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Specialty billing

Billing built for Behavioral Health Providers

Revenue cycle support for IOP, PHP, and SUD treatment programs — where authorization management decides financial survival.

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The challenges

Where behavioral health providers revenue leaks

  • Concurrent authorization reviews govern every episode of care
  • Per-diem vs. per-service billing varies by payer and level of care
  • High denial exposure on medical necessity grounds

Our playbook

How we fix it

  • Utilization review coordination and concurrent auth tracking
  • Level-of-care billing logic per payer contract
  • Clinical documentation alignment with medical necessity criteria
  • Denial and appeal management specialized in behavioral health

Core solutions

What behavioral health providers clients typically use

Medical BillingEnd-to-end claim submission, scrubbing, and follow-up that gets you paid faster — engineered to a 98%+ first-pass clean claim standard.
Medical CodingAAPC- and AHIMA-certified coders delivering 95%+ accuracy across ICD-10, CPT, and HCPCS — with built-in audit protection.
CredentialingEnd-to-end provider lifecycle management — credentialing, primary source verification, expirable tracking, and AI-monitored compliance from application to recredentialing.
Denial ManagementEvery denial worked within 48 hours and root causes eliminated — because the best denial strategy is preventing the next one.
AI Revenue IntelligenceMachine learning that predicts denials before submission, prioritizes A/R by recovery probability, and finds patterns humans miss.
MIPS & Quality ReportingFull Quality Payment Program management — measure selection, data capture, submission, and score optimization that turns MIPS from a penalty risk into a payment adjustment you earn.

Get a billing health check for your behavioral health providers practice

Free, 30 minutes, with a consultant who knows your specialty's codes and payers. We'll benchmark your denial rate, A/R days, and collections — and tell you exactly what we'd fix first.

Book my free consultation