Behavioral Health billing
Behavioral health billing combines carve-out payers, level-of-care authorizations, revenue codes, and strict documentation rules. Our team knows that landscape well.
The problem
How we handle it
Initial and concurrent review management for residential, PHP, and IOP programs.
Facility and professional billing with correct revenue codes.
HIPAA and 42 CFR Part 2-aware handling of sensitive records.
Clear estimates and payment plans that keep patients engaged in treatment.
Workflow
Client example
The situation. Level-of-care authorizations lapsed, so paid days were lost every month.
What we did. Concurrent reviews were scheduled ahead of every expiry, and UR notes were matched to payer criteria before submission.
Client details anonymized. Results vary by practice.
ABA Therapy, Mental Health, Primary Care, Cardiology, Orthopedics, Physical Therapy, Home Health, Laboratories, and Specialty Clinics.
Send us 90 days of claims data and we'll show you where revenue is slipping through, how much is recoverable, and what we would fix first. It's free and there's no obligation.
We sign a BAA before any patient data changes hands.
