Case Study: Refocus Behavior reduces payer clawback risk with Brellium

How Refocus Behavior Used AI to Double Their Billing Team's Productivity

Refocus Behavior, an ABA therapy center, faced a challenge with the immense manual effort required to audit every client session note for payer compliance. This process, critical for avoiding clawbacks from strict payers like Tricare, was time-consuming and led to significant burnout for their billing staff. They partnered with the vendor Brellium to implement its automated chart review service to eliminate this manual work.

Brellium's solution used AI to automatically screen session notes against custom clinical and payer requirements, flagging errors for providers to correct. This resulted in a 98% reduction in time spent on manual audits, doubling the billing team's productivity and freeing up an entire workday. The implementation provided a 5x ROI and drastically improved job satisfaction and work-life balance for the staff at Refocus Behavior.

Refocus Behavior

Aerial Brenner

Billing & Compliance Manager