Specialty Focus

Denied claims are eating your therapy practice's revenue.

Prior-auth denials, session-code downcoding, and unanswered claims add up when your team is busy caring for patients. Start with a free 90-day denial audit — you only pay when we collect.

The Behavioral Health & Therapy Practices Revenue Environment

Most therapy practices we see are leaving 10-20% of earned revenue uncollected in denied and underpaid claims. Even a small team can lose track of payer-specific authorization, visit, and billing rules across recurring sessions.

Detailed Leakage Patterns

A denial does not have to become a write-off. We review your recent denials and remittances inside your existing workflow to find claims worth working.

Prior-Authorization Denials

Visits can be denied when an authorization expires, runs out of approved sessions, or does not match the service billed. We identify which claims need follow-up and where the handoff broke down.

Session-Code Downcoding

Payers may reimburse a shorter session or different service than the documentation supports. We compare what was billed with what was paid and flag discrepancies for review.

Eligibility Verification Failures

A change in coverage, network status, or primary payer can turn recurring appointments into a run of denials. We group the affected claims so the team can address the root cause.

Front-End Handoff & Authorization Risks

Small practices often don't have time to catch every authorization or eligibility gap before it turns into a denial. Here's where to look first.

1

Authorization Tracking

A patient may continue care after approved visits run out. We look for authorization gaps before more claims age past appeal windows.

2

Coverage Changes

Patients' benefits can change between appointments. We flag eligibility and coordination-of-benefits denials that need updated information.

3

Session Documentation

When session length and the billed code do not align, payment can be reduced or denied. We surface those patterns for the practice to review.

Claims, Denials, & Aged AR Patterns

Timely-Filing Write-Offs

Unworked denials can age until the payer's filing or appeal window closes. We prioritize claims with deadlines rather than letting them disappear into aged AR.

Repeat Denials Across Visits

A single unresolved eligibility or authorization issue can affect multiple sessions. Grouping related claims makes it easier to address the cause.

Underpaid Sessions

We compare remittances with billed services and contracted rates to identify payments that deserve a closer look.

How RevIQ Supports Your Practice

No billing team? We become it. Have one? We find what they miss. Our CPC-led specialists work inside your existing system to audit denials, clean up AR, and recover what's still collectible.

Diagnostic Reviews

Free 90-Day Denial Audit

Share your last 90 days of denied claims. We identify what may still be recoverable, free of charge.

Payer and Code Review

We group denials by payer, service code, and reason so your team can see recurring problems.

Recovery Priorities

Claims Near Deadlines

We prioritize timely-filing and appeal windows on claims that can still be worked.

Authorization and Eligibility Follow-Up

We work with the information in your EHR to address payer requests and correct claim issues.

Performance Monitoring

Denial Trends

We share recurring payer and front-desk issues so your practice can prevent avoidable repeats.

Open AR

We keep attention on claims that need follow-up, even when your staff is stretched thin.

Ideal-Fit Practice Scenarios

Small Therapy Practices

A practice with 1-10 providers where the owner or a small office team handles billing decisions.

Practices with Unworked Denials

Your team submits claims but does not have time to pursue every denial and underpayment.

Frequently Asked Questions

No. We work inside your existing EHR and workflow; the free audit does not require a conversion.

The 90-day denial audit is free. If we recover your money, we keep 20%. If we don't, you pay nothing.

Yes. We can focus on denied and underpaid claims your biller has not had time to work.

Protect your behavioral health & therapy practices revenue.

Start with a free 90-day denial audit. You only pay when we collect.

Get my free denial audit

Disclaimer: RevIQ Health provides administrative revenue recovery and assurance services. We organize and analyze remittance data, coordinate findings with internal resources, and support structured administrative follow-up. We do not provide clinical, legal, or formal coding advice, nor do we make specific medical necessity determinations or guarantee absolute reimbursement outcomes.