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For behavioral health billing companies

A behavioral health denial desk for your billing company, under your name.

You keep the client and the relationship. We work the denials behind your team.

What we hear from billing companies

  • Denial work grows faster than you can hire for it.
  • Medical necessity appeals take clinical writing your billers were not trained for.
  • Aged A/R sits because new claims always come first.
  • Each payer has its own appeal channel, form and deadline.

How we work with you

  1. 1White-label. We work under your name. Your clients do not need to know we exist.
  2. 2We never bill your clients or compete for their routine billing.
  3. 3Your systems. We work in the EMR, billing system and clearinghouse you already use.
  4. 4Specialist review. Every appeal is approved before it is sent.
  5. 5Weekly report for you, by client, payer and denial reason.

Most billing companies start with a denial audit on one client, then add recovery for aged A/R and prevention for the checks that eat hours.

A good fit if

  • You bill for SUD, mental health or eating disorder programs
  • Your clients bill commercial payers, including out-of-network
  • You want overflow capacity without adding headcount

Scope: commercial payers only, including self-funded and out-of-network. No Medicare, Medi-Cal or patient balances.

What we commit to

  • Report in 10 business daysYour denial review report within 10 business days of receiving a de-identified export.
  • Specialist approvalEvery appeal is approved by a specialist before it is sent.
  • Logged and reportedEvery action is logged. You get a report every week.
  • BAA before PHINo patient data until a BAA is signed, plus a Part 2 agreement for SUD records.

Commitments about how we work, not promises about payer decisions.

Questions

Will you contact our clients?

Only if you ask us to. By default we work through you.

How is it priced for billing companies?

Audits are a fixed fee. Recovery is on contingency: you pay only on dollars recovered. We agree the terms in writing per client.

Do you need our clients' PHI?

Not to start. Audits run de-identified. A BAA, and a Part 2 agreement for SUD records, come before any PHI.

Services for billing companies

Next step

Book a denial review.

Twenty minutes. No patient data needed.

Or email hello@skygathering.com