Key takeaways
- A behavioral health practice signed with us in 2024 with two providers and one location, collecting about $20,000 a month.
- It now has 12 providers across 5 active locations, and collections reached $95,000 in a recent month.
- We manage the practice’s billing and revenue cycle management (RCM) end to end.
- Collections grew as the practice added providers and locations. We present the result as growth we supported, not as revenue created by billing alone.
The situation
A behavioral health practice signed with us in 2024. It had two providers, one location and monthly collections of about $20,000. As it added clinicians and locations, billing had to keep up with new providers, new sites and more payers.
The practice is anonymized here, and no patient, provider or payer-specific details are shared.
What we manage
We manage the practice’s billing and RCM end to end. In general terms, that covers eligibility and benefits verification, charge entry, claim submission, payment posting, denial follow-up and AR work, with the scope agreed in writing.
The result
| Measure | At signing | Now |
|---|---|---|
| Providers | 2 | 12 |
| Active locations | 1 | 5 |
| Monthly collections | About $20,000 | $95,000 in a recent month |
Collections grew nearly five times while the practice grew from two providers to twelve and from one location to five. New providers take time to build a full schedule and to become active with each payer, so collections do not rise in a straight line with headcount.
What this shows
A growing behavioral health practice needs billing that scales with each new provider and location. The payer setup, the workflow and the follow-up have to be in place before a new clinician’s first visit, not after the first denials arrive.
Frequently asked questions
What does end-to-end billing and RCM include?
We manage the full billing cycle, from eligibility verification and charge entry through claim submission, payment posting, denials and AR follow-up. The scope of every engagement is agreed in writing before work begins.
Did billing alone cause the increase in collections?
No. Collections grew as the practice added providers and locations. Billing support helps each provider bill correctly and get paid, but practice growth drives the volume. Results vary by practice and payer.
Can you support a practice that is about to add providers or locations?
Yes. We review the provider, location and payer setup first, so new clinicians are enrolled and billing correctly before they see patients.
Planning to add providers or locations?
We can review your billing workflow and payer setup before you grow.
The initial audit is complimentary.
Related reading: Case Study: Supporting a Behavioral Health Group From 1 Provider to 100+ Across 20 States · Behavioral Health Billing: Common Denial Causes and How to Fix Them
About the author
Kamran Muzaffar is the founder of MedWork Services and has 12 years of experience in healthcare revenue operations. He oversees the Billing, Credentialing and Licensing departments and works directly with providers on enrollment and revenue recovery.
General information only. Payer rules and regulations change, so confirm current requirements for your situation.