Like many behavioral health providers, this partner faced challenges in their patient intake process and downstream revenue cycle management due to manual verifications, complicated cost estimates, and changing patient benefits. This led to downstream claim denials, consuming 80% of their billing team’s time and resources.

In addition, despite having a policy of collecting payments pre-session from patients, providers couldn’t collect because patients did not have reliable, up-front cost estimates. This impacted their revenue cycle management and had to be addressed.

Implementing Nirvana’s benefit verification API technology and continuous coverage monitoring, The Partner was able to streamline the patient booking journey and increase conversions due to improved cost clarity. This allowed the practice to collect patient obligations before sessions, reducing DSO to 8 days on average.

With continuous coverage monitoring, the billing team handled a 74% increase in client base without adding more administrative staff. They were able to do this due to a streamlined workflow with proactive alerts allowing the team to prioritize and address urgent cases, avoiding downstream denials.