Our Services

Full-service behavioral-health RCM.

Full-cycle revenue support from experienced behavioral-health revenue-cycle professionals — from the first benefit check to the final dollar collected, with appeals handled at every level.

Scope

Benefit check
to the
final dollar.

VOB · AUTHORIZATION · CLAIMS / POSTING
Denials · Appeals · Reporting

What we handle

Six connected functions, one accountable team.

Run by people who work behavioral-health benefits every day and know how each payer treats each level of care.

01

Verification of Benefits & Eligibility

Specialists who know what to ask so you get reimbursed against each policy — priority benefit verifications processed to a defined turnaround standard set during onboarding.

Defined turnaroundPolicy-specific
02

Communication with Families & Patients

Our team handles the benefit conversations with patients and families directly, so your staff doesn't have to.

BH specialistsLess staff burden
03

Utilization Review Management

We manage authorization and utilization-review workflows — preparation, scheduling, documentation support, deadline tracking, and coordination of peer-to-peer reviews — with coordinators who know the behavioral-health and SUD landscape.

Pre-auths & URsPeer-to-peer
04

Insurance Coding & Claims Management

Coding, claims, and payment posting worked with real follow-up, payer intelligence, and QA checks at each step — payments reconciled as they land, errors caught before a payer does.

Payer intelligenceInternal QA
05

Reporting

Structured client reporting with claim, authorization, collection, and payer-level visibility — reimbursement by carrier and period, ready for real decisions.

Structured reportingBy carrier
06

Revenue-Cycle Operations & Readiness Consulting

Workflow mapping, payer enrollment & routing, billing handoffs, reporting design, and denial controls — the operational systems behind reliable reimbursement.

Workflow & routingRCM readiness

Not legal advice, licensure representation, or a guarantee of Joint Commission or CARF accreditation. Coding and reimbursement outcomes vary by payer, plan, state, contract, and date of service.

How we work the claim

The details that decide whether you get paid.

Most denials in behavioral health trace back to a small detail a general biller never learned to watch. A few of the places revenue quietly leaks:

  • Intensive outpatient is not one code

    A commercial claim runs S9480 with revenue code 0905, but chemical-dependency IOP uses H0015 with 0906 — and Medicare will not take S9480 at all. Send the wrong one and it comes back denied.

  • Psychotherapy is timed to the minute

    90832, 90834 and 90837 differ only by session length, and 90837, the longest, is the one payers scrutinize most. We log exact start and stop times so it holds up on review.

  • PHP pays once a day

    Partial hospitalization bills as a per diem (TOB 131, revenue code 0912, H0035), and only one posts per day even when a patient carries two diagnoses. Built wrong, the claim denies itself.

  • Some claims never arrive

    A clearinghouse routes on a four-digit CPID, not the five-digit payer ID everyone knows. One wrong digit and the claim goes nowhere — we confirm it cleared within 72 hours and follow up inside two weeks, not the 30 to 60 days most billers wait.

Small things, each one — multiplied across every patient on your census. That is where we work. Explore Axis Insights →

Systems

We work in the tools you already use.

Claims and eligibility run through established clearinghouses, and our team is fluent in the major behavioral-health EHRs — so partnering with Axis doesn't mean ripping out your stack.

Stedi Availity Office Ally + major behavioral-health EHRs

Before you hand it over

The questions buyers ask us first.

What does a full-service behavioral-health RCM firm actually handle day to day?

The whole revenue cycle, from the first benefit check to the final dollar collected. In practice that means six connected functions run by one accountable team: benefit verification, benefit conversations with patients and families, utilization review and authorizations, coding and claims with payment posting, reporting, and revenue-cycle operations consulting. Appeals are handled at every level as part of the engagement.

Why do our behavioral-health claims keep getting denied?

Most denials in behavioral health trace back to a small detail a general biller never learned to watch. Take intensive outpatient: a commercial claim runs S9480 with revenue code 0905, chemical-dependency IOP uses H0015 with 0906, and Medicare will not take S9480 at all. Send the wrong one and it comes back denied. Small things, multiplied across every patient on your census.

How quickly do you follow up on claims after they're submitted?

We confirm each claim cleared within 72 hours and follow up inside two weeks, not the 30 to 60 days most billers wait. Once payments land they get reconciled right away, with QA checks at each step so errors are caught before a payer finds them.

Will your team talk to our patients and families about their benefits?

We do. Our team handles the benefit conversations with patients and families directly, so your staff doesn't have to. It's one of the six core functions of the engagement, worked by behavioral-health specialists.

Do we have to switch our EHR or clearinghouse to work with you?

You keep your stack. Claims and eligibility run through established clearinghouses like Stedi, Availity, and Office Ally, and our team is fluent in the major behavioral-health EHRs. We work in the tools you already use.

Are appeals included, or billed separately?

Included. Appeals are part of every full-service engagement at all three levels, with no separate invoice. That covers first-level review, second-level appeal, and external or independent review, all run through Parity, our behavioral-health appeals workspace.

What kind of reporting will we get?

Structured reporting with claim, authorization, collection, and payer-level visibility. Reimbursement comes broken out by carrier and by period, in a form ready for real decisions.

Wondering what these details are costing you?

Start with a billing review.

Tell us which levels of care you bill and where claims keep getting stuck. We'll flag the fixes worth making first and roughly what they're worth. It's a working diagnostic, not a pitch.

Last updated: July 8, 2026