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5 articles tagged with revenue cycle.
Oregon Health Plan·Medicaid Billing
Most Oregon behavioral health programs don't lose Oregon Health Plan revenue on big denials. They lose it quietly, on claims that sat in a work queue a few weeks too long, or on a balance someone sent to the client that the rules never allowed. Both problems come from the same place: the team knows the clinical side…
Saint Health Group··7 min read
Good Faith Estimates·No Surprises Act
The federal Good Faith Estimate rule has applied since January 1, 2022. If your practice or SUD program sees self-pay clients, you probably have a GFE form in the intake packet. The problems sit in the details: who gets one, how fast, what goes on it, and when it has to be redone. This article covers the rule at 45…
Saint Health Group··6 min read
Revenue Cycle Management·billing
Revenue cycle management in behavioral health is more complex than most clinical operators expect—and more consequential than most administrative teams are positioned to manage effectively. The combination of behavioral health-specific billing codes, level-of-care authorization requirements, utilization management…
Saint Health Group··7 min read
An ordinary 4-clinician outpatient behavioral health practice in Oregon, billing primarily commercial insurance, books between $480,000 and $620,000 in annual gross production. The same practice, badly run on the revenue side, collects 60 to 70 percent of that. The gap — somewhere between $120,000 and $250,000 a year…
Saint Health··7 min read
Most behavioral health audits do not arrive with sirens. They arrive as an email — "Please provide complete documentation for the following 15 sessions" — with a 10-business-day response window and a polite signature block. The practice that has built audit-ready documentation continuously over 24 months responds in…
Saint Health··6 min read
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