Behavioral Health
Authorization‑aware, telehealth‑savvy revenue cycle for BH groups.
Common Pain Points We Solve
Auths & Parity
Authorization maze and parity rules vary by payer.
Telehealth Nuances
Modifiers, place of service, and frequency limits.
Coordination of Benefits
COB rejections and patient plan complexity.
What We Do
Authorization Ops
- Pre‑auth workflows
- Benefit checks & parity adherence
- Denial prevention rules
BH Coding
- Psychotherapy codes
- Telehealth modifiers
- Group/IOP coding guidance
Payer Management
- Roster hygiene
- Escalations
- Underpayment review
Sample Workflows
Intake → Auth → Visit
Automate pre‑auth tracking with clear handoffs.
Coding → Claim → Payer
BH‑specific edits and audits.
Denial → Appeal
Templates and timelines drive throughput.
Outcomes
↓ Auth denials
Cleaner submissions
↑ First pass
Fewer reworks
↑ Provider time
Less admin burden
FAQ
Do you handle group practices?
Yes — multi‑site and multi‑payer setups supported.
Telehealth coverage?
We maintain payer matrices and update rules by state.
Cash‑pay hybrid?
Workflows accommodate mixed payer/cash models.
Ready to get started?
Let’s baseline your metrics and build a specialty‑tuned plan.