Q
What does behavioral health RCM outsourcing include?
GeBBS can support patient access and benefits, authorization tracking, coding and claim preparation, billing, denial resolution, payer follow-up, and AR recovery. The functions and handoffs are scoped to each organization.
Q
What types of behavioral health providers does GeBBS support?
GeBBS supports mental health clinics, substance use disorder treatment programs, ABA organizations, inpatient and outpatient programs, telehealth providers, and multi-location organizations.
Q
How does GeBBS help prevent authorization-related denials?
GeBBS supports benefits verification and tracks approved visits, days, or service units and renewal dates during treatment. Teams can identify gaps before billing and match claims to the authorization and supporting documentation.
Q
How does GeBBS address other behavioral health denials?
GeBBS reviews payer denial reason codes, behavioral health coding requirements, and documentation to identify causes, correct eligible claims, and support appeals.
Q
How does GeBBS support residential, PHP, and IOP billing?
GeBBS can structure billing workflows around each setting’s level of care, payer rules, authorized services, documentation, and claim follow-up. RCM workflows align with the provider’s clinical utilization review process.
Q
Can GeBBS support multiple locations and service lines?
Yes. GeBBS can standardize revenue cycle workflows and reporting across locations while accounting for differences in payers, programs, and care settings.
Q
Can GeBBS work with our existing EHR or billing system?
GeBBS can align teams and workflows with existing EHR, practice management, and billing environments. Data access, integration, and automation requirements are assessed during implementation.
Q
How is behavioral health RCM performance measured?
Measures can include authorization exceptions, clean-claim performance, denial volume and causes, AR aging, collections, and productivity. Reporting cadence and targets are set with the client.