Solutions
More approvals.
Less headaches.
Are you looking for somebody to handle claims submissions, tracking and payment posting? Our experienced industry professionals, in combination with state of the art software, can ensure an efficient process.
- Electronic claim submission for fast payments
- Claim scrubbing software reduces denials
- UB04 & HCFA-1500 billing with appropriate coding
- Consistent and aggressive follow-up on unpaid claims
- Single-case agreement and in-network contracting
- Negotiations
- Payment posting and customized reporting
- Unparalleled and personalized customer service
Improved recovery.
Happier patients.
At SimiTree Behavioral Health Services, we are experts in maximizing your client’s insurance benefits to obtain higher levels of care and longer length of stay. We can help you wade through the confusion of managed care and assist your clients in accessing the care that they deserve.
- Thorough understanding of admission and continued
- Stay criteria
- Assistance with effective clinical documentation
- Intensity of services, program scheduling, etc
- Peer-to-peer reviews and appeals processing
- Established relationships with care managers
- HIPAA Compliant
- Eligibility and verifications
Beyond the data.
Seize the opportunity.
Get expert help managing mergers, acquisitions and divestitures, with further opportunity for comprehensive post-acquisition support and services.
Whether you’re on the buy side or sell side of a transaction, SimiTree helps behavioral health organizations see beyond the data to understand the full story when assessing new opportunities.
SimiTree’s merger and acquisitions team provides industry-specific expertise to support organizational transitions and all levels of integration to help you make more informed decisions. Services include:
- Quality of Earnings/Financial Due Diligence
- Clinical Compliance Due Diligence
- Business Valuations
- Post-Close Integration
Top talent.
The perfect fit.
SimiTree’s focus is on finding the best talent and fit for your organization to ensure our clients retain and attract the top talent in our space. Services include:
- Executive Recruiting for senior leadership positions. Facilitating your organization’s stability and long-term profitability with the right leaders.
- Management Recruiting for mid-level management roles. With industry-leading satisfaction ratings and the niche network to streamline your search.
- Interim Management (Temporary) for mid, to senior-level leadership positions. Knowledgeable and effective leadership for forward momentum during times of transition.
- Advisory services related to Talent Acquisition and Retention.
Increase productivity.
Learn and grow.
Our compliance programs are designed not only to provide the information and guidance organizations need to stay abreast of industry regulations, but also to turn compliance into an opportunity for growth. We offer tangible benefits for managing risk and increasing productivity. Regulatory compliance is inextricably linked to quality of care. Services include:
- Provider credentialing services – Create, validate, and/or maintain provider profiles (CAQH, NPPES, State license, PECOS) and related documents to ensure ongoing compliance with payer requirements.
- Corporate compliance risk assessments – Assess compliance with the Office of Inspector General (OIG) defined elements of a compliance program, Work Plans and advisory opinions, identify opportunities for improvement and establish a work plan to ensure all industry standards are met.
- Clinical and billing chart audits – Evaluate clinical documentation and coding accuracy to identify opportunities for improvement or missed opportunities for increased revenue.
Work more efficiently.
Maintain compliance.
SimiTree Behavioral Health’s dedicated team of consultants helps clients develop sales strategies, raise performance levels, streamline processes, realize revenue potential and ensure a healthy bottom line.
SimiTree Behavioral Health aligns its teams, services and approach to help behavioral health organizations overcome challenges and act on rewarding opportunities. By leveraging a wealth of expertise and experience, every challenge you have can be resolved with SimiTree’s diverse suite of consulting services. Services include:
- Sales and marketing consulting
- Revenue cycle operations consulting
- Cost report preparation and submission
