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Cost-Benefit Analysis of RCM Vendors for Mental Health Providers
In the realm of mental health care, effective Revenue Cycle Management (RCM) is not just a backend function—it’s the heartbeat of operational sustainability. With rising patient volumes, complex insurance protocols, and a heightened focus on mental health post-pandemic, providers face mounting pressure to streamline billing, reduce denials, and maintain compliance. Outsourcing RCM to specialized vendors…
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FQHCs and CMHCs: Special Billing Considerations in Behavioral Health
Federally Qualified Health Centers (FQHCs) and Community Mental Health Centers (CMHCs) play a pivotal role in delivering behavioral health services, especially to underserved and vulnerable populations. These organizations act as vital lifelines, offering a broad spectrum of services ranging from psychiatric care and therapy to crisis intervention. However, billing for behavioral health services in these…
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How Licensing and Scope-of-Practice Rules Affect RCM
In the intricate healthcare landscape, few administrative domains are as consequential—and complex—as Revenue Cycle Management (RCM). Spanning the lifecycle of a patient encounter from scheduling and insurance verification to billing and payment reconciliation, RCM ensures financial viability and regulatory compliance. However, one often underappreciated influence on this cycle lies in licensing laws and scope-of-practice (SOP)…
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Reducing Billing Anxiety for Psychiatric Patients and Families
Introduction Navigating the world of mental health care is challenging enough without the added stress of financial uncertainty. For psychiatric patients and their families, billing anxiety—defined as the stress, confusion, and fear surrounding medical costs and insurance coverage—is a significant and often under-recognized barrier to care. Unlike physical health care, psychiatric treatment involves unique complexities…