Behavioral Health: Policy-Aware RCM
We handle eligibility nuances, auth renewals, documentation QA, claims, and AR/denials with payer-specific playbooks.
Why Carenox
Behavioral health rules change often. We lock definitions & QA around modifiers, place-of-service, and session documentation.
- Auth renewals with timers & callback cadence
- Documentation QA with exemplars
- Telehealth policy tracking
- Appeals mapped to policy with evidence
Lanes We Run
- Eligibility/Benefits & Auth (renewals)
- Scheduling & patient access
- Coding QA (modifiers, POS)
- Claim scrub & rejections
- Payment posting & refunds
- AR & denials (appeals)
- Policy change control
- Dashboards & definitions
- Training & attestations
Stabilize renewals & documentation
We’ll set timers, macros, and QA to prevent lapses and denials.
