Client Profile:
- Type: Solo Psychiatrist (Telehealth-based)
- Location: Los Angeles, CA
- Services Used: RCM + Insurance Verification
- Platform: Simple Practice
Challenges
- Incomplete insurance verification before sessions
- Monthly revenue stuck around $18,000
- Denials for TMS and Spravato Treatments due to coding issues
- Delayed posting of ERAs & payments
Solution
- Verified benefits 48 hours before each session
- Cleaned up CPTÆICPCS codes specific to TMS/Spravato
- Automated ERA downloads & payment
- Weekly denial analysis and provider education.