Case Study: How Rapid RCM Helped Cedar Ridge Post-Acute Transform Behavioral Health Billing
Case StudyClient: Cedar Ridge Post-Acute (name changed due to privacy concerns)Industry: Post-Acute & Skilled Nursing Facility with a Dedicated Psychiatric WingLocation: Southwest USADate: July 2024 Overview Cedar Ridge Post-Acute helps older adults dealing with complicated mental and physical health issues. They have a special unit just for behavioral health, offering things like therapy and addiction counseling. By early 2024, Cedar Ridge saw a huge jump in demand for these services—therapy and addiction counseling sessions rose by 35%! The trouble was, their billing system couldn’t keep pace. It all came down to messy paperwork, confused insurance companies, and a disconnect between the care teams and the billing folks. Cedar Ridge realized they needed more than just someone to send out bills; they needed a partner who truly understood the ins and outs of behavioral health billing in their kind of facility. Challenges on the Ground Rapid RCM’s Custom Strategy Behavioral Health Revenue Cycle Overhaul Staff Empowerment at Every Level Family-Facing Financial Clarity The Results Metrics Before Rapid RCM After Rapid RCM Behavioral Denial Rate (Overall) 24% 8% Denials for “Medical Necessity” 11% 2% Claims in Prepayment Review 18% 4% Avg. Days to Behavioral Payment 57 21 Patient/Family Billing Inquiry Resolved 63% 95% Why This Approach Worked A Smarter Way to Handle Behavioral Billing Behavioral health billing is different. It requires more coordination, more precision, and more understanding of both care delivery and payer policy. Cedar Ridge didn’t just need better billing software—they needed a smarter system, more support for their team, and a partner who could help them keep up with fast-changing behavioral reimbursement rules. Rapid RCM Solutions delivered all three. And the results speak for themselves. Want to See What’s Possible? If your skilled nursing or post-acute facility is struggling with behavioral health billing, Rapid RCM can help you take control before denials and delays become the norm. Get in touch with a billing expert today.