Behavioral health revenue cycle management

2. PRRS — Revenue Recovery Solutions

Focuses exclusively on behavioral health and substance use treatment revenue operations. Services include billing, insurance verification, authorizations, collections, credentialing, contracting, audits, and revenue-cycle strategy.

Best for: Treatment facilities needing comprehensive RCM support or help improving an underperforming billing operation.revenuerecoverysolutions.com+2

revenuerecoverysolutions.com

3. Health Revenue Intelligence (HRI)

Provides full-service behavioral health billing and RCM for residential treatment centers (RTC), detox, partial hospitalization (PHP), and intensive outpatient (IOP) programs. Services include benefits verification, authorizations, claims, denials, and appeals.

Best for: Facility-based behavioral health and addiction treatment programs.healthrevenueintelligence.com+2

healthrevenueintelligence.com

4. IOU Billing

Offers behavioral health billing, credentialing, verification of benefits, utilization management, licensing, and back-office support. It also reports experience with Medicaid and substance use treatment billing, including Maryland-specific programs.

Best for: Behavioral health organizations that need specialized payer and Medicaid billing expertise.ioubilling.com

ioubilling.com

5. Cipher Billing

Provides nationwide billing and RCM services for addiction treatment centers, mental health facilities, and behavioral health programs, including insurance eligibility support and billing audits.

Best for: Providers looking for outsourced billing and assistance identifying revenue leakage.cipherbilling.com

cipherbilling.com

Which one should you contact first?

My recommendation is to start with Hansei Solutions and PRRS for a comparison of full-service RCM capabilities, then include HRI if you operate a treatment facility with RTC, detox, PHP, or IOP programs. Their service descriptions indicate a strong focus on behavioral health rather than general medical billing.hanseisolutions.com+2

Before signing a contract, ask each company about:

• Denial management: Experience with your specific commercial payers and Medicaid plans.
• Full-service scope: Eligibility, prior authorizations, claims, payment posting, appeals, A/R follow-up, and credentialing.
• Performance reporting: Current days in A/R, denial rates, collections, and first-pass acceptance rates.
• Pricing: Percentage of collections versus flat fees, implementation charges, and contract termination terms.
• References: Comparable behavioral health organizations they currently serve.

These are initial candidates, not an independently verified ranking; validate performance claims and client references during due diligence.

Let me narrow this down for your organization

The best fit depends heavily on the type of behavioral health services you provide. Are you looking for billing for an outpatient mental health practice, an ABA provider, or a substance use treatment facility (RTC/PHP/IOP/detox)?

I can then compare the most relevant providers and identify which ones to contact for proposals.