Revenue Cycle Management

Your Practice, Your Vision, Your Revenue Cycle Management Partner

Whether you are a growing behavioral health practice or a well-established organization, revenue cycle management is foundational to the success of your organization.

Achieve up to 99% clean billing rate with our scalable options to support your needs—partnerships with industry clearinghouses, software to enable your team, and fully outsourced billing services. Choose the level of support that best complements your practice today and expand your RCM capabilities as your business evolves.

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Revenue Cycle Management Capabilities

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Complex Billing Models

Don’t let the complexity of behavioral healthcare and reimbursement models slow your growth. Our RCM solutions empower you to confidently manage value-based care (VBC) contracts and seamlessly adapt to Certified Community Behavioral Health Clinic (CCBHC), federal, state, and local requirements.

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Scalable RCM Solutions

Enjoy the freedom of an RCM partnership for the life of your practice. From the integrated billing in our EHRs, to dedicated RCM software and outsourced services for claims/remits, eligibility, and labs, Qualifacts has a solution to support your growth.

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Advanced Reporting and Analytics

Unlock the potential of your practice with real-time information and intuitive dashboards. Customers harness the power of our data analytics platform to optimize revenue, unburden staff and strategically allocate resources.

REVENUE CYCLE MANAGEMENT STRATEGIES

Watch the Open Minds Webinar

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Qualifacts Outsourced Billing Services: RCMS+

Optimize payments and collections, minimize average length of time in AR, and reduce “timely filing” errors with Revenue Cycle Management Services Plus (RCMS+), our outsourced billing services.

Our RCM experts provide:

  • Data-driven insights to boost efficiency
  • Consistent batch submissions of claims
  • Expedited payment posting and reconciliation
  • Denial management services
  • Scalable AR processes
  • Integrated month-end closing process
  • Claims compliance editing to ensure accuracy
  • Client statement exchange capability

Your dedicated account management team also provides regular performance updates to ensure your revenue cycle is fully optimized.