Revenue Cycle Management for Behavioral Health Organizations
Full Revenue Cycle Management
Comprehensive billing support from charge entry to payment posting and everything in between.
Includes:
- Claim creation and submission
- Payment posting and reconciliation
- Insurance follow-up and resolution
- Patient statement processing
- Coordination of benefits management
- Clearinghouse rejection management
Outcome: Consistent cash flow, reduced AR, and a revenue process your leadership team can rely on.
Accounts Receivable & Denial Recovery
Aging AR and recurring denials are often symptoms of workflow issues — not just unpaid claims.
We provide:
- Analyze aging accounts receivable
- Resolve unpaid and underpaid claims
- Identify denial trends
- Correct root-cause workflow issues
- Implement prevention strategies
Outcome: Recovery of stuck revenue and long-term performance improvement.
Credentialing & Payer Contracting
Growth requires providers to be in-network, enrolled, and ready to bill without delays.
We manage:
- Individual and group credentialing
- New provider enrollment
- Payer revalidation
- Contract applications and tracking
- CAQH maintenance
Outcome: Faster onboarding of clinicians and reduced revenue disruption.
Authorization & Payer Workflow Support
Behavioral health revenue depends on accurate and timely authorizations.
We help your organization:
- Establish authorization workflows
- Track and manage service approvals
- Align billing with payer requirements
- Prevent avoidable denials
Outcome: Fewer payment delays and stronger compliance.
Financial & KPI Reporting
Leadership needs real numbers — not guesswork.
Our reporting provides visibility into:
- Monthly collections
- AR trends
- Payer performance
- Provider productivity
- Revenue by service line
Outcome: Data-driven decisions and confident growth planning.
Practice Growth Support
As your organization expands, your billing systems must evolve.
We support:
- New location setup
- Adding providers
- New service lines
- Workflow optimization
- EHR transitions
Outcome: Scalable infrastructure that grows with your practice.