Mental & Behavioral Health Revenue Cycle Management

Comprehensive Revenue Cycle Management (RCM) and Clinical Charting (EMR) for Mental Health and Substance Abuse Facilities

Behavioral Health RCM services you can trust

Behavioral health and substance abuse billing is dauntingly complex. But with one of our first clients being a facility providing detox, residential, and outpatient services, you’ll benefit from our 45 years of experience in the specialty. Over that time, we’ve built specialty-specific billing teams to achieve consistent top-line revenue growth and AI and rules engine-driven technology.

We’ve been committed since 1977 to supporting clients by (1) improving their revenue cycles, (2) processing their patient billing, (3) providing online patient payment solutions, and (4) delivering real-time financial analytics dashboards empowering them to collect more money while operating more efficiently.

Operational &
Financial Planning

Scheduling &
Registration

Authorization &
Eligibility Verification

Claims &
Denial Management

Billing &
Collections

Account
Management

Management Reporting & Performance Improvement

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The benefits of working with our RCM team

Increased patient and insurance collections
Reduced denials
Improved financial reporting
Staffing issues and administrative burdens alleviated
Admissions and appointment management
Automated Bed Management platform

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So many of our clients have seen

Revenue increases by 10% - 20%, and other improvements such as:

15%

Reduction in A/R

30%

Reduction in front-end denials

< 3 Days

Resubmitting of denied claims

7%

Improved net collections

99%

Success rate on first attempt clearinghouse claims

20%

Reduction in operating expenses

Behavioral & Mental Health revenue cycle management for all levels of care

Whether your setting is inpatient, outpatient, or a combination of both, MedicsRCM provides:

Behavioral health providers adapting to level of care changes as needed
eligibility verifications on scheduling and up to four times prior to appointments/services
out-of-network alerts in advance of services performed
patient personal responsibility estimator helps capture those amounts due
comprehensive EDI for physicians, clinicians, therapists and other behavioral health providers
claim tracking to ensure your claims are being processed
proactive denial management with our Denial Preventer®; others edited and resubmitted within 72 hours
balance due texting option with online payments through any iOS or Android device, or through our portal
Behavioral health and mental health patients contact MedicsRCM with statement questions

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Operational efficiency

MedicsRCM clients have transparent, on-demand visual and hands-on access to all of their data. They can use MedicsRCM’s:

built-in CRM to track any marketing campaigns or we can interface with other CRMs
portal which supports appointment requests or live scheduling
ability to hold accounts as tentative until patients actually arrive
task manager for ensuring assigned follow-ups are completed
multi-modality scheduler for a variety of appointment types

KPIs, reports & analytics

MedicsRCM produces comprehensive BH and SUD financial and management reports, analytics and KPIs.

month-end closings to ensure data and reporting integrity
reports are reviewed regularly with clients
they’re displayable in a variety of user-defined dashboards
clients can also produce their own on-demand reports
reports can be rolled up or segmented by any number of filters

Unlock the Power of EHR

If you’re looking for more than just a revenue cycle partner, check out our Behavioral Health EHR and patient workflow suite designed for the unique requirements of those in need of substance abuse and/or behavioral health services.

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Solutions that drive efficiency

Patient Call Center

MedicsRCM can handle patient billing calls resulting in increased patient satisfaction, consistent service, and higher collections.

AI-Based Technology

MedicsRCM uses artificial intelligent systems (AI) to identify and resolve potential problems before submitting claims.

Master KPI Dashboard

Following MGMA financial reporting recommendations, see the status of your KPI financial reports at a glance.

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"When we began with MedicsRCM we had revenues delayed for almost 180 days. Now, 90% - 95% of receivables are at less than 45 days, with the vast majority of it being under 30 days."

Gladys Serrano, CEO
Hispanic Counseling Center

Let’s talk about maximizing your organization’s performance

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