Credentialing, Contracting & Compliance Services
Successfully operating a behavioral health organization requires more than billing claims. Provider enrollment, payer contracting, credentialing, compliance reviews, and revenue cycle processes all play a critical role in long-term success.
Resolute Billing provides credentialing, contracting, compliance support, and consulting services for behavioral health facilities, mental health group practices, psychological testing providers, and substance use treatment programs across the United States.
Who We Serve
- Behavioral Health Facilities
- Mental Health Group Practices
- Psychological Testing Providers
- Substance Use Treatment Programs
- IOP Programs
- PHP Programs
- RTC Programs
- Detox Programs
- New and Growing Organizations
Credentialing & Contracting Services
- Provider Credentialing
- Medicare Enrollment
- Medicaid Enrollment
- Managed Care Organization Enrollment
- Commercial Insurance Credentialing
- CAQH Setup & Maintenance
- Recredentialing Support
- Group Practice Enrollment
- Facility Enrollment
- Contract Negotiations
- Payer Contract Reviews
Compliance & Consulting Services
Our team provides support beyond credentialing and contracting to help organizations identify operational and compliance concerns before they impact reimbursement.
Services include:
- Documentation Reviews
- Record Audits
- Program Hour Audits
- Revenue Cycle Assessments
- Claims Audits
- Compliance Reviews
- Authorization Process Reviews
- Medicaid Requirement Reviews
- Provider Scope of Practice Reviews
- Mental Health vs. Substance Use Billing Guidance
- Payer Audit Support
Common Challenges We Help Solve
- Delayed credentialing approvals
- Contracting roadblocks
- Medicaid enrollment issues
- Provider enrollment concerns
- Documentation deficiencies
- Program compliance questions
- Audit preparation
- Revenue cycle inefficiencies
- Authorization challenges
- Payer denials and recoupments
Why Providers Choose Resolute
- Behavioral health focused
- Multi-state experience
- Medicaid and managed care expertise
- Commercial insurance contracting experience
- Documentation and compliance review experience
- Responsive communication
- Transparent reporting
- Small, personalized team