Behavioral Health rcm
Streamline Operations.
Support Better Care.
Transparent, results-driven revenue cycle management (RCM) solutions.
Managing the revenue cycle in behavioral health comes with unique and often complex challenges, from navigating intricate payer requirements and prior authorizations to ensuring accurate coding for a wide range of services, including therapy sessions, group treatments, and crisis interventions.
Health Prime simplifies these complexities with specialized behavioral health billing expertise, proactive denial management and compliance-driven coding support. Our comprehensive approach minimizes revenue leakage, accelerates reimbursements, and maximizes financial stability—so you can focus on delivering quality patient care without administrative burdens.
Why Health Prime?
At Health Prime, we are a true partner in your success. We do more than manage your revenue cycle—we optimize it to drive better financial outcomes and operational efficiencies for your practice. Unlike other RCM partners, we employ all our staff and offer a dedicated customer success team, ensuring accountability, expertise and excellence in every service aspect.
Results you can expect
Faster Claims Submissions
Reduced
Denials
Increased Net Collections
Cash Flow Predictability
Core Operational Pillars
Coding: Certified coders, audited monthly with a mandatory, minimum accuracy of 95%. CPT, ICD-10 and specialty-specific MIPS measures.
Compliance: Documented and extensive compliance plans, annual mandatory continuing education, proven workflows, SOC I and SOC II audits, OIG risk assessments, and safeguards for HIPAA and HITECH.
Security: VPN access, data redundancy, hardened data centers, encryption layers, multifactor authentication, US housed data, documented security and recovery plans, and cyber insurance coverage.
Technology: Machine learning, artificial intelligence (AI) where appropriate, 6+ patient bill pay methods and 24/7 operational metrics via actionable Datalytics dashboards.
Patient Support: Advanced call center providing key metrics including volume, time to answer, time to resolve and satisfaction. Multilingual support and the ability to handle all US time zones.
Health Prime Datalytics
Our Business Intelligence platform provides 24/7 web access to your operational metrics, offering real-time insights and data-driven decision-making. We monitor a wide range of KPIs with laser-focused attention, offering actionable insights to ensure your practice’s financial health.
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Simple interface, powerful insights
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Drill down capabilities all the way to the CPT level
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Point and click visual and numeric data views
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Historical and forecast data views with industry targets and benchmarks
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KPI summary views with alerts to identify any out-of-range exceptions
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Easily exportable results
