From 30+ AR Days to 14
How Transformative Healthcare Solutions
Streamlined Its Entire Revenue Cycle with Ellora Billing
Download Case Study
From 30+ AR Days to 14
How Transformative Healthcare Solutions
Streamlined Its Entire Revenue Cycle with Ellora Billing
Download Case Study
The Numbers Behind
Behavioral Health Reimbursement
30+ → 14 AR
Days Reduction
↓Substantial
Denial Rate Drop
Red → Green
Collections Improvement
1 Platform
Replaced 5+ Vendors
AR Days
Reduced from 30+ days to 14
Collections
Moved from red to green
Denial Rate
Substantially reduced
Platform Consolidation
1 platform replaced 5+ vendors
What THS Leadership Says
“Ellora offered a one-stop-shop and all-in-one solution to us. We made this switch around COVID-19 when there was a need for telehealth, a competitive EHR, and a billing team we could meet with when needed.”
What THS Leadership Says
“I no longer have to go to various excels and talk to 5 different people. I have everything on the platform. And when I have a question, their team is always available.”
Learn how Transformative Healthcare Solutions streamlined its entire revenue cycle and improved AR performance, denial management, and collections with Ellora Billing.
By identifying risk signals early,
CPP reduces preventable denials and
surfaces underpayment exposure
before revenue is lost.
The Claim
Payment Probability
Model™
Powered by Behavioral Health AI
Behavioral health claims are not random.
They follow patterns — payer patterns, coding
patterns, documentation patterns.
The CPP Model™ evaluates those patterns
before submission.
Authorization status and expiration exposure
Coding distribution and reimbursement alignment
Documentation consistency with billed CPT level
Telehealth modifier compliance
Payer-specific denial history trends
The goal is not simply to collect. It is to
increase payment predictability.
Why Behavioral Health
RCM Behaves Differently
Mental health claims are subject to unique payer dynamics.
-
Prior authorizations are more common and more closely enforced.
-
Telehealth policies vary by payer and continue to evolve.
-
CPT codes such as 90834 and 90837 carry significant reimbursement differences tied to documentation requirements.
-
Medical necessity standards are applied with greater scrutiny.
-
Parity laws exist, yet behavioral health claims are frequently treated with narrower coverage interpretation.
Revenue cycle management in behavioral health is not simply about submission — it is about pattern recognition and risk mitigation
Built Exclusively
Around Mental Health Claims
We work only within behavioral health. Therapists,
Psychologists, Psychiatrists, LCSWs, and Behavioral
Health Service Organizations.
This specialization allows us to analyze:
-
CPT utilization patterns and undercoding trends
-
Authorization exposure across payer panels
-
Telehealth compliance risk
-
Documentation-to-code alignment
-
Medicaid H-code and T-code reimbursement structures
Behavioral health billing is not a vertical for us.
It is the foundation of our RCM model.
The Ellora Way
Our Approach: Data Before Decisions
1
We begin with a structured behavioral health RCM assessment supported by CPP analysis.
2
We analyze denial rates, payer mix concentration, CPT distribution, AR aging segmentation, authorization patterns, and telehealth modifier usage.
3
The objective is not simply to identify denials — but to understand systemic risk and where reimbursement predictability can be improved.
If there is a measurable opportunity to strengthen collections, we outline it clearly.
If not, you retain the findings with no obligation.
What We Manage
Within Behavioral Health RCM
Eligibility and benefits verification
Claim review and submission
Denial analysis and appeals
Insurance AR management
Payment posting and reporting transparency
You gain visibility into claim performance across payers, providers,
and codes — without internal administrative overload.
Built for the EHR You Already Use
Ellora is EHR-agnostic by design — built to work with your infrastructure, not replace it.
SimplePractice. TherapyNotes. TheraNest. AdvancedMD. Kareo. Athena. DrChrono. We work with them all.
And if you use a different system, we support that too. No forced migrations. No workflow disruption.
Just smarter billing layered onto the systems you already trust
Learn how Transformative Healthcare Solutions streamlined its entire revenue cycle and improved AR performance, denial management, and collections with Ellora Billing.
Download the Case Study
About
Ellora Systems
Ellora Systems is committed to improving access
to mental and behavioral healthcare through secure,
affordable, and easy-to-use technology.
Our EHR and telehealth platform is built to support
practitioners with streamlined workflows, better
documentation, and meaningful patient engagement—
so care can be delivered anytime, anywhere.
Guided by deep healthcare expertise and a focus
on simplicity, Ellora partners with practices to
strengthen the communities they serve.
