Arise Psychiatric Medical Group
How comprehensive credentialing and billing management transformed a psychiatric practice's revenue cycle and reduced claim denials.
The Challenge
Arise Psychiatric Medical Group faced significant challenges with credentialing across multiple insurance networks. Their providers were not properly enrolled with key payers, leading to out-of-network claims, lower reimbursement rates, and an increasing volume of denied claims. The practice needed a partner who understood the complexities of psychiatric and mental health credentialing.
Our Solution
Comprehensive Credentialing Audit
We conducted a full audit of all provider credentials, identifying gaps in insurance network participation and expired certifications.
Multi-Payer Enrollment
Systematically enrolled all providers with commercial insurers, Medicare, and Medicaid, ensuring maximum network participation.
Ongoing Credential Management
Implemented a tracking system for re-credentialing deadlines, license renewals, and new payer enrollments to prevent future lapses.
Results
Key Takeaway
For psychiatric and mental health practices, proper credentialing is the foundation of a healthy revenue cycle. Without it, providers leave significant revenue on the table through out-of-network claims and preventable denials. Arise Psychiatric Medical Group's experience demonstrates the impact that professional credentialing management can have on a practice's financial health.
Need Help With Credentialing?
Let our credentialing experts ensure your providers are properly enrolled with all major payers.