“We knew regulatory and reimbursement changes were coming, along with the movement toward value-based care, and we needed to support those waves of change,” Courtney Stephens, PhD, MHALA Senior Director of Evaluation and Compliance.
Behavioral health rcm and billing is a complex landscape that constantly evolves due to changing regulations and industry standards. Keeping up with these shifts while ensuring accurate and timely payments can be a significant challenge for providers. Outsourcing revenue cycle management (RCM) to a specialized partner can alleviate this burden, allowing practices to focus on delivering quality patient care.
Qualifacts offers a comprehensive full-service RCM solution called RCMS+ that is specifically tailored for behavioral and mental health practices. Our industry-specific billing expertise and advanced technology solutions reduce administrative costs, improve cash flow, and optimize clean claim rates.
“We knew regulatory and reimbursement changes were coming, along with the movement toward value-based care, and we needed to support those waves of change,”
“With the way behavioral health and finances work these days, there’s no way to do it without the EHR technology. There’s no way to track data, no way to do the work, there no way to turn in the accountability for the funding without having all of the supportive platforms that allow us to do that,”
Behavioral Health RCM Outsourcing Services | What to Consider
When deciding if you should outsource your behavioral health revenue cycle management, consider the various factors that impact your practice’s staff resources, regulatory compliance, and financial performance.
Optimizing Operations and Improving Cash Flow
“With the way behavioral health and finances work these days, there’s no way to do it without the EHR technology. There’s no way to track data, no way to do the work, there no way to turn in the accountability for the funding without having all of the supportive platforms that allow us to do that,” said Noelle Carroll, Psy.D, Health Services Director for Polk County Health Services.
Outsourcing RCM can speed up your operations, boost your cash flow, and optimize your revenue cycle. With cutting-edge technology and a team of experienced professionals, you can ensure accurate coding, timely claim submissions, and efficient payment processing. Not only will your team not be bogged down with frequent denials needing appeals, but there will be fewer denials in general. By focusing on your core competencies, you can enhance patient satisfaction and achieve your financial goals with reduced stress and better output.
Staff Turnover and Resource Constraints
“Qualifacts makes the lives of the clinical staff easier, by making billing easier for them.” Amy Bauer, EHR Supervisor of ComWell.
In today’s competitive healthcare market, staffing shortages and high turnover rates can significantly impact your practice’s efficiency and revenue. By outsourcing RCM, you can alleviate the burden on your staff, allowing them to focus on providing quality patient care. A dedicated team of experts can handle all aspects of your billing process, ensuring accuracy and timeliness, letting your staff focus on other aspects of your practice.
Regulatory Compliance and Risk Mitigation
“Qualifacts is aware of where things are headed and what is needed. They’re trying to be at the forefront of where things are going as far as what clinicians need to stay on top of documentation and be aware of how we can support billing and things of that nature to be able to best serve the clients that would work.” Will Voss, COO, Tennessee Voices for Children
The constant changes in regulations can make it difficult to keep your billing practices up to date, leading to errors and potential financial losses, especially when working across state lines. RCM experts stay informed about the latest industry standards and guidelines, ensuring your practice remains compliant and avoids costly penalties. Instead of navigating the complex and confusing regulatory landscape, outsourcing enables you to mitigate risks and focus on providing exceptional client care. Your behavioral health revenue cycle management partner should be well versed in complex payment models, with experience in Value-Based Care (VBC) and Certified Community Behavioral Health Clinic (CCBHC) requirements.
“Qualifacts makes the lives of the clinical staff easier, by making billing easier for them.”
“Qualifacts is aware of where things are headed and what is needed. They’re trying to be at the forefront of where things are going as far as what clinicians need to stay on top of documentation and be aware of how we can support billing and things of that nature to be able to best serve the clients that would work.”
“When I think about our mission at Qualifacts, if we can maximize and optimize the reimbursement side of revenue for providers, it gives them a better opportunity to deliver exceptional care for their clients.”
Maximize Your RCM Investment: Key Features to Look For
Once you’ve decided that your practice could use a powerful boost to its RCM, there are a few things to look for when selecting an outsourcing partner. A high-quality RCM partner should offer:
- Dedicated account management: Personalized support and guidance to optimize your billing process.
- Claim denial reduction: Proactive strategies to minimize denials and maximize revenue.
- Comprehensive patient services: Eligibility checks, authorizations, and statement delivery.
- Seamless EHR Integration: Reduce administrative burden with RCM services that are seamlessly integrated into your EHR.
- Customized solutions: Leverage tailored solutions that align with your practice’s unique needs and goals.
The Right Partner for Your Practice
“When I think about our mission at Qualifacts, if we can maximize and optimize the reimbursement side of revenue for providers, it gives them a better opportunity to deliver exceptional care for their clients.” Charles Reitano, Qualifacts VP of RCM.
Outsourcing RCM is a decision that can significantly benefit your organization. Our RCMS+ program is built specifically for behavioral health, rehabilitative, and human services organizations. Ready to find out how a team of financial experts and state-of-the-art technology can transform your agency?
