Billing challenges in California’s mental health agencies can be just as complex as client care. Behind your billing specialist’s desk, they’re trying to figure out if services are considered specialty or non-specialty, the requirements for the new digital mental health treatment (DMHT) codes, and the list goes on. Add to that navigating Medi-Cal billing codes and audit compliance and you’re left with a process that is often time-consuming and error-prone—but it doesn’t have to be. 

Exym’s mental health billing software eases these complexities and automates workflows, reducing human errors, improving clean claim rates, and helping agencies get paid faster. Built specifically for California mental health providers, Exym helps you stay on top of regulations, generate accurate Medi-Cal billing submissions, and approach audits with confidence. 

Let’s break down the biggest billing and compliance challenges California agencies face—and how Exym’s billing tools simplify workflows, ensure compliance, and reduce administrative burden. 

Clean Claims the First Time Around

Payment delays and claim denials can derail your agency’s revenue cycle and overall financial picture. That’s why Exym performs hundreds of automated validity checks before a claim is submitted, catching errors early so only clean claims go out the door.  

Here’s how it works: 

• Activity notes are approved by clinicians and/or supervisors. 
• Exym’s billing engine runs automated checks. 
• Errors are flagged in a real-time report. 
• Clean claims are ready for submission—no guesswork, no extra back-and-forth 

Read more about the Exym’s EHR Billing software process 

No More CalAIM & Medi-Cal Billing Guesswork

CalAIM billing and Medi-Cal reimbursement rules vary by county, and billing practices can create extra work and uncertainty for your team. Exym’s mental health billing software simplifies this challenge by encoding billing logic directly into the system and automatically flagging errors. Exym also generates CalAIM and Medi-Cal billing requirement reports so you can spend less time figuring out billing codes and more time getting paid. 

Feature highlight: Your organization can even work with Exym to create custom billing rules to meet more specific requirements not covered out of the box.  

▶ Watch how it works in our quick California billing video. 

Faster Denial Resolution

When denials happen, Exym’s system helps you resolve them quickly. By flagging likely causes and enabling fast corrections and resubmissions—your team spends less time decoding payer responses and more time getting paid. 

Expedited Reimbursement with EDI Connection

Paper claims processes are prone to error and gaps in payment tracking. Exym’s Electronic Data Interchange (EDI) connection allows organizations to confirm eligibility and submit claims electronically, so you can reduce reliance on error-prone processes. 

• Clean claims are submitted digitally, in alignment with Medi-Cal and CalAIM requirements and HIPAA. 
• Insurance carve-outs are routed automatically. 
• Payment status can be tracked in real time—improving visibility and cash flow. 

“If you are contracted through Department of Mental Health, Exym is hands-down the best EHR to go with. They stay on top of the DMH and state regulations and are sure to be in compliance every step of the way.” 
— Kristin Santoro, Vice President of Quality and Innovation at Didi Hirsch 

Accurate Forecasting & Financial Oversight

Need a better way to plan ahead? The best decisions can only be made with the latest and most accurate information. Keep the data you care about most front-and-center with on-demand billing performance reports that help you assess, and forecast based on the latest submissions, approvals, and denials data.   

Exym’s customizable dashboards and reports give leadership teams the tools they need to understand trends, spot problems, and forecast revenue accurately—before it becomes a crisis. 

Be Audit-Ready, Always

Audits don’t have to be stressful. Exym’s automated error detection and built-in compliance validation reduce problems in the first place. For everything else, there’s a unified, transparent audit trail, to help your team stay organized and save time in the pre-audit phase.  

• Transparent documentation 
• Easy access to reports and activity logs 
• Fewer surprises when it’s time for review 

Mental Health Focused & Built for You

Exym is uniquely equipped to solve the problems of mental health agencies because we’re an EHR built specifically for California mental health. In fact, we’ve spent over 20 years serving mental health providers—and many of our team members come from the field. That means we understand your pain points and build tools to address them head-on.  

Trusted for Medi-Cal Billing

Exym’s EHR software is widely used across California mental health organizations—especially those working under CalAIM and Medi-Cal reimbursement models. 

Mental health organizations rely on Exym to: 

• Improve clean claims rates 
• Simplify Medi-Cal billing 
• Stay compliant with CalAIM requirements 
• Reduce stress during audits 
• Get paid faster 

Learn more about Exym’s California-focused billing solutions. 

Ready to Simplify Billing and Maximize Your Revenue?

Don’t let outdated systems slow you down. With Exym’s mental health billing software, you can reduce errors, increase clean claims, and feel confident in your compliance strategy. 

👉 Request a demo to learn how Exym can support your billing team and boost your bottom line.