Operational Excellence
Proven Financial Solutions for Behavioral Health
Unpredictability is the single biggest risk to your agency’s future. With stakes this high, who do you trust with the health of your agency?
Gain the clarity and control you need to grow with our specialized data and billing solutions:
- Revenue Cycle Management (RCMS+): Accelerate cash flow with co-sourced billing experts.
- Credentialing Services: Proactively manage enrollments to prevent payment delays.
- Clearinghouse Tools: Simplify workflows with automated claims and eligibility checks.
- Business Intelligence (BI): Turn complex data into real-time financial decisions.
Operational Excellence that Powers Your Practice
Behavioral Health Expertise
Purpose-built solutions made by those who understand the nuances of behavioral healthcare billing, compliance, and clinical workflows.
Actionable Insights
Go beyond spreadsheets with BI tools that transform complex data into clear, strategic insights and dashboards, making it easier to act with confidence.
Scalability & Growth
Implement tools that are meant to grow with you, whether you’re adding new programs, providers, or locations.
Secure & Trusted Environment
Highly secure, integrated EHRs with all data remaining within Qualifacts’ ONC Certified Health IT, HIPAA, and SOC 2 compliant environment.
Staff Satisfaction
Reduce administrative burden and burnout by automating complex tasks, freeing your team to focus on what they do best—providing care to their clients.
Revenue Cycle Management Services (RCMS+)
Simplify Billing and Boost Performance
Boost cash flow and reduce administrative burden by embedding our 200+ revenue cycle experts directly within your Qualifacts EHR.
- Co-Sourced Partnership: We act as an extension of your team—not a distant vendor—giving you full visibility and control while we handle the execution.
- Behavioral Health Expertise: Leverage over 25 years of experience supporting agencies across all 50 states to master payer complexities and compliance standards.
- Built-in Scalability: Ensure staffing stability and coverage during turnover or seasonal spikes.
- Purpose-Built Integration: Designed exclusively for Qualifacts EHRs to optimize workflows and ensure top-tier security.
Credentialing & Enrollment Services
Faster Approvals. Fewer Delays.
We credential and enroll your providers, accelerate billing, and maintain compliance. We proactively prevent delays and keep your agency payer-ready at all times.
- Proactive Management: We track renewals and revalidations to ensure continuous compliance.
- Prevent Roadblocks: Proper enrollment from the start helps avoid billing delays and denials.
- Accurate & On-Time Submissions: Applications are completed correctly and submitted promptly, so you can bill faster.
- Free Your Staff: We handle paperwork, portals, and payer backlogs so your team can focus on care.
Numbers You Can Trust*
25+
Years in Behavioral Health
50
Serving customers in all 50 states
97%
Customer support satisfaction
99%
Clean bill rate
Qualifacts has been tremendously important for us as an organization, allows us to run a number of reports through our BI tool that really helps us survive and thrive as a business. Without the data, we don’t have any idea how to continue to build our services, how to address the needs of the people we serve, how to meet regulatory compliance. When we chose Qualifacts, we were looking for a partner to help grow for the future, not just provide a solution for today.
Powerful Clearinghouse Tools
Integrated Workflows. Smarter Claims. Faster Payments.
Streamline revenue cycles with advanced tools embedded directly in your EHR to reduce denials, improve cash flow, and free your staff from manual processes.
- Integrated RCM Workflows: Seamlessly send, track, and manage claims and eligibility to accelerate payments.
- Claims Management: Simplify submissions with payer validation, real-time tracking, and automated remittance posting.
- Insurance Discovery: Automatically identify active insurance and verify demographics to prevent costly denials and ensure clean claims.
- Eligibility Verification: Confirm coverage before visits with real-time and batch checks across 650+ payers.
Business Intelligence (BI)
From Data Collection to Data-Driven Decisions
Advance your agency with BI tools that deliver real-time insights into operational and financial health. Robust reporting and analytics help you monitor KPIs, navigate complex payment models, and benchmark performance against industry standards.
- Configurable Reports & Dashboards: Real-time monitoring of your most important KPIs.
- CCBHC & VBC Models: Built-in reports for quality measures, no-show rates, referral tracking, and more to simplify prospective payment models.
- Benchmarking: Compare performance against industry standards to identify improvement opportunities.
*Based on customer data, results not guaranteed