The Power of Comprehensive RCM Services in Vance Behavioral Health Services's Success Story
Outsourcing medical billing and credentials to **Code Credentia** allowed Vance Behavioral Health Servicesto eliminate critical billing administrative burdens, recover aged claims, and drive substantial growth. Below, we detail the challenge face by the practice and the direct solution delivered by Code Credentia.
The Challenge
Vance Behavioral Health Services had high write-off rates because commercial insurers regularly denied claims for time-based psychotherapy codes (90834 vs. 90837) and counseling sessions that exceeded annual outpatient visit limits without a valid prior authorization.
The Solution
Code Credentia instituted a dedicated insurance authorization team that verified coverage and secured approvals before a patient’s first session. We also configured their EHR system to capture exact session lengths, ensuring compliant coding for time-based therapy codes.
Through the Partnership with Code Credentia, Vance Behavioral Health Services Achieved Remarkable Results:
- ✓Reduced authorization-related claim write-offs and denials to 0%.
- ✓Achieved a 97% clean first-pass payment rate on all behavioral health claims.
- ✓Secured stable monthly cash flow, enabling the practice to confidently offer longer therapy sessions.