Reveloop

Behavioral Health

Revenue cycle support built for behavioral health.

Behavioral health organizations face complex payer requirements, authorization challenges, documentation demands and reimbursement pressures. Reveloop brings the people, processes and expertise needed to keep your operations moving and your revenue cycle working from intake through payment. 

0

Days

Days in AR

0

%

Clean claim rate

- 0

%

Denial rate

0

Less than

%

Cost to collect

0

%

Net collection rate

Built around the demands of radiology.

Build a stronger foundation for every patient episode.

From verifying coverage and securing authorizations to managing documentation, claims and denials, behavioral health organizations navigate a revenue cycle shaped by complex payer rules and multiple levels of care.

Small gaps can have a significant impact. A missed authorization can affect reimbursement. Incomplete documentation can create audit exposure. Unworked denials can leave earned revenue unrecovered. 

Reveloop helps behavioral health organizations address these challenges with connected operational and revenue cycle support. 

How we support you —The three stages

Front End Operations (Before Care)

Support across the patient-to-payment journey

From patient intake to reimbursement, behavioral health organizations manage interconnected operational and revenue cycle processes. Reveloop supports the full journey, helping keep patient access, care, billing and reimbursement connected. 

Data Entry

Maintained accurate patient, demographic, insurance, and related information across operational systems.

In-Network Benefits Verification

Verified coverage, benefits, payer requirements, and patient financial responsibility for in-network services.

Out-of-Network Benefits Verification

Reviewed out-of-network coverage, benefits, and financial responsibility before services were provided.

Admissions & Scheduling

Managed patient admissions and scheduling processes while ensuring key information was captured accurately.

Middle Operations

Keep care, authorization and documentation aligned.

Utilization Review & Authorization Management

Managed utilization review and authorization requirements to support continued coverage and payer compliance.

Daily Chart Audits

Reviewed patient charts for documentation gaps and inconsistencies that could affect compliance or reimbursement.

Charge Submission

Reviewed and submitted charges based on documented services to support accurate and timely billing.

Payer Prepayment Audit Management

Managed payer audit requirements before payment and addressed documentation or billing concerns identified during review. 

Back end Operations

Protect and recover the revenue you've earned.

Claims Management

Managed claims through submission, follow-up, and resolution to keep reimbursement moving.

In-Network Benefits Verification

Reviewed out-of-network claims and supported repricing and payer negotiations to pursue appropriate reimbursement.

Out-of-Network Repricing & Negotiations

Reviewed out-of-network coverage, benefits, and financial responsibility before services were provided.

Payment Posting

Recorded payments, adjustments, and related transactions to maintain accurate patient and payer accounts.

Patient Statement Billing

Managed patient statements and outstanding balances to support accurate and consistent billing. 

Payer Post-Payment Audit Management

Reviewed and managed payer audits after payment to address requirements and protect reimbursed revenue.

Who we support within behavioral health.

Built for the complexity of behavioral health care. 

Reveloop supports organizations across behavioral health and substance use treatment, including: 

Behavioral & Mental Health

Support for organizations managing behavioral health services and complex payer requirements.

Substance Use Disorder

Revenue cycle and operational support for SUD treatment organizations.

Detox

Support across the administrative and reimbursement processes associated with detox services.

Residential Treatment

Operational support for organizations managing residential behavioral health programs.

PHP

Support for the unique authorization, documentation and billing requirements associated with partial hospitalization.

IOP

Revenue cycle support designed around intensive outpatient care.

Who we support within behavioral health.

Reveloop helps behavioral health organizations reduce revenue cycle friction, improve reimbursement processes, and gain greater control over financial operations.

Helping behavioral health organizations operate with greater control.

Reveloop supports organizations across behavioral health and substance use treatment, including: 

Fewer preventable revenue cycle issues

Address eligibility, authorization and documentation gaps earlier.

Better reimbursement management

Keep claims, denials and payer processes moving.

Less administrative burden

Give internal teams more capacity to focus on patients and core operations.

Greater revenue visibility

Gain better control over the processes affecting reimbursement.

Operational Metrics

AR aging over

120

Days

under 15%

In network quadrant

99%

performance

Out of network quadrant

47%

performance

Payment Operations

< 02

Days

Payment Posting TAT

Charge Lag

2

Under

Days

DNFB/ Charges on hold

Under

3%

VOB TAT

30

Under

Minutes

Let's build a stronger behavioral health operation.

Whether you’re looking to strengthen a specific part of your revenue cycle or need broader operational support, Reveloop can help. 

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