When Self-Service Tools Aren't Enough
Behavioral Health & SUD Organizations
Specialized expertise in behavioral health payor contracting, rate negotiations, and program development for IOP, PHP, residential, and outpatient programs.
Multi-State Expansion
Navigate complex credentialing and contracting across multiple states, including managed Medicaid MCO negotiations and multi-location network development.
Rate Negotiations & Contract Strategy
Expert guidance for single-case agreements, out-of-network benefits, and commercial payor rate increases for high-acuity or specialty services.
Large-Scale Denial Management
Systematic approaches to reducing denial rates, improving authorization approval, and recovering revenue for organizations with persistent payor issues.
Expert Services
Comprehensive payor relations support tailored to your organization's specific needs
Payor Strategy & Contracting
End-to-end support for commercial payor negotiations, Medicaid MCO contracts, and value-based care arrangements
- Rate benchmarking and negotiation support
- Contract review and red-flag identification
- Single-case agreement templates and workflows
- Out-of-network billing strategy
Credentialing & Network Development
Accelerate credentialing timelines and build strategic payor networks for new and expanding practices
- Managed credentialing across multiple states and payors
- Priority payor targeting based on patient demographics
- Expedited enrollment support and follow-up
- Re-credentialing and panel maintenance
Medicaid Managed Care Support
Navigate state Medicaid programs, MCO relationships, and redetermination cycles
- State-specific Medicaid enrollment strategies
- MCO contracting and rate negotiations
- Behavioral health waiver programs and specialized benefits
- Compliance with state-specific billing requirements
Revenue Cycle Optimization
Reduce denials, improve authorization workflows, and maximize reimbursement
- Denial pattern analysis and prevention strategies
- Authorization process improvement and staff training
- Appeals strategy and execution
- Billing compliance audits
Who We Serve
Behavioral Health Organizations
IOP, PHP, residential treatment, outpatient therapy, SUD programs, and psychiatric services
Multi-Location Practices
Growing organizations expanding into new states, markets, or service lines
Specialty Medical Groups
High-complexity specialties requiring sophisticated payor strategy and contracting
"Working with the GrowthMD team through PayorHelp transformed our payor strategy. We went from out-of-network only to contracted with 6 major payors in 18 months, and our rates improved by 30% on average."
— Clinical Director
Behavioral Health Treatment Center, Multi-State