BreezyBilling
Ritten
Ritten Integration

Treatment-center billing, inside your Ritten.

We work directly in your Ritten account to bill detox, residential, PHP, IOP, and outpatient programs. Per diem, levels of care, authorization support, and utilization review handled by people who know behavioral health billing cold.

100%
Work done inside your Ritten account
All LOC
Detox, residential, PHP, IOP, and outpatient
Days
Typical onboarding from first call to active billing
30 days
Typical time to see measurable improvement
Who We Work With

Built for treatment programs running on Ritten

Ritten is built for complex treatment, and so is our billing. If your program runs on Ritten and bills insurance across the continuum of care, we can help.

Detox & Withdrawal Management

High-acuity, per diem billing with tight authorization windows. We keep claims clean and auths current.

Residential Treatment

Per diem and bundled billing for SUD and mental health residential. We manage levels of care and length-of-stay reviews.

PHP & IOP

Partial hospitalization and intensive outpatient programs billed accurately by level of care, with group and individual sessions reconciled.

Outpatient SUD & MH

Fee-for-service outpatient, MAT, and aftercare. We know the nuances of behavioral health reimbursement.

Eating Disorder Programs

Complex, multi-level care with frequent concurrent reviews. We help ease the documentation and authorization burden.

Multi-Site & Continuum Providers

Programs that move clients across levels of care. We bill each step and keep transitions from costing you revenue.

Your Account, Our Expertise

You picked Ritten for a reason. We master it so you can keep using it.

BreezyBilling logs into your Ritten account and works alongside your clinical team. Per diem and fee-for-service claims, authorization support, utilization review, ERA posting, and appeals are all handled natively inside the platform you already trust. Your clinicians keep charting. We keep the revenue cycle moving.

How BreezyBilling Works with Ritten

We live inside your Ritten account. That’s the whole point.

Most billing companies pull your census into their own system, run it through their own workflow, and send you a report at the end of the month. We do the opposite. BreezyBilling operates entirely within your Ritten account, using the same clinical and billing data your program already relies on.

Complete visibility, always

Every claim we create, every payment we post, every denial we work, and every authorization we track. All visible in your Ritten account in real time. No black box. No monthly summary to request.

Your data never leaves your account

We don't export your census or clinical data to a third-party platform or run claims through clearinghouses you didn't choose. Everything stays inside Ritten.

Authorizations stay ahead of the stay

We track initial and concurrent authorizations against length of stay and level of care, flagging renewals before they lapse so a missed review never turns into a denied claim.

Zero learning curve for your team

Your clinicians and admissions team don't change anything. Notes and assessments get signed the same way in Ritten. We work around your team, not the other way around.

We handle every step

Verification of benefitsWe run VOBs at admission, confirming coverage, level-of-care benefits, copays, and out-of-network terms before a client ever starts treatment
Authorizations & utilization reviewWe support initial authorization requests and concurrent reviews and length-of-stay extensions as clients move across levels of care
Note review & codingWe review signed notes and assessments for coding accuracy, level-of-care documentation, and completeness before building claims
Per diem & FFS claim creationClaims are built directly from Ritten data, whether per diem, bundled, or fee-for-service, then scrubbed for errors before submission
Institutional & professional claimsWe generate the right claim type for each level of care, coordinating facility and professional billing where programs require both
ERA posting & reconciliationPayments are posted as ERAs arrive, with every adjustment, denial, and patient balance reconciled against the right date of service
Denial management & appealsWe work denials at the root, correct and resubmit claims, and file clinical appeals with supporting documentation when needed
Reporting & A/R managementAging by payer and level of care, collection rate analysis, and revenue trends, all tied back to your Ritten census
Benefits for Ritten Users

What you get when billing professionals live inside your EHR

These aren’t theoretical advantages. These are the things treatment programs on Ritten tell us they notice in the first 30 days.

01

Billing built for levels of care

Treatment-center billing is not outpatient billing with bigger numbers. Per diem rates, bundled services, level-of-care transitions, and concurrent reviews all have to line up perfectly or claims deny. We do this every day. We know how detox, residential, PHP, and IOP each bill, and we make sure the right claim goes out for the right level of care every time.

02

Authorizations tracked before they lapse

In treatment, a missed concurrent review can wipe out days or weeks of revenue. We track every authorization against length of stay and level of care, support utilization reviews proactively, and flag renewals long before they expire. Your clinical team focuses on the client. We help keep the days covered.

03

Complete visibility into your billing

Every claim, every payment, every denial, every authorization. It's all inside your Ritten account where you can see it anytime. You never have to email us asking where a claim is or wait for a monthly report. Just open Ritten and look. Transparency is non-negotiable, and working inside your system is how we deliver it.

04

No data leaves your account

We don't export your census or patient data to a third-party platform, and we don't run your claims through external clearinghouses you didn't choose. Everything stays inside Ritten, protected by the same security and compliance framework you already trust. Your data, your account, your control.

05

Behavioral health billing expertise

We're not learning treatment-center billing as we go. We know per diem and FFS billing, ASAM levels of care, VOBs, single-case agreements, out-of-network reimbursement, and clinical appeals. We know the payers who slow-walk treatment claims and how to hold them accountable. When something complex comes up, you're working with people who have seen it before.

06

A dedicated team that knows your programs

You get an account coordinator and a biller who learn your payers, your contracted rates, your authorization requirements, and how your programs move clients across levels of care. When something comes up, you're talking to the people who actually know your account inside Ritten, not a help desk.

Integration Workflow

From first call to full billing support in days, not months

Getting started with BreezyBilling is straightforward. We designed our onboarding process specifically for treatment programs on Ritten, so there’s no disruption to your clinical operations.

01

Discovery call

We start with a conversation about your programs: what levels of care you run, what payers you bill, whether you bill per diem or fee-for-service, what your current pain points are, and how your team uses Ritten today. No sales pitch, just an honest assessment of whether we're a good fit.

Takes about 30 minutes. No commitment required.
02

Account access & onboarding

You grant us secure, role-based access to your Ritten account. We set up our team with the permissions they need, nothing more. Then we learn your specific setup: your contracted rates by level of care, your payer mix, your authorization requirements, and how your programs move clients through the continuum.

Onboarding is fast because our team already knows treatment-center billing.
03

Billing audit & baseline

Before we submit new claims, we audit your existing A/R. We look at outstanding claims, aging balances, pending authorizations, denial patterns, and revenue that may have slipped through during level-of-care transitions. This gives us, and you, a clear picture of where things stand and what needs attention first.

We share findings and a plan before moving forward.
04

Active billing begins

From here, we're in your Ritten account daily. We run VOBs at admission, support authorizations and concurrent reviews, build per diem and FFS claims as notes are signed, submit them, post payments, and work denials. Your dedicated biller and account coordinator are working your account every single day.

Most programs see measurable improvement within 30 days.
05

Ongoing partnership

We don't just set it and forget it. You get regular account reviews, monthly performance reports pulled from your Ritten data, and proactive communication about anything we see: denial trends, payer behavior changes, authorization risks, or documentation gaps that could affect reimbursement across your levels of care.

Your team is always a phone call or email away.
What We Handle

Every phase of your revenue cycle, inside Ritten

From the verification of benefits at admission to the moment payment hits your bank account, we manage every step of treatment-center billing without ever leaving your Ritten system. Here’s everything we cover.

Before a client is admitted, we confirm exactly what their plan covers. We run benefits for each level of care, document copays, deductibles, and out-of-network terms, and surface coverage limitations up front so admissions decisions are made with the full financial picture.

What’s included
Admission VOBs by level of care
In-network and out-of-network benefit checks
Deductible and out-of-pocket tracking
Coverage limitation identification
Single-case agreement assessment
Coordination of benefits checks
Real-time eligibility verification
Benefit summary for admissions decisions

Treatment revenue lives and dies by authorizations. We support initial authorization requests, help with concurrent reviews and length-of-stay extensions, and track every authorized day against the level of care being delivered so days are never billed without coverage.

What’s included
Initial authorization requests
Concurrent review support
Length-of-stay extension requests
Level-of-care change authorizations
Authorization-to-census reconciliation
Renewal alerts before expiration
Peer-to-peer review coordination
Medical necessity documentation support

We review documentation for accuracy, then build clean claims directly from your Ritten data and submit them to the right payers. Whether a level of care bills per diem, bundled, or fee-for-service, on an institutional or professional claim, we generate the correct claim type every time.

What’s included
Per diem and bundled claim creation
Fee-for-service outpatient claims
Institutional (UB-04) and professional (CMS-1500) claims
Revenue code and HCPCS validation
Level-of-care and place-of-service accuracy
Claim scrubbing before submission
Timely filing compliance monitoring
Multi-payer coordination

When ERAs and EOBs come in, we post payments directly in Ritten, matching every payment, adjustment, and denial to the correct date of service and level of care. Discrepancies get flagged and resolved, and secondary claims are generated automatically when appropriate.

What’s included
ERA auto-posting and manual posting
Per diem and contractual adjustment reconciliation
Date-of-service and level-of-care matching
Underpayment detection and follow-up
Patient responsibility allocation
Secondary and tertiary claim generation
Deposit reconciliation
Write-off review and approval coordination

Denials don't just get noted. They get worked. We track every denial in Ritten, identify the root cause, and take action. From corrected claims to multi-level clinical appeals with medical necessity documentation, we see treatment-center denials through.

What’s included
Denial root cause analysis
Corrected claim resubmission
Clinical and medical necessity appeals
Level-of-care downgrade disputes
Peer-to-peer review coordination
Payer follow-up and escalation
Denial trend tracking and prevention
Timely filing exception requests

Using your Ritten data alongside our own tracking, we give you clear visibility into your program's financial health. No extra dashboards or logins. Just actionable data tied to your census and levels of care.

What’s included
A/R aging by payer and level of care
Collection rate analysis by program
Denial rate monitoring and trending
Authorization and pending-day tracking
Per diem yield and net revenue summaries
Payer performance scorecards
Census-to-revenue reconciliation
Actionable recommendations for improvement
How We Compare

Breezy vs. in-house vs. a generic billing company

Most programs are choosing between three options. Here’s how they stack up for a treatment center on Ritten.

BreezyBilling
In-House Billing
Generic Biller
Works inside Ritten
?
Per diem & level-of-care billing expertise
?
Supports authorizations & utilization review
?
No data exported to external system
?
Dedicated team assigned to your programs
Real-time visibility, no separate portal
?
Scales across levels of care without adding headcount
Common Questions

Everything you’ve been meaning to ask

HIPAA, access, per diem billing, authorizations, pricing, and onboarding. The questions treatment programs always ask before getting started.

Yes. Ritten supports role-based access controls, and we use a dedicated biller login with only the permissions needed to do billing work. We sign a Business Associate Agreement (BAA) with every program we work with, and Ritten itself is a HIPAA-compliant platform. No patient or census data ever leaves your Ritten environment.

Both. Treatment programs almost always have a mix. Detox and residential typically bill per diem, PHP and IOP bill by level of care, and outpatient and MAT services bill fee-for-service. We build the correct claim type for each level of care, on institutional (UB-04) or professional (CMS-1500) claims as the payer and program require.

Yes, and for treatment centers this is one of the most important things we do. We support initial authorization requests, help with concurrent reviews and length-of-stay extensions, coordinate peer-to-peer reviews, and reconcile authorized days against the level of care being delivered. A missed concurrent review can cost a program days or weeks of revenue, so we track every authorization proactively.

Absolutely. Out-of-network is common in this space and it has its own playbook: thorough verification of out-of-network benefits at admission, single-case agreement negotiation where it makes sense, and careful management of patient responsibility. We work out-of-network treatment claims regularly and know how to pursue fair reimbursement.

We charge a percentage of collections, with the exact rate depending on your program mix, payer mix, level-of-care complexity, and volume. There are no setup fees and no monthly minimums. We earn when you earn. Exact pricing is discussed during your discovery call once we understand your specific situation.

Most programs are onboarded and actively billing within days of granting us access. The first week typically involves a billing audit of your existing A/R, a review of your contracted rates by level of care and payer, a look at any pending authorizations, and getting your dedicated biller up to speed on your workflow inside Ritten. We don't disrupt your clinical operations during this process.

Very common. We can work alongside your existing admissions and clinical teams, taking on the complex revenue cycle work (VOBs, authorization support, utilization review, claim submission, denial management, appeals) while your staff continues to handle intake, clinical documentation, and patient-facing tasks. We define the division of responsibilities clearly during onboarding so there's no confusion.

That's one of the most common situations we walk into with treatment centers, especially where authorizations or level-of-care documentation fell behind. The first thing we do is an A/R audit specifically to find and recover what's been left on the table. Depending on the age and reason for the denials, we can often recover significant revenue that programs had written off as uncollectable.

Ritten Billing Support

Keep Ritten. Let us handle the billing.

Whether you’re a single program drowning in authorizations or a multi-site provider managing billing across every level of care, we can help. We’ll start with a free, no-pressure conversation about your programs and your Ritten setup.

No setup fees. No obligation. Just a real conversation with people who understand treatment-center billing inside Ritten.

Get in touch

Reach out and we’ll schedule a free discovery call to learn about your programs.

Free discovery call, no obligation
Fast onboarding turnaround
No setup fees
Dedicated billing team for your programs
HIPAA-compliant account access