Get paid for the care you already provide.
IRM runs the revenue cycle for behavioral health and addiction treatment programs. Benefits verification, utilization review, billing and collections, handled by one team that only works in this field.
Detox, residential, PHP, IOP and outpatient mental health programs.
Clean claim rate on first submission
Average days in accounts receivable
Denied claims overturned on appeal
Treatment programs and locations served
Source line: IRM client data, [period], [how measured]
One team from the first call to the paid claim.
Most programs lose money in the handoffs: intake to billing, clinical to UR, billing to collections. IRM covers every stage, so nothing falls between vendors.
Before admission
Verification of Benefits
- Insurance eligibility and benefits verification
- Financial clearance
- Admissions support
During treatment
Utilization Review
- Initial and continued-stay authorizations
- Physician-led utilization review
- Payer coordination
After discharge
Billing & Collections
- Claims submission and management
- Denial management
- A/R, payment posting and reconciliation
Every month
Revenue Cycle Management
- End-to-end revenue cycle ownership
- Revenue performance and optimization
- Reporting and analytics
Use the full cycle, or start with the stage that is costing you the most. Most programs start with the one that hurts.
Compare our solutionsBuilt around your level of care.
A detox stay and an IOP episode get paid in completely different ways. Pick your program to see where IRM focuses.
Not sure where you fit? Most multi-program operators start with a revenue review across all levels.
Detox
Short stays, high acuity, and authorizations that change fast.
- Before admission
- Benefits verified and financial clearance done while the patient is still on the phone.
- During the stay
- Initial authorization and tight concurrent reviews as medical necessity shifts day to day.
- After discharge
- Claims out quickly with the clinical record to back every authorized day.
Residential
Longer stays mean more continued-stay reviews and more days at risk.
- Before admission
- Out-of-network and in-network benefits verified, patient responsibility made clear up front.
- During the stay
- Physician-led continued-stay reviews and payer coordination so authorized days keep pace with treatment.
- After discharge
- Denied days appealed, A/R worked until it is collected or closed.
Partial hospitalization (PHP)
Step-downs from residential are where authorizations often lapse.
- Before admission
- Benefits re-verified at step-down, not assumed from the residential stay.
- During treatment
- Authorizations tracked against attendance and level-of-care criteria.
- After discharge
- Clean claims, denial follow-up and payment posting by payer.
Intensive outpatient (IOP)
High volume, lower dollars per claim. Small leaks add up.
- Before admission
- Eligibility checked before the first session, and again when coverage changes.
- During treatment
- Visit authorizations tracked so sessions are not delivered unauthorized.
- After discharge
- Claims submitted and reconciled in batches, with reporting by payer and program.
Mental and behavioral health
Residential, PHP, IOP and outpatient mental health programs.
- Before admission
- Behavioral health benefits verified, including carve-outs to separate payers.
- During treatment
- Utilization review built on mental health medical necessity criteria.
- After discharge
- Billing, denial management and collections specific to behavioral health codes.
Multi-location organizations
Several programs, several levels of care, one view of revenue.
- Across sites
- One process for VOB, UR and billing, so every location is run the same way.
- Reporting
- Revenue, denials and A/R broken out by location, level of care and payer.
- Growth
- New sites brought onto the same revenue cycle from day one.
Why programs switch to IRM.
The differences that show up in your deposits, not in a sales deck.
Behavioral health only
We don't bill for dermatology or urgent care. Our team knows ASAM criteria, level-of-care step-downs and how behavioral health payers actually decide.
Physician-led utilization review
Reviews are backed by physicians, which matters when a payer pushes back on medical necessity.
One team, every stage
VOB, UR, billing and collections under one roof. No finger-pointing between vendors when a claim goes wrong.
Reporting you can act on
See revenue, denials and A/R by program and payer, with someone who will tell you what to do about it.
Accountable to results
How IRM is held to performance: guarantees, reporting cadence, fee structure.
What operators say.
Testimonial from a program owner or CFO, ideally with a specific result: what changed in collections, denials or days in A/R after IRM took over.
Full nameTitle, Program name
Second testimonial, ideally about utilization review or authorizations.
Full nameTitle, Program name
Third testimonial, ideally from a multi-location operator.
Full nameTitle, Program name
The Behavioral Health Denial Checklist
The most common reasons behavioral health claims get denied, and what to fix at intake, during UR and at billing to stop them.
- Where authorizations lapse between levels of care
- Documentation gaps payers look for on continued-stay reviews
- A quick self-audit for your billing team
Find out what your program is leaving unpaid.
A 30-minute call with our team. Bring your payer mix and your biggest headache. You'll leave with a clear read on where revenue is slipping.
Schedule a Consultation