Our Services
We specialize exclusively in behavioral healthcare revenue cycle management—helping treatment facilities get paid accurately, compliantly, and on time. Our services cover the full financial lifecycle while addressing the unique clinical, regulatory, and payer challenges of behavioral health.
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We confirm coverage before care begins so there are no surprises later. Our team verifies eligibility, benefits, and authorization requirements while providing policy pricing guidance to support accurate financial conversations with patients and families.
Includes:
Eligibility and benefits verification
Authorization requirements review
Policy pricing and reimbursement guidance
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We bridge clinical care and payer requirements. Our utilization management process ensures services meet medical necessity standards and are supported by strong, compliant clinical documentation.
Includes:
Utilization review and ongoing authorization management
Clinical and medical documentation analysis
Medical necessity and payer guideline alignment
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We translate services into clean, compliant claims that get processed correctly the first time. Our team handles coding, claim submission, and follow-up to minimize denials and delays.
Includes:
Accurate behavioral health coding
Claims submission and correction
Ongoing claims management and tracking
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We actively manage insurance follow-up to maximize reimbursement. From underpayments to aged balances, we analyze and work accounts through resolution while keeping leadership informed.
Includes:
Insurance collections and appeals
Reimbursement pricing and repricing analysis
Back-end accounts receivable analysis and reporting
Core Revenue Cycle Services
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We go beyond billing by managing payer contracts and strengthening insurance relationships. Our team analyzes contract performance, negotiates from a data-driven position, and builds strategic partnerships that support long-term sustainability.
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We help facilities build programs that align with insurance requirements and behavioral health medical necessity standards. This ensures services are clinically sound, payer-compliant, and financially viable from day one.
Includes:
Insurance compliance program development
Behavioral health medical necessity alignment
Operational support for new and existing programs
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We empower your team with practical training across the full revenue cycle. Our trainings are designed for real-world behavioral health operations—helping clinical, administrative, and leadership teams understand payer expectations, documentation standards, and revenue workflows.
Includes:
Verification of benefits and authorization training
Utilization management and documentation best practices
Coding, billing, and claims process education
Insurance collections and reimbursement optimization training
Ongoing guidance to keep teams aligned with payer and compliance changes
Unique Revenue Cycle Services
Contact us
Interested in working together? We’d like to hear from you. Send us a message, and we’ll reach out to explore how we can optimize your revenue together.