Behavioral Health
Transforming Behavioral Health Revenue Cycle Management
In the rapidly evolving field of behavioral health, efficient revenue cycle management (RCM) is crucial for sustaining high-quality care and operational excellence. At One Hive, we understand the unique challenges and opportunities in behavioral health, and we are dedicated to providing tailored RCM solutions that enhance both financial performance and patient outcomes.
Reasons
Why Behavioral Health Requires Specialized RCM Expertise
Behavioral health services encompass a wide range of treatments for mental health conditions, substance use disorders, and other psychological concerns. This diversity brings specific complexities to the revenue cycle, including:
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Accurate coding for behavioral health services requires a deep understanding of specialized codes and regulations, including DSM-5 and ICD-10 guidelines.
Insurance Reimbursement Challenges
Navigating the intricacies of payer policies, coverage limitations, and reimbursement rates can be daunting without expert assistance.
Patient Privacy and Compliance
Behavioral health practices must adhere to strict confidentiality and compliance standards, such as HIPAA, which necessitates rigorous documentation and secure handling of sensitive patient information.
Revolutionizing
Our Innovative Approach to Behavioral Health RCM
At One Hive, we combine industry expertise with cutting-edge technology to streamline and optimize your revenue cycle:
Specialized Coding Expertise
Our team of certified coding professionals is proficient in behavioral health-specific coding, ensuring accurate claims submission and minimizing denials.
Advanced Analytics
We utilize data-driven insights to identify trends, optimize billing practices, and enhance reimbursement rates, empowering your practice to make informed financial decisions.
Comprehensive Compliance Management
Our solutions safeguard patient privacy and ensure compliance with regulations, reducing risks and enhancing operational integrity.
Customizable Solutions
We understand that each behavioral health practice is unique. Our RCM services are flexible and customizable to meet the specific needs and goals of your organization.
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Partner with Us for Success in Behavioral Health
In the dynamic world of behavioral health, partnering with a trusted RCM provider can make all the difference. One Hive is committed to supporting your practice with innovative solutions and unparalleled expertise, so you can focus on delivering exceptional care to your patients.
Contact us today to learn more about how our specialized behavioral health RCM services can drive your practice’s success and improve financial outcomes.
Case Studies
Popular Use Cases
Medical Coding
4.8
(5.8K +)
Cardiology Case Study
Client: A large cardiology practice struggling with claim denials for complex cardiac procedures.
- Challenge: The practice was facing a high denial rate for procedures like cardiac catheterizations and echocardiograms due to coding errors and insufficient documentation.
- Solution: We implemented a tailored RCM solution focused on accurate coding (CPT and ICD-10) and pre-authorization workflows. Our team provided specialized training to ensure cardiologists and staff understood the importance of detailed documentation for these high-value procedures.
- Result: Denial rates dropped by 30%, and overall collections increased by 20% within six months.
Medical Billing
4.8
(5.8K +)
Oncology Case Study
Client: A multi-location oncology clinic experiencing slow reimbursements from payers.
- Challenge: The clinic’s complex chemotherapy billing, along with frequent coding errors, resulted in delayed payments and denials.
- Solution: We optimized their billing processes, ensuring accurate coding for drug administration, therapies, and supportive care. We also developed a system for monitoring claims and tracking prior authorizations to minimize delays.
- Result: Claims processing times were reduced by 40%, and their accounts receivable over 90 days decreased by 25%.
Transcription
4.8
(5.8K +)
Orthopedics Case Study
Client: An orthopedic group facing issues with high patient balances post-surgery.
- Challenge: Many patients were unaware of their out-of-pocket costs, leading to a high volume of unpaid bills after surgeries.
- Solution: We created a patient financial engagement plan that provided upfront cost estimates based on insurance benefits and out-of-pocket requirements. Our RCM team also implemented automated payment plans for patients.
- Result: The practice saw a 35% increase in patient collections and a 20% reduction in the time it took to receive payments from patients.
Medical Coding
4.8
(5.8K +)
Pediatrics Case Study
Client: A pediatric practice with a high rate of claim rejections due to coding inconsistencies.
- Challenge: The practice struggled with frequent rejections on well-child visits and immunizations, which affected their revenue stream.
- Solution: We worked with the pediatricians to ensure proper coding for preventive care and vaccinations, while also enhancing their billing software to identify errors before submission.
- Result: The claim rejection rate dropped by 45%, and the practice experienced a 15% increase in monthly revenue.
Medical Billing
4.8
(5.8K +)
Behavioral Health Case Study
Client: A behavioral health clinic dealing with denied mental health service claims.
- Challenge: The clinic faced constant challenges from payers regarding the medical necessity of services, which led to claim denials.
- Solution: Our team provided detailed training on the necessary documentation to establish medical necessity. We also revamped their claim appeals process and set up follow-up procedures for denied claims.
- Result: The clinic reduced their denial rate by 50% and increased collections by 18%.
Testimonial
What Our Clients Say
Our doctors’ testimonials showcase how OneHive’s RCM solutions have streamlined billing, improved cash flow, and enhanced patient care. Their feedback underscores our commitment to efficiency and exceptional support.
4.9 Rated
Partnering with OneHive Billing Solutions has been a game-changer for my practice. Their team handles everything from billing to denial management with incredible efficiency, allowing me to focus solely on my patients. My revenue has never been this consistent!
Dr. Sarah Mitchell
@Family Medicine
5.0 Rated
What sets OneHive Billing Solutions apart is their personalized approach and commitment to excellence. From the moment we signed on, they’ve been proactive in resolving billing issues, improving cash flow, and keeping us compliant. They’re a fantastic partner!
Dr. Angela Lee
@Dermatologist
4.9 Rated
I used to spend hours dealing with billing errors and insurance claims. Since we started working with OneHive Billing Solutions, I’ve seen a 30% improvement in collections, and my claims are getting paid faster than ever. Their expertise is unmatched.
Dr. James Carter
@Cardiologist
4.8 Rated
I’ve worked with other RCM companies in the past, but none have matched the level of service and results we’ve experienced with OneHive Billing Solutions. Their attention to detail and quick follow-up on denied claims have been essential in growing my practice’s revenue.
Dr. Michael Brown
@Neurologist
5.0 Rated
Before OneHive Billing Solutions, we struggled with delayed payments and high denial rates. Their streamlined process has transformed our revenue cycle, and I no longer worry about unpaid claims. They truly understand the needs of physicians.
Dr. William Harris
@Orthopedic Surgeon
4.9 Rated
The team at OneHive Billing Solutions is highly professional and knowledgeable. They’ve significantly reduced our claim rejection rates, and their reporting tools provide valuable insights into our financial health. I highly recommend their services to any medical practice!
Dr. Emily Rodriguez
@Pediatrician