Services

Consulting

Services might include:

Researching code sets for program additions
Advising on compliance or regulatory issues
New program development
Revenue Capture (Billing) audits
Clinical Documentation/Compliance Audits
EMR Consulting, Configuration and Set Up
Program Development-County or Human Services Agencies

Full Licensing Support includes:

Developing compliant workflows
Drafting policies and procedures
Operational Coaching
Creating required forms
Coordinating inspections
Uploading applications and documentation

Let us handle the details so you can focus on growing your practice and welcoming new clients!

Licensing and Accreditation

Would you like to get licensed by the Behavioral Health oversight agency in your area? Would you like to be able to offer residential or outpatient substance use disorder treatment? Or work with Criminal Justice Clients?

We've done it more than 30 times, and we are confident that we can help you!

Here’s what we can do:

Working with you to develop workflows that are compliant with relevant state oversight rules, and coaching on how to operationalize specific rules
Drafting Policies and Procedures
Creating any required forms
Coordinating inspections
Uploading the application information and other relevant documentation to the oversight authority

Let us help you catch issues before they become problems so you can focus on providing great care!

Enrollments / Credentialing

We provide full Enrollment and Credentialing support!

We help obtain:

✔️Type-2 Organization NPI numbers

✔️Type-1 Individual NPI number for Clinical Supervisors

Medicaid Enrollment Services:

Enroll clinical supervisor(s) with state Medicaid agency.
Enroll Group Practice with the state Medicaid agency
Link Supervisors to the Group in the State Portal
Submit enrollment applications to the Medicaid Managed Care entity
Follow the applications through to resolution, making any corrections needed along the way.

Commercial Insurance and EAP Enrollments:

Oversee Credentialing, Contracting, and Configuration with any available commercial payor networks.
Enroll individual providers with selected commercial payors
Bundle Individuals into Group Practice as needed
Follow the applications through to resolution, making any corrections needed along the way.

Let us help you turn confusion into confidence and paperwork into productivity!

Practice Management

The "No Surprises Billing Act" requires provider directories to remain updated every 90 days. This responsibility has been assigned to the providers by the payors.

Challenges include:

Different timelines by the payors
Frequent updates to guidelines
Risk of suspended payments if information lapses.

Our Practice Management Program handles:

Provider directory updates
CAQH maintenance
License renewals and uploads
Recredentialing and revalidation
OIG and SAM.gov monitoring

Let us chase the deadlines, update the details, and protect your revenue so you can focus on changing lives!

Billing

We handle the Revenue Cycle Management!

Each Billing Specialist manages the following tasks:

Client Eligibility checks
Claim Submission
Payment posting
Balance reconciliation
Denial corrections and resubmission
Regular meetings with your team to discuss billing trends

Benefits to providers:

Increased collections
Consistent communication
Long-term billing support

We’re here to help you and your staff:

EMR and workbook configuration assistance
Review of services (to include coding, modifiers, place of service, units, supervisor affiliation, etc.)
Review special claim projects
Regular newsletters to help you be mindful of upcoming changes (Lefty Lightning!)

Let us fight the payors so you can continue to deliver exceptional behavioral health services!