Every modality carries its own documentation, coding and credentialing rules, coordinated on the same panel.
Referral source, coverage and modality preference captured upfront.
Credential and payer-enrollment status checked before scheduling.
SOAP notes checked for the detail each session code requires.
NPI and license status re-verified against the billing provider on the claim.
Telehealth modifiers and place-of-service codes matched to the encounter.
Payer-specific behavioral health edits cleared before the claim is built.
Batched same day, with acknowledgement tracked to the clearinghouse.
What actually lands in the account after credential-aware review.
Seven governance modules run on every encounter, from credentialing through claim readiness.
NPI and license status verified against the billing provider before every claim.
SOAP notes checked for the elements each session and time code requires.
Modifier -95 and -GT applied correctly against each payer's telehealth policy.
CoCM minutes tracked against the monthly threshold before 99492-99494 are billed.
State-specific H-codes applied to community and rehabilitative program claims.
-95, -GT and -25 sequencing checked against each payer's telehealth edit set.
Every code change logged against the note and credential that supported it.
Credentialing gaps used to cost us weeks of clean revenue. Now they're flagged before the first session is even scheduled.
Collaborative Care Management finally reconciles against the minute log automatically instead of a spreadsheet.
Telehealth modifiers stopped being guesswork the day we onboarded. Denials on virtual sessions dropped immediately.
Care coordination minutes are tracked automatically from documentation and consult notes, and 99492-99494 are only billed once the monthly time threshold clears, with a full log behind every code.
Modifier -95 or -GT and the correct place-of-service code are matched to each payer's current telehealth policy, since requirements differ by state and by plan.
NPI, license and payer-enrollment status are checked continuously across every provider, so a lapsed credential is flagged before it ever reaches a claim.
Yes. State-specific H-code sets for rehabilitative and community-based programs are applied automatically based on the program type and the state's Medicaid rules.
Every SOAP note is checked against the elements the specific session and time-based code requires, before the claim is built, not after a denial comes back.
A percentage of net collections with contracted clean-claim and days-in-A/R targets. No implementation fee, and month-to-month after the first year.
