Psychiatric Business Consulting

Billing & Reconciliation

You’re not in the debt collection business. Behavioral healthcare providers face an increasingly complex web of insurance companies, carve-outs, and outsourced services that make the reconciliation process seem like a problem that’s just not worth solving. 

Untangle, streamline, and set up sustainable systems that allow you to focus on what you do best.

• Coding & Documentation Reconciliation

• Improving Payor Grievance Process

• Alignment of Services and Contracts

• Copays and Share of Cost Collections

• Clinical-to-Billing Documentation Workflow

Identity Development

Why does your organization exist? Identity is not just at the heart of what drives people to do what they do — properly defined and communicated, it is the lifeblood of great organizations, which allows them to sustainably and regeneratively thrive.

By finding agreement on and clearly defining your organizational Identity, you will attract better talent, increase engagement and productivity, and illuminate your organization’s path toward the future.

• Identity Expression Investigation, Derivation and Refinement 

• Identity Communication Methodology Development 

• Identity Communication Gap Analysis 

• Stakeholder Interviews and Surveys

Contract Negotiation & Review

How do you know if you’re accurately pricing your services? When it comes to behavioral health, the short answer is: You can’t. The fractured nature of the behavioral healthcare landscape means that facilities, systems, and providers have limited information and bandwidth to accurately price and define their services.

With an accurate understanding of the healthcare marketplace, you can ensure sustainable services for your community.

• Compensation and collection for services currently uncovered

• Adding New Services

• Establish Sustainable Rates

• Shorten A/R days, A/R Turnover Ratio

• Fine-grained contract review, exclusions, and carve outs

Operational Effectiveness

Get the most out of your healthcare dollars. Your organization (and the healthcare landscape) are changing, and the systems and processes that got you here won’t take you where you want to go.

Step back and analyze your existing systems and processes to ensure they fit your organizations capabilities, and set a strong foundation for a future of profitability increased patient care.

• Derive meaningful and measurable KPIs, both financial and care-related

• Select Predictive Quality Indicators

• Manage Throughput

• Develop Staffing Models

• Workflow Mapping / LEAN Methodologies

Good leaders never stop learning. The skills that make people great clinicians are not always the same skills as those that make a good leader: knowing how to set expectations, rely on others, develop their teams, create buy-in, build trust, and stay mission-driven.

Develop and learn to apply the critical leadership qualities that will help you support your organization’s growth and ability to deliver quality care. 

• Facilitate ongoing 360 Feedback & Reviews

• Multi-viewpoint Coaching Sessions 

• Systems-Thinking Orientation

• EQ Skills Gap Analysis 

• Career Path Coaching & Development

Strategic Planning

There is no health without mental health. Behavioral health is not just important, it is a keystone of overall health and the foundation for reducing high utilization and improving patient throughput and outcomes.

Ensure that you understand your local behavioral healthcare services landscape so you can accurately select and price the services that will meet the needs of your organization and community.

• Legal and Regulatory Considerations

• Licensing Type Analysis + Planning

• Market Overview and Hidden Influences

• Competitor Analysis / Recommendations

• Market Model Development + Scenarios

• Short, Medium, and Long-Term Strategic Plans

Integrated Models of Care

Mental healthcare does not exist in a vacuum. By properly and thoughtfully integrating physical and behavioral healthcare, providers can see radically reduced costs and improved outcomes.

However, much of this is new and uncharted territory with as many pitfalls as there are potentials. Draw upon successfully proven practices and methodologies to ensure you are providing your community with care that makes a real difference.

• Opportunity Analysis

• Financial Impact Assessment

• Operational Design Modeling

• Inter-System Dependencies and Gaps

• Review of Cross-Functional Assessment Tools