Case Study: Behavioral Health Group achieves 97.1% clean claims and 35% lower AR days with Staffingly outsourced revenue cycle management

Behavioral Health Group cuts AR days 35% with Staffingly

Behavioral Health Group, a 110-clinician provider of mental health, ABA, and substance use disorder services, was facing significant financial challenges due to a high denial rate and inefficient revenue cycle management. Their in-house team struggled with Medicaid MCO carve-out misroutes, session billing errors, and unappealed parity-law denials, leading to cash flow issues. They partnered with Staffingly for its outsourced revenue cycle management service to address these problems.

Staffingly implemented a dedicated, remote team that rebuilt the billing workflow in 14 days. The solution included pre-session eligibility checks for carve-outs, strict unit reconciliation, and specialized parity appeals. This resulted in a 35% reduction in AR days, a clean claim rate of 97.1%, and a 49% reduction in denials, recovering approximately $480,000 in previously lost revenue for Behavioral Health Group.

Behavioral Health Group