RTC Billing services

Managing billing for a Residential Treatment Center (RTC) requires specialized knowledge of payer requirements, authorizations, documentation standards, medical necessity criteria, and residential level-of-care guidelines.

Resolute Billing AZ provides specialized billing, credentialing, authorizations, compliance support, and revenue cycle management services for mental health and substance use residential treatment programs across the United States.

Whether you're opening a new residential program or looking to improve reimbursement and compliance, our team helps streamline operations so you can focus on patient care and program success.

• Mental Health Residential Treatment Centers
• Substance Use Residential Treatment Programs
• Co-Occurring Treatment Programs
• Behavioral Health Facilities
• Adolescent Treatment Programs
• Adult Residential Programs
• Multi-Location Treatment Organizations
• New and Growing Residential Programs

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

Residential treatment billing requires careful attention to documentation, medical necessity, provider qualifications, supervision requirements, and payer-specific guidelines.

Our team helps organizations navigate:

• Documentation and record reviews
• Residential level-of-care requirements
• Medical necessity reviews
• 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
• Residential level-of-care documentation concerns
• Medical necessity reviews
• Medicaid billing requirements
• Concurrent review management
• Mental Health versus Substance Use billing questions
• Provider credentialing limitations
• Revenue cycle inefficiencies
• Payer audits and record requests
• Documentation deficiencies

• Behavioral health focused
• Experience with residential treatment programs
• Knowledge of payer authorization 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