North Star Direct Management handles the revenue-cycle work behind your practice — claims, denials, follow-up, and receivables — so independent behavioral health providers across Pittsburgh and Pennsylvania can stay focused on the people in front of them.
You went into behavioral health to be present with people — not to chase payers after a full day of sessions. But the business side has a way of following you out the door, and it’s rarely just one thing.
Claims sitting unresolved while the work to fix them keeps piling up.
Time-based codes and modifiers that quietly cause underpayments or denials.
Payer follow-up falls behind because no one has the time to stay on it.
Revenue aging quietly in the background — money earned but never collected.
Not knowing where the practice actually stands until it becomes a problem.
Providers ready to see patients but not yet credentialed to bill for them.
The biggest cost of broken revenue-cycle
management isn’t only lost revenue.
It’s your time and attention.
NDM isn’t a general medical billing company with behavioral health added as another specialty. Behavioral health is the focus — and every part of how we work reflects that.
We understand the billing realities of therapists, counselors, and psychiatrists — session lengths, time-based codes, payer authorizations. Behavioral health isn't a line item on our menu. It's the menu.
You're not routed through account reps or anonymous support tickets. You work directly with the person responsible for your account — and you already know their name.
Understandable reporting that shows what's happening with claims and revenue delays, so you're never guessing where the practice stands.
Our percentage-of-collections structure means we only do well when you do well. Our success is connected to your collections.
A full revenue-cycle partner — not just a claims shop. Each service exists because it’s something that quietly steals a provider’s time.
Founder-led means the person who owns the work is the person you talk to.
Know what each patient's plan actually covers before the first session — no surprises on the back end.
Stay ahead of payer authorization requirements so covered care doesn't get interrupted.
Clean, accurate claims submitted correctly the first time, so the revenue cycle keeps moving.
Denied claims worked, appealed, and followed through — not just logged and forgotten.
Every payment matched to the right claim, so your books reflect reality.
Aging receivables worked systematically, so earned revenue doesn't quietly disappear.
Credentialing handled so providers can bill — and get paid — for the work they're already doing.
Your team trained on the compliance basics that protect both the practice and the patient.
Not sure where your revenue cycle is leaking? Bring your questions to a free consultation — we’ll walk through it with you.
You shouldn’t have to guess where the practice stands. NDM provides clear reporting on the parts of the revenue cycle that actually matter — so you can see the work happening, not just trust that it is.
See what’s submitted, pending, paid, and denied.
Know what’s aging and what’s being worked.
Spot recurring denial reasons before they compound.
Track payments and reconciliation as they land.
Understandable reports, not a wall of raw data.
The few numbers that actually tell you how the practice is doing.
Nico Corradetti
Founder, North Star Direct Management
Direct founder access — the person who owns the work is the person you talk to.
North Star Direct Management didn’t start with a business plan for another billing company. It started with Nico watching his mom grow her therapy practice.
As more patients came through the door, the billing started following her home. Claims needed attention. Notes and coding still had to get done. Insurance issues didn’t care that she’d already spent the day taking care of other people.
Nico saw his mom doing billing work at night after a full day of seeing clients, and he saw something that didn’t sit right with him: the business side of healthcare was taking time and attention away from the reason she built the practice in the first place.
That experience became the reason behind NDM.
“Behavioral health providers shouldn’t have to accept constant billing headaches as just part of running a practice.”
That belief became North Star Direct Management: behavioral health providers shouldn’t have to accept constant billing headaches as just part of running a practice.
They should be able to finish the day knowing the business side is being handled — and give their energy to the people sitting across from them.
Today, Nico brings that same personal responsibility to every NDM relationship. Clients work directly with him, and the company remains focused on the problem that started it all: giving behavioral health providers more room to be providers.
NDM exists to strengthen the relationship between behavioral health providers and their patients by taking the fight with claims off the provider’s plate—giving them back the time, attention, and confidence to focus fully on the people in front of them.
When billing, claims, denials, and payer follow-up stop consuming a provider’s time and mental bandwidth, they can be more present with the people they entered behavioral healthcare to serve.
NDM succeeds when its clients succeed.
Success means giving providers time and mental bandwidth back.
Behavioral health is the focus of the company, not an additional specialty.
We question outdated processes instead of accepting “that's how billing works.”
We communicate clearly and early when claims, payers, or processes need attention.
We understand your practice, your current billing challenges, and whether we’re the right fit.
Agreements completed, practice and provider information gathered, and necessary system access set up.
NDM configures your account and begins managing the agreed revenue-cycle services.
NDM manages the revenue cycle, communicates with your practice, and provides applicable reporting.
Timing depends on receiving required information and current payer credentialing status. Credentialing requirements may extend onboarding.
“Before NDM, billing was the thing that followed me home at night. Nico took that off my plate. Denials get worked, claims stop aging, and I can actually see where the practice stands. Most importantly, my clinicians get to focus on their clients instead of paperwork. Nico understands behavioral health — he's not learning on our dime.”
“What stands out most about Nico is his exceptional maturity and determination. Despite his young age, he approaches entrepreneurship with a seriousness, discipline, and sense of responsibility that surpasses that of many seasoned professionals. His willingness to put in the necessary sweat equity and remain focused on his goals is truly impressive.”
“I've known Nico his whole life, and in that time I've come to know him as someone who leads with integrity in everything he does. He treats people with genuine respect, regardless of their position or what they can offer him, and that consistency in business settings and outside them says more about his character than any pitch ever could. What stands out most is his reliability. When Nico says he's going to do something, he does it. He's built North Star Direct Management with real discipline, and he approaches every relationship, professional or personal, with the same level of care and follow through. I'd recommend Nico without hesitation to anyone looking for someone professional, driven, and trustworthy in every sense when it comes to the revenue cycle management industry.”
Security and compliance aren’t a checklist we tack on — they shape how the work gets done every day. We operate within the guardrails each platform provides and document accordingly.
HIPAA-conscious operating procedures
Business Associate Agreements in place
Secure technology platforms
Encryption in transit and at rest where provided by the relevant platform
Controlled, role-appropriate access
Compliance documentation maintained
Certified billing specialists (CPC, CPB)
Background-checked staff
We work within established, secure platforms for claims, eligibility, and documentation — operated according to each platform’s security and access controls, with role-appropriate access and audit trails maintained throughout.
No exaggerated legal or security guarantees are implied. Specific controls depend on the platforms and agreements in place for each engagement.
North Star Direct Management is based in Pittsburgh and serves behavioral health providers throughout Pennsylvania — therapists, counselors, and psychiatrists across the region.
300 Mt. Lebanon Blvd, Suite 221
Pittsburgh, PA 15234
NDM has the infrastructure to support behavioral health providers outside Pennsylvania as the company expands. Pittsburgh and Pennsylvania remain our home base and primary focus.
Home base · Serving all of PA
If you’re an independent behavioral health professional, therapist, psychiatrist, or a growing practice — let’s talk about taking revenue-cycle work off your plate.
