Residential Treatment Center Billing and Denial Recovery
Billing for a residential treatment center is not like billing for an outpatient practice. Authorizations, levels of care, per diem rates, and payer rules all have to line up, or claims get denied and revenue sits unpaid. I have more than 15 years in behavioral health revenue cycle management, with a specialty in adolescent residential treatment. I work only with behavioral health providers, so I know how these claims get paid and why they get denied.
Claims and Denials
Claim follow up and appeals for Medicaid and commercial payers, including old denial backlogs.
Authorizations
Authorization and level of care tracking so services are covered before they are billed.
Single Case Agreements
Single case agreements and rate negotiation when a payer is out of network.
Posting and Credentialing
ERA and 835 posting, payment reconciliation, and payer credentialing.
Schedule a Free Billing Review
Tell me about your facility and your billing challenges, and I will be in touch.