Medical Billing
Optimizing Medical Billing for a Growing Mental Health Practice
- Increase in collections
- 18%
- AR reduction over 12 months
- $1M
- Reimbursement turnaround
- 9-Day
- Denial overturn rate
- 75%
Overview
The client
A multi-provider mental health clinic was expanding rapidly, aiming to serve tens of thousands of patients annually. With a focus on psychiatric care and advanced treatment protocols, the clinic needed a reliable billing partner to streamline operations, ensure compliance, and support scalable growth.
The Challenge
The clinic faced several challenges common in mental health billing: time-consuming manual workflows that diverted attention from patient care; frequent delays and denials impacting cash flow; complex and evolving psychiatric billing codes increasing compliance risk; and a lack of real-time visibility into revenue cycle performance.
Goals
What we set out to do
- Ensure accurate and timely reimbursements
- Minimize denials and reduce administrative burden
- Scale billing operations to match growth trajectory
- Gain transparency through performance reporting and analytics
How we did it
Our Approach & Strategies
-
01
Eligibility & Prior Authorization
Verified coverage and secured authorizations upfront to prevent downstream denials.
-
02
Expert Coding & Claims Submission
Applied psychiatry-focused billing protocols and advanced tools for error-free, first-pass claims.
-
03
Follow-ups & Denial Management
Proactively appealed and followed up on claims to recover otherwise-lost revenue.
-
04
AR Management & Monthly Reporting
Dedicated account managers delivered AR oversight and transparent, actionable reporting.
Results
What changed
- 18% increase in collections — boosted monthly revenue
- $1M AR reduction — improved cash flow over 12 months
- 9-day turnaround — faster reimbursements
- 75% denial overturn rate — successful appeals restored lost revenue