Specialty RCM

Behavioral Health

Program structure, clinician credential matching and therapy coverage rules — administrative, not a clinical model of care.

Behavioral health and psychiatry groups stall when visit format, supervisor credentials and payer coverage tables disagree. ROOT tracks enrollment readiness and denial reasons as operations work. Psychiatry remains a separate catalog page for medication-management-heavy groups. No clinical protocols or outcome claims.

  • Credential-to-payer matching

  • Covered visit formats

  • Authorization for intensive programs

Code-level guidance is reviewed with your billing lead during onboarding, because code sets change every year.