Full Scope Revenue Cycle Management

We manage the entire revenue cycle for substance use disorder and behavioral health providers, from initial eligibility verification through final payment resolution.

Our structured approach integrates clinical alignment, payer compliance, and operational oversight, informed by experience supporting providers in complex environments including California and Florida.

End to End Revenue Oversight

Revenue cycle management is not limited to claim submission. It begins at intake and continues through payment posting, denial management, and reconciliation.

We build coordinated systems that reduce leakage, strengthen compliance, and improve reimbursement predictability.

Eligibility Verification & Benefits Analysis

Accurate eligibility verification prevents downstream denials. We conduct detailed benefits analysis to confirm:

• Coverage status
• Authorization requirements
• Deductibles and patient responsibility
• Out of network implications

Strong front end verification protects revenue before services are rendered.

Charge Capture & Coding Review

We review documentation and coding to ensure accuracy, completeness, and alignment with payer requirements. Proper charge capture reduces claim rejections and strengthens reimbursement integrity.

Claims Submission & Monitoring

Claims are submitted promptly and tracked proactively. We monitor payer responses, identify issues early, and address delays before they escalate.

Denial Prevention & Workflow Optimization

We analyze denial patterns and operational bottlenecks to implement corrective workflow adjustments. This includes intake improvements, documentation alignment, and payer communication strategies.

Integrated Revenue Stability

When eligibility, clinical documentation, authorization management, and billing workflows operate in coordination, providers experience stronger cash flow and fewer disruptions.

Our full scope revenue cycle management model is designed to create operational clarity and long term financial stability.