Ritten Revenue Cycle Management

Behavioral health billing &
revenue cycle management in one system

Connect eligibility, authorizations, encounters, claims, ERAs, and client payments into one clean workflow. So you get paid faster with less rework.

Product Overview

A single system for clinical care and behavioral health billing

Most behavioral health organizations juggle separate systems for clinical notes, billing, and payer portals. Ritten brings everything together so clinicians, billers, and leadership work from the same source of truth; from VOB through final payment.
Ritten automatically generates the right claims for inpatient/residential billing whether you bill by encounter, bundle encounters into per diem, or generate per diem claims from program enrollment. We offer flexible ailling automation that matches how programs actually bill.
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For Clinicians

No coding required. Billing rules automatically generate the right codes and modifiers from clinical encounters, so clinicians can stay focused on care, not CPT tables or payer requirements.
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For Billers

Claims generate automatically using Ritten’s billing rules engine. Most go out "no-touch", fully populated on CMS-1500 and UB-04 forms, reducing manual edits and rework.
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For leadership & owners

Get full visibility into your organization’s revenue; eligibility, authorizations, claims, denials, payments, A/R, and payer performance across all programs (OP, IOP, PHP, residential, SUD).
End-to-End Claim Management

How Ritten supports your behavioral health revenue cycle

Ritten connects every step of your RCM process. Data is collected once, then flows through authorizations, claims, ERAs, and reporting automatically; eliminating the gaps that cause denials, delays, and administrative burden.

In-app VOB & eligibility: Run VOB and eligibility checks.
Automated coding & claim creation: Encounters run through your billing rules, generating clean claims for complex scenarios like group sessions, stepped levels of care, and multi-location programs.
Utilization review & automation: Track units, expirations, remaining sessions, and ensure authorizations stay aligned with documented care.
ERA management & posting: Payments, adjustments, and patient responsibility auto-post from ERAs.
Detailed RCM reporting: Out-of-the-box dashboards for claim status, A/R, payer performance, payments & adjustments, and client balances.
What Makes Ritten Different?

Revenue cycle management designed for behavioral health realities

Ritten isn't a generic medical billing add-on. It's designed for the operational and regulatory complexity of behavioral health; group therapy, stepped levels of care (OP → IOP → PHP → residential), Medicaid requirements, and multi-location workflows.

Configurable by payer, program & service type: Build billing logic that matches how you actually operate; different codes, modifiers, and revenue codes.
Supervisory and intern billing: Support supervision structures where lower-credentialed staff bill under a supervisor.
Service bundling: Bundle services into a single claim line where appropriate.
Extensive Medicaid support: Map codes, modifier, and program rules for detailed state Medicaid configurations.
Designed for Compliance & Clinical Boundaries

Billing tools that respect clinical work and compliance

Ritten keeps a clear line between what happens in the chart and how it's billed. Clinical teams document care; billing teams configure rules and claims. Authorizations, diagnoses, and services stay aligned so you can:

Reduce risk of incorrect codes and missing authorizations.
Maintain an audit-ready trail from encounter to claim.
Keep documentation and billing decisions transparent to your team.
Demonstrate that billed services match documented care in theevent of payer audits.
Proof From Real Billing Teams

From Billing Chaos to One-Hour Workdays

Megan, a billing leader at a behavioral health clinic, used to spend hours jumping between EMRs, billing software, and payer portals to resolve claims and reconcile payments.

After switching to Ritten:

Claims generate automatically from encounters using billing rules.
Denials and payer responses show directly on the claim.
Payments, adjustments, andpatient responsibility all auto-post from ERAs.

Now, she completes her daily billing work in about an hour; without wrestling multiple systems all day.

Frequently Asked Questions

Still have questions about ourbehavioral health software? Email us at info@ritten.io

Can Ritten automatically charge client copays?

Yes. You can set up workflows to automatically charge client copays once claims are processed and payer responsibility is clear.

Can Ritten generate and submit electronic claims (837) and process remittances (835)?

Ritten supports electronic claim workflows commonly used in healthcare revenue cycle operations, including preparing claim data for submission and reconciling remittance information. Exact connectivity (clearinghouse, payer connections, ERA, and status transactions) depends on your configuration and integration requirements.

Does Ritten support behavioral health billing models like per diem, bundled rates, and fee-for-service?

Yes. Behavioral health organizations often bill using a mix of per diem (residential/inpatient), bundled case rates, and fee-for-service (outpatient, professional services). Ritten can be configured to support common billing structures and payer-specific rules, including authorization-related constraints.

Does Ritten work with clearinghouses or third-party billing services?

Many organizations use a clearinghouse or billing partner. Depending on your model, Ritten can support that workflow through integrations, exports, or APIs. We’ll confirm your clearinghouse and billing setup during scoping.

How do Authorizations connect to claims?

Authorizations are linked to payers and CPT codes. When you bill, Ritten applies the appropriate auth details to the claim automatically.

How do client payments tie back to claims?

Payments are linked to specific services and claims, so your A/R and client balances stay accurate and audit-ready.

How does Ritten handle authorizations and utilization management requirements?

Ritten supports capturing authorization and payer requirements and can connect encounter and documentation workflows to authorization rules. This is especially important in higher levels of care where approved dates, units, and medical necessity documentation must align to avoid denials.

How does Ritten help prevent denied claims?

Ritten is designed to connect documentation to billing requirements. Organizations can configure billing rules and documentation checks so missing required fields, unsigned notes, or incomplete encounters are identified early. Clean-claim workflows reduce rework, denials, and delays in reimbursement.

What is Ritten RCM (revenue cycle management) for behavioral health?

Ritten RCM is the revenue cycle component of the Ritten behavioral health platform. It connects clinical encounters and documentation to billing workflows to help programs generate clean claims, manage payer requirements, track authorizations, and improve cash flow through better visibility into the billing pipeline.

What revenue cycle reporting is available in Ritten?

Ritten supports configurable reporting that can include billed vs. unbilled volume, aging and A/R indicators, payer mix, denial categories, and operational throughput metrics. The specific dashboards and exports depend on your payer contracts, encounter structures, and finance reporting needs.

See your full behavioral health revenue cycle in Ritten

Walk through your full revenue cycle—from intake to reimbursement—with our team. We’ll show you how Ritten adapts to your programs, payers, and workflows