Maximizing collections with skilled behavioral health billing expertise
Behavioral Health - Louisville, KY

Overview

Volunteers of America Mid-States was founded in 1896 and today operates nearly 50 human services programs across Kentucky, Tennessee, West Virginia and Indiana. In support of their mission to provide positive change in the lives of individuals and communities through a ministry of service, Volunteers of America Mid-States provides housing, substance use disorder recovery services and support for individuals with intellectual and developmental disabilities.

The Objective

Revenue cycle functions for VOA Mid-States were historically outsourced to a third party. However, the vendor’s lack of knowledge in behavioral health billing resulted in poor collection rates for the organization. The organization was seeking an RCM ally who could manage the nuances of behavioral health billing and increase their overall financial performance.

The Solution

VOA Mid-States engaged Netsmart to deliver a custom solution to improve financial results related to insurance billing and collections. This included managing billing, accounts receivables (AR) and cash posting. As part of the service, Netsmart provided leadership metrics on key performance indicator (KPI) tracking and executive reporting. As a result of the partnership the following was achieved:

Uncovered the root cause of denials, unbilled and held claims; corrected issues to provide more accurate reporting and reduce loss of revenue
Standardized deposit reporting and cash posting reconciliation to improve posting accuracy
Helped organization transition to a next-generation EHR billing platform, Netsmart myEvolv®
Managed engagement with Netsmart Managed Services to update and configure the EHR to maximize billing performance

We are very pleased with the RCM support we are getting from Netsmart. The team is very helpful and provides information that allows us to manage our claims more effectively.

Tom George, Chief Financial Officer