Simplifying Billing. Strengthening Behavioral Health.
Capture RCM is your trusted partner for nationwide, end-to-end revenue cycle management in behavioral health—covering billing, compliance, and operations to keep your practice running smoothly, efficiently, and sustainably.
Billing shouldn’t be complicated. Capture RCM’s end-to-end billing solution streamlines every step—from coding and claims submission to payment posting and denial management—so your team can focus on care, not paperwork. Our powerful reporting tools deliver clear insights into your revenue cycle performance, helping you identify trends, reduce denials, and maximize reimbursements with ease.
Capture RCM's Billing solution simplifies the entire billing process from start to finish. Our intuitive software handles medical coding, claims submission, payment posting, and denial management - reducing administrative burdens on your staff. Leverage our Billing solution's powerful reporting capabilities to gain valuable insights into your revenue cycle performance.
Credentialing shouldn’t slow you down. Capture RCM eliminates the hassle of manual processes with a streamlined, automated solution that keeps provider data accurate and up to date across every payer and facility. Stay compliant, reduce costly delays, and get reimbursed faster—so your team can focus on care, not paperwork.
Our intuitive credentialing solution helps healthcare providers efficiently manage and maintain provider credentials across multiple payers and facilities. Stay compliant and maximize reimbursements by ensuring your provider data is accurate and up-to-date. Description of Capture RCM credentialing section eliminates the hassle of manual credentialing processes.
Utilization review is a critical process that evaluates the appropriateness, medical necessity and efficiency of health care services against established criteria. With Capture RCMs utilization review services, you can streamline utilization management, reduce claim denials, and maximize reimbursements. Our experienced team of certified professionals conducts rigorous utilization review for inpatient admissions, outpatient services, procedures and treatments.
Utilization review is a critical process that evaluates the appropriateness, medical necessity and efficiency of health care services against established criteria. With Capture RCMs utilization review services, you can streamline utilization management, reduce claim denials, and maximize reimbursements. Our experienced team of certified professionals conducts rigorous utilization review for inpatient admissions, outpatient services, procedures and treatments.
At Capture RCM, we believe managing your revenue cycle should be as smooth and efficient as possible—so you can focus on what truly matters: providing exceptional care and service. Our team of experts combines cutting-edge technology, personalized support, and a deep understanding of the healthcare industry to ensure your practice runs like clockwork.
At Capture RCM Operations, we adopt a strategic approach to managing denied claims, aiming to enhance approval rates. Our comprehensive process involves submitting well-documented appeals to maximize success chances. We prioritize efficiency by avoiding the resubmission of identical claims while a pending claim is in progress. Furthermore, we refrain from automatic rebilling, ensuring that each denial is addressed with a customized strategy. Our skilled staff proactively access payer portals within three days of claim submission to check the status until adjudication. This proactive approach enables us to prepare for and address denials effectively, allowing for strategic reworking with the payer and faster collection turn-around time.
Partner with us to elevate your denial management strategy and boost your revenue cycle efficiency.
Capture RCM also provides a robust Revenue Cycle Analytics (RCA) package designed to thoroughly assess all aspects of Revenue Cycle Management (RCM). In today’s dynamic healthcare landscape, organizations face increasing financial challenges as they navigate changing regulations, patient expectations, and compliance demands in documentation and coding. Our RCA tools empower healthcare providers to enhance financial performance, improve operational efficiency, and elevate patient satisfaction. Over the past five years, we have identified and recovered more than $100 million in previously unclaimed revenue, ensuring our clients maximize their financial potential.
At Capture RCM, we specialize in delivering seamless billing solutions tailored to the unique needs of healthcare providers. Our expertise spans a range of treatment types, ensuring accurate, efficient, and compliant revenue cycle management for your practice.
From detox to long-term recovery programs, we handle the complexities of billing for substance use treatment, ensuring claims are processed accurately and efficiently.
Whether it's therapy sessions, psychiatric care, or IOP, we provide specialized billing support for mental health providers, allowing you to focus on patient care.
Our team is experienced in navigating the nuances of billing for Applied Behavior Analysis therapy, helping providers receive timely reimbursement for their essential work
From primary care to specialized medical practices, we streamline the billing process, reduce errors, and optimize revenue collection for all types of medical services.
We provide end-to-end billing solutions that maximize your revenue and minimize claim denials. Our team is proficient in managing the complexities of billing across multiple treatment types, ensuring timely submissions and accurate coding for every claim.
Our credentialing service ensures your healthcare providers are properly enrolled with insurance companies, allowing for quicker reimbursements and expanded provider networks. We streamline the credentialing process to ensure your team is always prepared to deliver care with the right coverage in place.
We perform a comprehensive Utilization Review to ensure medical necessity for all treatment services. By maintaining strict adherence to clinical guidelines, we help you prevent denials while maximizing patient care outcomes and resource utilization.
Maintaining compliance with state and federal regulations is critical in healthcare. We ensure your billing and operational practices meet all legal and regulatory requirements, protecting your practice from penalties and ensuring a seamless revenue cycle.
Partner with Capture RCM to streamline your billing, ensure compliance, and improve your bottom line. Contact us now to get started and experience the difference we can make for your practice.
Have questions or are you ready to get started? We’d love to hear from you! Reach out to our team today, and let us show you how Capture RCM can streamline your revenue cycle for better results.
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At Capture RCM, we’ve perfected a straightforward process to ensure your revenue cycle is smooth, efficient, and profitable.
We submit clean, accurate claims on your behalf, ensuring all necessary information is included for fast processing and minimal denials.
Our team tracks claims closely, following up with insurance companies to resolve any issues, appeal denials, and ensure prompt payments.
Once payments are received, we post them promptly, providing you with detailed reports to help you stay on top of your revenue and track financial performance.
The detoxification process is critical for patients to safely withdraw from substances. Our team ensures that billing for detox services is handled with precision, minimizing delays and maximizing reimbursements for this vital first step in recovery.
Residential treatment offers patients a structured, supportive environment for recovery. We manage billing for all aspects of residential care, from room and board to therapy sessions, ensuring accurate coding and timely reimbursements throughout the patient’s stay.
PHP provides intensive treatment while allowing patients to return home at night. Our team helps ensure your billing process for PHP services is efficient, managing everything from therapy sessions to medical support, so you can focus on providing comprehensive care.
IOP is designed for patients who need structured support but do not require full-time residential care. We streamline billing for IOP services, including group and individual therapy, ensuring your practice gets paid accurately and on time.
Outpatient treatment provides flexibility for patients in recovery, allowing them to maintain their daily routines while receiving care. We manage all aspects of outpatient billing, from routine check-ins to ongoing therapy sessions, optimizing revenue and ensuring seamless operations.
We begin by understanding your unique needs and setting up a customized plan tailored to your practice. Our team conducts a thorough consultation to align on billing practices, insurance networks, and regulatory requirements, ensuring a smooth transition from the start.
Once your practice is set up, we manage the submission of clean and accurate claims for all treatment services. Our team ensures every claim is coded correctly, maximizing the chances for prompt approval and reimbursement. We handle all aspects of submission, ensuring that nothing is missed.
We actively track claims throughout the process, promptly addressing any denials or rejections. Our dedicated team works to resolve issues quickly, appealing claims when necessary and ensuring all necessary documentation is provided to get the claim paid in full.
Once payments are received, we post them accurately and provide you with detailed reports that give you visibility into your financial performance. Our reports are easy to understand and provide the insights you need to make informed decisions about your practice’s financial health.
We believe in continuous improvement. Our team provides ongoing support, regularly reviewing processes and identifying opportunities to enhance efficiency and revenue. We stay ahead of industry changes, ensuring your practice remains compliant and profitable.
When continued stay requests are denied, your billing department isn’t the only one who suffers. These denials create ripple effects throughout your entire operation—delayed reimbursement, strained staff resources, and missed
When claim denials pile up, the issue often isn’t billing—it’s the gap between clinical documentation and payer expectations. That’s where utilization review (UR) services come in. For billing managers at
Prevent Treatment Disruptions with Utilization Review Support When someone is newly diagnosed, they need steadiness: clear next steps, consistent care, and fewer surprises. But when a program is growing fast,
In behavioral health care, utilization review (UR) isn’t just about managing care—it’s central to maintaining compliance and protecting revenue. Clinical Directors know that accurate documentation and payer alignment are critical.
In behavioral health, time is not just money—it’s recovery, reputation, and regulatory compliance. Billing Directors know this better than anyone. Yet many organizations still manage their revenue cycle in-house using
Growth is exciting—but it’s also a stress test. Many behavioral health practice owners plan their clinical expansion down to the square foot but leave their billing systems unchanged. The result?
Aging A/R isn’t just a line on a spreadsheet—it’s a signal of deeper system inefficiencies. For Billing Directors in behavioral health organizations, improving cash flow isn’t just about better collections—it’s
For small mental health practices, billing isn’t just a back-office function—it’s a growth-limiting factor when done inefficiently. If you’re exploring mental health billing services as a path to reclaim time,
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For behavioral health CEOs, payer contracting decisions are no longer just back-office concerns—they are boardroom-level strategic decisions. The mix of in-network and out-of-network contracts directly shapes revenue reliability, operational risk,
Credentialing in behavioral health is not just a checklist—it’s an ongoing system that affects every aspect of a provider’s ability to generate revenue, remain compliant, and deliver care. For credentialing
Expanding into new payer networks or geographic markets can unlock significant revenue opportunities for behavioral health organizations. But with that opportunity comes risk—financial, operational, and regulatory. For CEOs and behavioral
In behavioral health billing, denials are more than just annoying—they’re expensive. And while many billing managers are skilled at correcting coding issues or chasing down missing information, one category of
In 2026, clinical directors in behavioral health are facing a dramatically different compliance landscape than they were just a few years ago. Payer audits are more frequent. Documentation requirements are
For small behavioral health practices, staying compliant with payer requirements isn’t just a regulatory necessity—it’s a direct factor in whether you get paid, how quickly, and how consistently. Unfortunately, one
Delays in prior authorization don’t just impact patient care—they quietly chip away at your revenue, staff efficiency, and organizational growth. For Operations Managers in mental health settings, authorization lag is
Switching billing platforms in a mental health practice is more than a technical update—it’s a business-critical decision that can directly impact your cash flow, patient experience, and compliance standing. Whether
Behavioral health revenue cycle management (RCM) is often the hidden backbone of practice sustainability. When it runs well, billing and reimbursement feel seamless. But when it breaks down? Cash flow
