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Post-Acute & Skilled Nursing Facility

Case Study: How Rapid RCM Helped Cedar Ridge Post-Acute Transform Behavioral Health Billing

Case Study

Client: 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.

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Skilled Nursing Facility

Case Study: How a 120-Bed SNF Reduced Claim Denials by Over 60%

Case Study

Client: Willow Grove Care Center ((Name changed for confidentiality) Facility Type: Skilled Nursing Facility (SNF), 120 beds Location: Midwest, USA Date: January 2025 The Problem Too many billing errors. Too many delays. Too much pressure on staff. In early 2025, Willow Grove Care Center started noticing serious issues with its billing process: As cash flow slowed, staff burnout increased. The leadership knew something had to change. What They Needed Willow Grove wasn’t looking for just another billing company. They needed a partner who could: The Rapid RCM Solution Rapid RCM Solutions stepped in with a hands-on, practical strategy—no fluff, no complicated setup. 1. Smart Tech Integration We connected their system directly to Willow Grove’s EHR. This allowed for: 2. Focused Training Instead of overwhelming the staff with technical jargon, Rapid RCM provided: 3. Strong Denial Management We didn’t just wait for denials—we worked to prevent them: In one case, a $28,000 Medicare claim was caught before submission because it lacked a physician recertification. Staff fixed it within two days, and the claim was paid in full—on time. 4. Easier Documentation To help nurses and therapists, Rapid RCM introduced: Results After 6 Months Metric Before Rapid RCM After Rapid RCM Claim Denial Rate 20% 7% Avg. Days to Payment 46 27 Annual Denial Loss $180,000 $42,000 Sraff Training Compliance 52% 98% That’s a 65% drop in denial rate and nearly $140,000 in recovered revenue. What Changed for Willow Grove? Final Thoughts Skilled nursing billing isn’t getting any easier. If anything, it’s more complex than ever. New rules, tighter audits, and payer-specific quirks make it hard to keep up—especially for in-house teams stretched thin. Willow Grove’s story shows what can happen when the right support is in place. With the right RCM partner, SNFs can stop firefighting and start improving. Need Help with SNF Billing? Rapid RCM Solutions helps skilled nursing facilities across the U.S. get paid faster, reduce rework, and stay fully compliant—without putting extra pressure on your team.

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