PHP Billing Services
Managing billing for a Partial Hospitalization Program (PHP) requires specialized knowledge of payer requirements, authorizations, documentation standards, program hours, and level-of-care guidelines.
Resolute Billing AZ provides billing, credentialing, authorizations, compliance support, and revenue cycle management services for mental health and substance use PHP providers across the United States.
Whether you're opening a new PHP program or improving an established one, our team helps streamline billing operations so you can focus on patient care.
Who We Serve
- Mental Health PHP Programs
- Substance Use Disorder PHP Programs
- Co-Occurring Treatment Programs
- Behavioral Health Facilities
- Multi-Location PHP Organizations
- New and Growing Programs
- Step-Down Programs from RTC or Detox
- Independent Behavioral Health Providers
Services
- Insurance Verification
- Prior Authorizations
- Initial and Concurrent Reviews
- Claim Submission
- Payment Posting
- Denial Management
- Credentialing
- Contract Negotiations
- Weekly & Monthly Reporting
- Revenue Cycle Management
Compliance, Documentation & Medicaid Guidance
Successful PHP billing requires more than claim submission. Provider credentials, supervision requirements, documentation standards, program hours, medical necessity, and payer guidelines all play a critical role in 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
Common Challenges We Help Solve
- Authorization delays and denials
- Level-of-care documentation concerns
- Program hour compliance issues
- Medicaid billing requirements
- Concurrent review management
- Mental Health versus Substance Use billing questions
- Provider credentialing limitations
- Revenue cycle inefficiencies
- Payer audits and record requests
Why PHP Providers Choose Resolute
- Behavioral health focused
- Experience with Mental Health and Substance Use programs
- Knowledge of PHP 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