Jakind Enterprises

How a Mental Health Practice Boosts Monthly Revenue by 52%

The Situation: Low Revenue and Missed Opportunities

Running a mental health practice is challenging enough without having to worry about whether your billing company is doing its job correctly. Unfortunately, many providers discover too late that poor billing practices and lack of credentialing and payer setup, can cost them thousands of dollars every year.

In this blog, I’ll share a real-life example of how one mental health practice turned things around after struggling with cash flow, billing errors, and missed payer processes and how you can avoid the same costly mistakes.

When this client first reached out, they were frustrated and overwhelmed. Their practice averaged just $7,200 per month in cash payments, which was well below its potential. They were working with a billing company they trusted, but things were falling apart behind the scenes.

After an initial revenue cycle assessment, here’s what we found:

• No back-end follow-up: The previous billing company wasn’t following up on unpaid claims, leading to thousands of dollars in lost revenue.
• Missed timely filing limits: Claims were aging out and becoming unbillable money that the provider would never recover.
• Outstanding A/R: Claims were piling up with no resolution in sight.
• Failed appeals: A major payer had taken back a year’s worth of payments; no follow-up or appeal was attempted.
• No patient payment follow-up: There was no structured process for collecting patient responsibility, creating further cash flow gaps.
• Credentialing gaps: The provider was not credentialed with a key payer, and other payer enrollments for EDI (Electronic Data Interchange) and EFT (Electronic Funds Transfer) were incomplete, causing delays in payments.
• No time for growth: The provider was so consumed with billing problems that they couldn’t focus on advertising or expanding the practice.

Sound familiar? Unfortunately, these are common issues for mental health providers who don’t have a strong revenue cycle system in place.

Our Approach: Full Revenue Cycle Overhaul

We knew a complete transformation was needed. Over the next 10 months, we implemented a strategic plan to recover lost revenue, optimize the revenue cycle, and set the provider up for future growth.

Here’s what we did:

1. Full Revenue Cycle Assessment – We examined every aspect of their billing process to identify gaps.
2. A/R Cleanup – Our team aggressively worked on unpaid claims before deadlines passed.
3. Timely Filing Protection – Implemented processes to ensure no claim ever missed a filing deadline again.
4. Successful Appeal – Overturned a major payer decision and recovered a full year of lost payments.
5. Credentialing with a New Payer – We successfully credentialed the provider with an additional insurance payer to expand their patient base and revenue potential.
6. EDI & EFT Enrollment – Completed EDI and EFT enrollment for multiple payers to ensure faster claim submission and direct deposit payments.
7. Patient Payment Process Implementation – Established a structured follow-up and collection process for patient balances.
8. Complete Billing Management – Took over all billing operations, including submission, follow-up, and denial management.
9. Regular Reporting – Delivered detailed reports for full financial transparency.

The Results After 10 Months

The transformation was substantial:

• Monthly revenue increased from $7,200 to $11,000—a 52% boost.
• Recovered a full year of previously lost revenue from one patient’s claims through a successful appeal.
• Eliminated aged A/R issues and implemented processes to prevent future timely filing errors.
• Credentialed with an additional payer, opening the door for new patients and increased revenue streams.
• Completed EDI and EFT enrollments, improving claim processing speed and payment turnaround time.
• Introduced a structured patient payment process, reducing outstanding balances and increasing cash flow.
• The provider now has time to grow their practice, hire a partner, and focus on marketing.

What This Means for You

If your billing company isn’t following up on claims, managing payer enrollments, or implementing patient payment processes, you could be losing thousands of dollars every month—and holding back your practice’s growth.

Revenue cycle management isn’t just about sending claims; it’s about credentialing, compliance, patient collections, and proactive follow-up. When all these pieces work together, your practice thrives.

Ready to Take Control of Your Revenue?

I’ve helped practices just like yours recover lost revenue, expand payer relationships, and create systems for sustainable success. Let’s talk about how we can do the same for you.

Before you close out 2026, take a closer look at your revenue cycle.

Are claims still outstanding? Are denials unresolved? Are you being reimbursed correctly for services you provide?

Paula RCM is offering a Revenue Cycle End Year Review special to help healthcare practices assess their revenue cycle, identify gaps, and uncover opportunities to recover outstanding revenue.

Before you set your financial goals for 2027, make sure you’re collecting the revenue you’ve already earned.

Schedule Your Consultation Today, and let’s build a stronger revenue cycle for your practice.