Skip to main content

Operated by AdvancedCare USA Inc. We don't publish accuracy percentages we can't show you the math for. If you want proof before a sales call, start with the neutral tools on rcm.today.

Revenue cycle management built for behavioral health, not adapted to it.

Prior authorization, 908xx coding, session-limit denials, and multi-payer behavioral panels are everyday work for therapy and psychiatry groups — not edge cases. RCMBoost is AdvancedCare’s revenue-cycle offering scoped to outpatient behavioral health. Not sure billing is even the problem yet? Run the neutral cost-to-collect numbers on rcm.today first.

Last reviewed against the FDA label and SPRAVATO REMS programme materials on .

An honest trust posture

Operated by AdvancedCare USA Inc. We do not publish accuracy percentages we cannot show you the math for. We do not invent client testimonials. If you want proof before a sales call, start with the neutral tools on rcm.today (opens in a new tab) — including the cost-to-collect calculator (opens in a new tab) and sourced news (opens in a new tab).

That cross-link is intentional. rcm.today teaches and measures; rcmboost.com is where you evaluate the vendor. A vendor-fatigued buyer should not have to take our word for the arithmetic.

Why behavioral health billing is its own problem

Hospital and multi-specialty RCM playbooks treat behavioral health as a rounding error. Outpatient therapy and psychiatry live in a different denial surface:

  • Prior auth and re-authorization churn on ongoing care — the AMA’s physician surveys continue to document prior-authorization burden as a top administrative drag, and CMS has finalized interoperability rules aimed at reducing that friction for impacted payers (AMA prior auth research (opens in a new tab); CMS-0057-F (opens in a new tab)).
  • Session limits and medical-necessity reviews that interrupt care mid-episode when re-auth lags the clinical calendar.
  • 908-series psychotherapy coding, E/M with psychotherapy, and interactive-complexity add-ons — time thresholds and documentation requirements that generic coders misapply (AMA CPT (opens in a new tab)).
  • Mental health parity obligations that affect benefit design and utilization management, even when operational enforcement remains uneven (MHPAEA (opens in a new tab); DOL EBSA (opens in a new tab)).
  • Multi-payer behavioral carve-outs — medical plan IDs that route BH to a separate administrator, discovered too late when eligibility was only checked at check-in.

A generic RCM shop that won hospital accounts will learn your panel the hard way — on your denials. Fluency with these patterns is the only defensible differentiator in this category.

What a behavioral-health RCM engagement typically covers

  • Eligibility & benefits verification

    Confirm coverage before the visit, including whether behavioral benefits are carved out to a separate administrator. Exact tooling varies by practice stack and is scoped in a Revenue Diagnostic.

  • Prior authorization & re-authorization tracking

    Keep ongoing therapy and psychiatry cases from hitting session-limit and auth-lapse denials after the visit has already happened.

  • Claim scrubbing & submission

    Front-end checks for coding, modifiers, and documentation gaps common to 908xx and telehealth BH claims — before the claim reaches the payer.

  • Denial work & A/R follow-up

    Work denials and aged balances with a BH-aware reason code lens — not a hospital denial queue transplanted onto therapy claims.

Part of one outpatient behavioral-health product family

AdvancedCare USA Inc. also operates related products aimed at outpatient clinics — including CREDSClinic (credentialing), Scriber (documentation), and FrontDeskClinic (phones). Practices evaluating RCMBoost can ask during a Revenue Diagnostic which of those tools are relevant to their stack and how they currently relate.

We will not assert a single “one vertical, fully interoperable” deliverable until the handoffs you care about are confirmed for your environment. Related does not automatically mean plug-and-play.

Start with substance, not a cold demo gate

What a Revenue Diagnostic actually is

A Revenue Diagnostic is a person at AdvancedCare reviewing your actual denial and A/R data and telling you what they see — including when the honest answer is that your billing is already fine and you do not need us.

It is not a product demo theater. Bring (or be ready to discuss) denial reason trends, first-pass clean claim rate if you track it, days in A/R, and how you handle re-authorizations today. If you do not track those yet, the self-check and rcm.today (opens in a new tab) will tell you what to pull first.

Common questions

Is RCMBoost only for behavioral health?
It is positioned for outpatient behavioral health — therapy, psychiatry, and specialty BH groups. Other outpatient specialties evaluating AdvancedCare RCM should say so in the diagnostic request so we do not oversell a BH-specific pitch.
How is RCMBoost different from rcm.today?
rcm.today is where we publish neutral benchmarks, a cost-to-collect calculator, and sourced payer-policy news — check your numbers there first. RCMBoost is the behavioral-health billing service pitch itself.
What does the “AI” actually do?
We do not lead with unverifiable “AI-powered” accuracy claims. Where automation is used in an engagement, the diagnostic should state what is automated (for example eligibility checks or claim edits) and what a human still owns (appeals judgment, payer negotiation, clinical documentation coaching). If a capability is roadmap rather than live for your stack, we will say so.
Can we keep our EHR?
Yes — RCM work is designed around the systems you already use. Named EHR integrations and adapter depth vary by product and client and are confirmed during the Revenue Diagnostic rather than asserted as a universal list on this page.
What does it cost?
Pricing depends on provider count, claim volume, payer mix, and whether work is full-service RCM, denial recovery, or a narrower workflow. We do not publish a fake “starting at” number. A Revenue Diagnostic produces a scoped proposal; if a fixed public rate card exists later, it will appear here with an as-of date.
Do you publish claim-accuracy or turnaround percentages?
No — not without math you can inspect. Vendor-owned accuracy badges without a dated methodology are exactly what this audience discounts. Use rcm.today for neutral measurement framing; use a diagnostic for a read of your real data.
Where should I go for cost-to-collect math?
https://rcm.today/cost-to-collect — that site owns the calculator. This site will not duplicate it with a scary “revenue leakage” estimator.

Book a Revenue Diagnostic

A person at AdvancedCare reviews your actual denial and A/R data and tells you what they see — including when the honest answer is that your billing is already fine and you do not need us. We respond within one business day.

Get in touch

Sources

  1. AMA prior authorization physician survey (2024) (opens in a new tab)American Medical Association
  2. CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F) (opens in a new tab)Centers for Medicare & Medicaid Services
  3. Mental Health Parity and Addiction Equity Act — fact sheet (opens in a new tab)Centers for Medicare & Medicaid Services
  4. MHPAEA — self-compliance tool and guidance (opens in a new tab)U.S. Department of Labor (EBSA)
  5. CPT psychotherapy and psychiatry coding overview (AMA) (opens in a new tab)American Medical Association
  6. rcm.today cost-to-collect calculator (neutral arithmetic) (opens in a new tab)AdvancedCare USA Inc. (rcm.today)
  7. rcm.today sourced RCM news and benchmarks (opens in a new tab)AdvancedCare USA Inc. (rcm.today)

Last reviewed against the FDA label and SPRAVATO REMS programme materials on .

Every regulatory or industry claim on this page is cited with a publisher and link. Product capabilities marked as varying are confirmed during a Revenue Diagnostic — we will not invent accuracy percentages or client testimonials.

RCMBoost — Behavioral Health Revenue Cycle Management