We have a deep-rooted understanding of behavioral health medical claims management.

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Better behavioral health through better business.

Your top priority is caring for your patients, but you still deserve to get paid. SimiTree Behavioral Health can help with that. Our behavioral health billing experts have extensive industry knowledge and unique insights into denial and AR management, intake best practices, and automated billing processes.

Let our behavioral health medical claims management experts help you implement scalable practices that allow you to focus on what matters most: caring for your clients.

Behavioral health revenue cycle management services.

Start capturing more revenue.

Our behavioral health revenue cycle experts provide the highest level of transparency. We help you understand why your business is facing certain barriers to success or where you have opportunities to grow. And with scalable solutions, we keep you operating even as staffing or other conditions change.

Choose from services such as:

  • Behavioral health billing and collections
  • Verification of benefits and eligibility checks
  • Electronic claim scrubbing and submission to all insurers, including government payers and commercial payers, as well as primary and secondary users
  • Proactive follow-up on unpaid claims
  • Behavioral health medical records and appeals submissions
  • Charge entry
  • AR cleanup and support
  • Low payment review and reprocessing
  • Customized reporting and analysis
  • Interactive behavioral health business intelligence solution
  • Designated client success manager
  • Patient financial services

Behavioral health utilization review services.

Get patients the care they deserve. Based on medical necessity, we can work with payers to ensure that we maximize the someone’s length of stay at each level of care before they take the next step in their healing journey. Let us help you wade through the confusion of managed care so that your clients get the care that they deserve. Our behavioral health utilization review services include:

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Assistance with effective behavioral health clinical documentation

Outsourced Services with Home Health Agency SimiTree

Intensity of services, program scheduling, and more

Outsourced Review Choice Demonstration (RCD) with Home Health Agency SimiTree

Peer-to-peer reviews and appeals processing

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Establishing relationships with behavioral healthcare managers

Interim Management with Home Health Agency SimiTree

HIPAA compliance

QAPI with Home Health Agency SimiTree

Eligibility and verifications

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