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Jane Billing Setup Checklist for Therapy Practices (Jane App + Claim.MD)

If you’re using Jane and billing feels inconsistent, it’s almost never one “big” issue. It’s usually a handful of small setup gaps that create denials, missing payments, and AR that quietly piles up.

This checklist is the baseline I use when helping therapy practices get billing in Jane clean and trackable.


If you want hands on help with this, start here: Jane billing help


Step 1: Confirm your “billing basics” inside Jane

Before you touch Claim.MD, make sure your foundation is solid:

  • Your practice details are accurate (name, address, phone)

  • Providers are set up correctly (credentials, NPI, taxonomy if needed)

  • Service codes and fee schedules match what you actually bill

  • Locations are correct (especially if you have more than one)

Why this matters: incorrect provider or location data can create rejections that look like “payer issues,” but are really setup issues.


Step 2: Make Claim.MD connection boring (boring = good)

If you’re using Claim.MD, your goals are simple:

  • Confirm the integration is active and stable

  • Confirm claims are actually leaving Jane correctly

  • Confirm you can reliably identify what was submitted, when, and with what result

Common “quiet failures” I see:

  • Submissions happening but not being tracked consistently

  • Missing payer-specific requirements that trigger predictable denials

  • No repeatable process for fixes and resubmissions


Step 3: Build a tracking habit

You don’t need a complex spreadsheet empire. You do need a simple way to answer:

  • What was submitted this week?

  • What paid?

  • What denied?

  • What is pending too long?

A simple weekly rhythm:

  1. Submit claims

  2. Review rejections/denials

  3. Fix and resubmit

  4. Update tracking

If you’re not tracking, you’re not managing.


Step 4: Create a denial workflow you can repeat

Denials will happen. Your job is to make them predictable and fast to resolve.

Start with:

  • A short list of your top denial reasons

  • A standard “fix process” for each one

  • A consistent follow-up schedule (weekly is fine)

If you’re seeing the same denial reasons over and over, you don’t have a denial problem. You have a workflow problem.


Step 5: Clean up AR by category, not by panic

If your AR is a mess, don’t start with random claims. Sort by:

  • Highest dollar

  • Most recent (easier to recover)

  • Most common denial reason

  • “Pending forever” claims

You’ll get better results with less effort.


Step 6: Add a monthly “owner view”

Even if you don’t want full-service billing, you should see a simple monthly snapshot:

  • Total charges

  • Total payments

  • Top denials

  • Total AR and aging buckets

  • What’s blocked and why


If you want that oversight without full billing management, this is exactly what my AR + Metrics Review is for: https://www.upstatehealthcareadmin.com/billing-services


Want this cleaned up quickly?


If you want someone to set up your Jane + Claim.MD workflow, fix the leaks, and build a repeatable process, book a consult here:

 
 
 

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CPES Cert
Danielle Wagar
716-512-0892
danibwagar@gmail.com
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