Authorization-first intake

Prior authorizations are the most common gatekeeper for IOP, PHP, residential, and some MAT services. We begin authorization workflows at intake, attach payer-requested clinical attachments, and monitor approvals so your clinicians don’t face last-minute denials that force reschedules.

Telebehavioral billing mastery (video, audio-only, consent)

We document modality, collect required consents (audio-only consent where applicable), and apply correct CPT/telehealth modifiers and place-of-service values so claims match payer rules — protecting both reimbursement and compliance. (We maintain payer-specific exception rules in our system.)

IOP & PHP coding and attendance capture

Group therapy and IOP often require attendance logs, clinician signatures, and accurate service-time records. We reconcile session rosters with claims, ensure correct bundling, and attach the necessary clinical documentation for Medicare and commercial payers. (See current IOP coverage and coding guidance for common CPTs and documentation practices.)

SUD & MAT billing support

Medication-assisted treatment has unique coding and authorization nuances. We track drug administration codes, counseling CPTs, and any required monitoring attachments to minimize denials and protect program revenue.

Denial prevention, triage & appeals playbook

We proactively flag likely denials (authorization lapses, mismatched modifiers, missing attendance proof), route them for fast resolution, and maintain pre-built appeals packets tailored by payer and denial reason — increasing overturn rates and speeding recoveries. Industry denial guides for behavioral health show detailed denial codes and remedies we use daily.

Empathetic patient financial outreach

Collections in behavioral health require sensitivity. Sirius Voice AI delivers empathetic balance reminders, flexible payment plan offers, and discreet outreach scripts — escalating only when required so care relationships are preserved.