From initial contract analysis to ongoing network support, we provide end-to-end solutions that help behavioral health providers maximize their reimbursement rates in today's insurance landscape.
In today's complex healthcare landscape, behavioral health providers face unprecedented challenges in securing fair reimbursement rates and navigating the intricate world of insurance contracting. Whether you're operating a mental health clinic, substance use disorder treatment facility, or residential treatment center, the path to successful payer contract negotiation requires expertise, persistence, and deep industry knowledge.
Our behavioral health contracting services have helped over 50+facilities nationwide transform their revenue cycles. From initial contract analysis to ongoing optimization, we serve as your dedicated partner in maximizing reimbursements while minimizing administrative burden. Our focus on in-network contracting for behavioral health providers ensures you receive the rates and terms your services deserve.
Unlike general medical practices, behavioral health and substance use disorder treatment facilities require specialized knowledge of unique billing codes, treatment modalities, and level-of-care requirements. Insurance companies often undervalue these services, offering initial rates that are 20-40% below market standards.
Our expertise in rehab center insurance contracting and treatment facility payer contracting ensures you receive rates that reflect the true value of your services, whether you're providing intensive outpatient programs, partial hospitalization, or residential treatment.
Secure better rates and terms with professional negotiation services.
Learn about this serviceComprehensive analysis to maximize your reimbursement rates across all networks.
Learn about this serviceOngoing guidance to maximize your in-network participation benefits.
Learn about this serviceFrom comprehensive contract analysis to strategic payer negotiations, we provide end-to-end solutions tailored to your specific needs.
Contract optimization is the foundation of successful insurance relationships. Our behavioral health contracting services streamline the complex negotiation process, ensuring optimal terms that protect your interests and maximize revenue.
Behavioral health Medicaid contracting presents unique challenges with state-specific requirements and managed care organization (MCO) variations. Our expertise ensures successful navigation of these complex systems.
Successful in-network contracting for behavioral health requires a strategic, methodical approach. Our process, refined through years of experience with substance use disorder treatment facilities and mental health provider contracts, ensures optimal outcomes for every client.
We begin with a thorough analysis of your current payer contracts, reimbursement rates, and operational needs. This assessment forms the foundation of our payer contract negotiation strategy for your behavioral health facility.
Our behavioral health contracting team prepares comprehensive documentation showcasing your facility's value proposition, quality metrics, and unique services. We build a compelling case for premium reimbursement rates.
This is where our expertise in treatment facility payer contracting truly shines. We leverage industry benchmarks, quality metrics, and strategic positioning to secure optimal rates and terms for your behavioral health services.
After securing favorable contracts, we ensure smooth implementation and provide ongoing support to maximize your in-network benefits. Our team remains available for claims issues, authorization challenges, and contract compliance matters.
Our rehab center insurance contracting expertise spans the full continuum of care
Comprehensive mental health contracting services for outpatient practices, ensuring optimal reimbursement for therapy, psychiatry, and specialized interventions.
Expert substance use disorder contracting services covering all levels of care from detox through long-term residential treatment.
Targeted contracting support for specialized behavioral health programs with unique billing and reimbursement requirements.
Beyond our core services, we offer specialized support to ensure your complete success
Comprehensive analysis of which networks would be most beneficial for your practice.
Staff training on network requirements, billing, and best practices.
Unlike generalist consultants, we specialize exclusively in behavioral health insurance contracting. Our deep understanding of treatment modalities, level-of-care criteria, and payer-specific requirements ensures optimal outcomes for mental health and substance use disorder providers.
With 95% success rate in payer contract negotiations, our behavioral health contracting services consistently deliver 15-40%rate increases for our clients.
Our established relationships with major insurers, including expertise in behavioral health Medicaid contracting and commercial payers, accelerate the negotiation process and improve outcomes.
Treatment facility payer contracting can consume hundreds of hours. Our services free your team to focus on patient care while we handle the complex world of insurance contracting.
Our systematic approach ensures nothing falls through the cracks
We assess your current situation, goals, and identify the best networks for your practice.
Create a customized plan with timelines, priorities, and clear expectations.
Handle all paperwork, submissions, and negotiate the best possible terms.
Ongoing support to ensure smooth operations and maximum benefit realization.
The negotiation timeline varies by payer but typically ranges from 30-60 days. Our behavioral health contracting services include expedited processing strategies that can reduce timelines significantly compared to self-negotiation.
Yes, we provide comprehensive support for all payer types. Our expertise includes commercial insurance contracting, behavioral health Medicaid contracting, Medicare negotiations, and managed care organization contracts.
Behavioral health requires specialized knowledge of unique CPT codes, level-of-care criteria, prior authorization requirements, and treatment modalities. Our substance use disorder contracting expertise and mental health contracting knowledge address these specific challenges.
Absolutely. Our payer contract negotiation services for behavioral health facilities include renegotiation of existing contracts. We typically secure 15-40%rate increases even for established in-network providers.
Yes, we specialize in helping new facilities establish their insurance networks from the ground up. Our rehab center insurance contracting services include guidance on strategic payer selection for optimal market entry and revenue maximization.
Join hundreds of behavioral health providers who've streamlined their operations, increased revenue, and gotten back to what matters most—patient care.