Netsmart
89 Case Studies
A Netsmart Case Study
WellPower, a Denver-based behavioral health provider serving more than 20,000 clinical clients and 69,000 outreach contacts annually, faced slow, labor-intensive billing and remittance processes that tied up staff time and threatened revenue—an issue made more urgent by Colorado’s shift from capitation to a fee-for-service reimbursement model.
By deploying Netsmart myAvatar with Quick Billing, Scheduled Tasks, RevConnect clearinghouse integration and automated 835 posting, WellPower reduced Medicaid billing from a full day to about an hour, cut remittance-posting from 80+ hours to under four hours (≈95% savings), and achieved a 98–99% claim acceptance rate (4,400 claims with three rejections). The automation produced up to 94% overall billing time savings, freed staff to work denials and higher-value tasks, and improved accuracy, efficiency and employee satisfaction.