetna, Blue Cross Blue Shield, Cigna, UnitedHealthcare, and many regional plans. We'll verify your coverage and explain any potential out-of-pocket costs during onboarding. For Medicare and Medicaid, availability varies by state—please contact us to confirm coverage options.
Can I pay out-of-pocket?
Absolutely. We offer competitive private pay rates for clients without insurance or those who prefer not to use their benefits. Initial evaluations typically range from $200-300, and follow-up appointments range from $100-150, depending on complexity and duration. We'll provide clear pricing information before your first appointment.
Are appointments virtual or in-person?
Most of our medication management appointments are conducted through our secure, HIPAA-compliant telehealth platform, allowing you to receive care from the comfort of your home. In-person appointments may be available in select locations depending on provider availability and your specific needs.
Will I meet with the same provider each time?
Yes, continuity of care is our priority. You'll be matched with a dedicated provider who will follow your case from initial evaluation through ongoing treatment. This consistent relationship helps build trust and ensures your provider fully understands your unique needs and response to medications over time.
Will I get medication at my first appointment?
If clinically appropriate, your provider may prescribe medication during your initial evaluation. However, some situations may require additional information, baseline testing, or a follow-up appointment before prescribing. Your safety is our primary concern, and your provider will explain their recommendations thoroughly.
How are prescriptions handled?
Prescriptions are sent electronically to your preferred pharmacy. For controlled medications (such as those for ADHD), state regulations vary regarding prescription duration and refill protocols. Your provider will explain specific requirements and work with you to ensure medication continuity while adhering to all regulations.
HIPAA Compliance Notice
Pathway Practice Solutions maintains strict adherence to all HIPAA privacy rules. Your personal health information is protected through secure, encrypted platforms for all communication and care. Our providers and staff receive regular training on privacy practices to ensure your information remains confidential.
Helping Mental Health Providers Launch & Grow with Ease
Building a successful mental health practice requires clinical expertise—but also administrative know-how that most providers never learned in their training. At Pathway Practice Solutions, we bridge that gap with comprehensive credentialing, billing, and practice setup services tailored specifically for mental health professionals.
Our Specialized Services for Mental Health Providers
Credentialing & Enrollment
Commercial insurance panel applications
Medicare enrollment (PECOS)
State Medicaid program enrollment
CAQH profile creation and management
Quarterly re-attestations
NPI applications and updates
License renewal tracking
Credentialing follow-up and monitoring
Revenue Cycle Management
Full-service medical billing
Insurance verification and eligibility checks
Clean claim submission
Denial management and appeals
Patient statements and collections support
ERA/EFT enrollment
Monthly financial reporting
Quarterly billing performance reviews
Unlike general medical billing companies, we specialize exclusively in mental health services. Our team understands the unique billing codes, documentation requirements, and payer policies that impact behavioral health reimbursement. This specialized knowledge translates to faster credentialing approvals, fewer claim denials, and ultimately, more revenue for your practice.
We support the full spectrum of mental health providers: Psychiatrists, Psychiatric Nurse Practitioners, Psychologists, Licensed Clinical Social Workers, Licensed Professional Counselors, Marriage and Family Therapists, and multi-provider group practices.
Why Mental Health Providers Partner With Pathway
Fast-Track Credentialing
Our specialized knowledge of insurance panels and application requirements helps expedite the credentialing process. We meticulously track application status and proactively address any issues that arise, reducing common delays.
Transparent Pricing
No hidden fees or surprise charges. We offer clear, straightforward pricing structures for both credentialing and billing services. Choose from flat-rate packages or percentage-based billing options based on your practice needs.
Flexible Terms
No long-term contracts required. Our credentialing services are available as one-time projects, and our billing services can be engaged on a month-to-month basis, giving you complete control over your practice partnerships.
HIPAA-Compliant Systems
All our processes and platforms meet or exceed HIPAA security requirements. We provide a signed Business Associate Agreement (BAA) upon onboarding and maintain strict protocols for handling protected health information.
Personalized Support
Work with a dedicated account manager who understands your practice goals and challenges. Receive regular updates on your credentialing progress or billing performance through scheduled check-ins and comprehensive reports.
Network Transition Support
Specialized assistance for providers transitioning from platforms like Alma, Headway, or other VC-backed networks to independent practice. We help you maintain continuity of care while establishing your direct payer relationships.
Our team has successfully credentialed hundreds of mental health providers across all 50 states. We understand the nuances of different insurance panels, regional differences in Medicaid programs, and the evolving landscape of mental health reimbursement policies.
The credentialing timeline varies by payer, but typically ranges from 90-120 days for commercial insurance panels. Medicare enrollment generally takes 60-90 days, while state Medicaid programs can range from 45-180 days depending on the state. Our systematic follow-up process helps minimize common delays that can extend these timelines.
Can you take over partially completed applications?
Absolutely! We can step in at any point in your credentialing journey. Whether you've started applications and hit roadblocks, received confusing requests for additional information, or simply want to hand off the process, we'll assess your current status and develop a plan to move forward efficiently.
Do you help with Medicaid and Medicare enrollment?
Yes, we provide comprehensive support for both Medicare enrollment through PECOS and state-specific Medicaid program enrollment. We understand the unique requirements of these government programs and can guide you through the often complex application process, including any state-specific protocols.
Do I need to be credentialed to bill insurance?
In most cases, yes. To be considered an in-network provider and receive the full contracted rate directly from insurance companies, you must complete the credentialing and contracting process. We can discuss strategies for the transition period while your credentialing is in process, including out-of-network billing options.
Is credentialing a one-time process?
Credentialing requires ongoing maintenance. Most payers require re-credentialing every 2-3 years, and your CAQH profile needs quarterly attestation. Our comprehensive service includes tracking these renewal dates and handling re-attestations to ensure your provider status remains active and uninterrupted.
What's your billing fee structure?
We offer two billing service models: a percentage-based fee (typically 6-8% of collections) or a flat monthly rate based on claim volume. During our consultation, we'll discuss your practice volume and preferences to recommend the most cost-effective option for your specific situation.
Credentialing Timeline Considerations
If you're planning to open a new practice or transition to insurance billing, we recommend starting the credentialing process at least 4-6 months before your target date. This allows sufficient time for application processing and contract negotiation while minimizing gaps in revenue.
Our credentialing and billing experts stay current with changing payer requirements, coding updates, and reimbursement policies to ensure your practice maximizes revenue while maintaining compliance. We handle the administrative complexity so you can focus on providing exceptional clinical care.
We're Here to Support Your Mental Health Journey
Whether you're a client seeking compassionate medication management or a provider ready to streamline your practice operations, the Pathway Practice Solutions team is here to help. Our responsive support team is committed to addressing your questions and needs promptly and professionally.
For urgent medication issues or mental health emergencies, please call your local emergency services or the National Suicide Prevention Lifeline at 988.
Pathway Practice Solutions [Insert iPostal or virtual address here] [City, State, ZIP]
Virtual Consultations Available Nationwide
Our medication management services and provider support solutions are available across multiple states through secure virtual platforms. Contact us to confirm service availability in your specific location.
HIPAA Compliance & Privacy Commitment
HIPAA Compliance Standards
Pathway Practice Solutions maintains strict adherence to all Health Insurance Portability and Accountability Act (HIPAA) regulations. Our systems, processes, and staff training protocols are designed to ensure the highest standards of patient and provider data protection. We regularly conduct internal audits and updates to our security measures to stay current with evolving compliance requirements.
Business Associate Agreements
As a business associate to healthcare providers, we provide a comprehensive Business Associate Agreement (BAA) to all credentialing and billing clients upon onboarding. This legally binding document outlines our responsibilities for safeguarding protected health information (PHI) and establishes clear protocols for data handling, breach notification, and compliance monitoring.
Secure Technology Infrastructure
All client and provider information is processed through secure, encrypted platforms that meet or exceed federal security standards. Our telehealth services utilize HIPAA-compliant video conferencing technology with end-to-end encryption. Electronic health records and billing systems employ multi-factor authentication, role-based access controls, and comprehensive audit trails to ensure data security.
Legal Documentation
For Clients
Privacy Policy - Details how we collect, use, and protect your personal information
Terms of Service - Outlines the conditions for using our medication management services
Data Security Policy - Details our protocols for protecting practice and patient information
Pathway Practice Solutions is committed to maintaining the highest ethical standards in all aspects of our business. We believe that trust is the foundation of effective healthcare relationships, whether between provider and patient or between our company and our clients. Our transparent policies, secure systems, and ongoing compliance monitoring reflect this core value.
If you have questions about our compliance measures or privacy practices, please contact our Privacy Officer at privacy@pathwaypracticesolutions.com.