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RCM expertise built around your specialty.
Revenue cycle work is specialty work. The authorization cadence, the code families payers scrutinise, the documentation that supports medical necessity and the denial patterns that recur are all different from one specialty to the next. Generic billing support treats them as the same problem. They aren't.
Specialty focus areas
Behavioral Health
Outpatient therapy, group programs and higher levels of care. Carve-out administrators, session limits, continuing-care reviews and network status that changes by product line.
Behavioral health RCMPsychiatry
Diagnostic evaluations, medication management, E/M visits with psychotherapy add-on codes, time-based documentation and telepsychiatry place-of-service and modifier rules.
Psychiatry RCMPhysical Therapy
Timed and untimed procedure units, treatment-time documentation, plan-of-care certification and recertification, visit authorizations and continued-necessity evidence.
Physical therapy RCMPain Management
Interventional procedures governed by published coverage policy, level and laterality modifiers, imaging-guidance bundling, procedure-frequency limits and audit exposure.
Pain management RCMOther Healthcare Practices
Our focus areas are where our depth is strongest, but they are not a boundary. Tell us how your revenue cycle runs and we'll assess fit honestly — including when the answer is no.
Discuss your specialtyThe same claim fails differently in different specialties.
Authorization rhythm
Some specialties authorize once per episode. Others require continuing-care review every few weeks, or a fresh authorization each time a plan of care is recertified. The tracking discipline needed is completely different.
Time and unit rules
Session-based, time-based and unit-based billing each have their own documentation requirements. A note that supports one will not necessarily support another.
Who administers the benefit
Behavioral health and therapy benefits are frequently administered by an entity other than the medical plan. Sending the claim to the name on the card is a routine and entirely avoidable denial.
Coverage policy scrutiny
Procedural specialties operate against published local and national coverage determinations with explicit criteria, frequency limits and documentation requirements — and meaningful audit exposure when they aren't met.
Let's build a healthier revenue cycle.
Tell us where your revenue cycle is under pressure right now. We'll walk through what's happening, what we'd take on, and whether working together makes sense for your practice.