Behavioral Health
Revenue Cycle Experts

Detox, Residential, PHP, IOP & Out-of-Network Billing Specialists

AG Healthcare Consulting LLC is a third-party behavioral health medical billing and full revenue cycle management firm built specifically for Detox (ASAM 3.7 / 3.7WM), Residential Treatment (ASAM 3.5), PHP / IOP Programs, MAT Clinics, Eating Disorder Programs, and RTCs. We align clinical documentation, ASAM levels, authorizations, and payer strategy to maximize reimbursement while reducing denials.

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The Reality of Behavioral Health Billing

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Detox case rate denials due to improper billing codes.

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ASAM misalignment between clinical notes and claim submissions.

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Concurrent review failures causing authorization gaps.

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Weak OON negotiation strategy leading to underpayments.

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Inaccurate VOB causing significant upfront losses.

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No Single Case Agreement (SCA) workflow for high-acuity patients.

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Medical necessity appeal gaps that never get recovered.

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"Your clinical team delivers care. We ensure the reimbursement reflects that care."

What Makes Us Different

  • ASAM-Aligned Strategy

    We align documentation, LOCUS, and clinical notes with payer expectations for seamless approvals.

  • OON Optimization

    We negotiate higher reimbursements and enforce contract language for out-of-network claims.

  • Detox Specialists

    We handle per diem and bundled case rates correctly—preventing unnecessary write-offs and bad debt.

  • Aggressive Appeals

    We overturn medical necessity, bundling, and downcoding denials with clinical-led recovery teams.

34%

Denial Reduction

$3.2M

Annual Revenue Growth

98%

UR Approval Rate

Full Behavioral Health RCM Services

A comprehensive suite of financial management tools tailored for facility leaders.

Intake & Admissions Optimization

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Utilization Review Management

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Claims Submission

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Medical Necessity Appeals

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VOB & Benefit Analysis

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Detox Case Rate Billing

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Payment Posting

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OON Negotiations

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Prior Authorizations

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ASAM Billing Alignment

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Insurance A/R Follow-up

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QA & Documentation Compliance

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Behavioral Health Facilities — 8% Collections

Includes full RCM + Utilization Review + OON Negotiations. 30-Day Free Trial Included. See the difference in your cash flow without the risk.

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Your revenue problem is rarely clinical. It is structural.

Schedule a confidential revenue analysis today and uncover the gaps in your behavioral health facility's billing cycle.

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