iop billing services

Managing billing for an Intensive Outpatient Program (IOP) requires more than claim submission. Successful reimbursement depends on proper authorizations, documentation, program hour requirements, payer guidelines, and compliance with state and federal regulations.

Resolute Billing provides specialized billing, credentialing, authorizations, and revenue cycle management services for mental health and substance use IOP providers across the United States.

Whether you're launching a new IOP program or managing an established organization, our team helps streamline operations so you can focus on patient care. 

• Mental Health IOP Programs
• Substance Use Disorder IOP Programs
• Co-Occurring Treatment Programs
• Behavioral Health Facilities
• Multi-Location IOP Organizations
• New and Growing Programs
• Independent Behavioral Health Providers

• Insurance Verification
• Prior Authorizations
• Initial and Concurrent Reviews
• Claim Submission
• Payment Posting
• Denial Management
• Credentialing
• Contract Negotiations
• Weekly & Monthly Reporting
• Revenue Cycle Management

Behavioral health billing requires more than submitting claims. Provider credentials, supervision requirements, documentation standards, program hours, and payer guidelines all play a critical role in successful reimbursement.

Our team helps organizations navigate:

• Documentation and record reviews
• Program hour and attendance audits
• Mental Health vs. Substance Use billing requirements
• Medicaid and managed care organization requirements
• Provider credentialing and scope of practice considerations
• Supervision requirements for associates, interns, and trainees
• Determining which provider types may perform and bill specific services
• Authorization and utilization review requirements
• Clinical documentation compliance
• Payer audits and record requests

With extensive behavioral health experience, we help organizations identify potential compliance concerns before they become denials, recoupments, or audit findings.

• Authorization delays and denials
• Program hour compliance concerns
• Documentation deficiencies
• Medicaid billing requirements
• Concurrent review management
• Mental Health versus Substance Use billing questions
• Provider credentialing limitations
• Revenue cycle inefficiencies
• Payer audits and record requests

• Behavioral health focused
• Experience with Mental Health and Substance Use programs
• Knowledge of IOP program requirements
• Understanding of Medicaid and managed care requirements
• Documentation and compliance review experience
• Support with payer audits and record requests
• Commercial insurance, Medicaid, and Medicare experience
• Responsive communication
• Transparent reporting
• Small, personalized team