Diagnose
Revenue Cycle Assessment
For practices that know something is off and want it quantified before committing to more.
What's included →Fractional revenue cycle leadership · Behavioral health, psychiatry & physical therapy
Director-level RCM.
Without the hire.
SPR Group gives growing practices the revenue cycle leadership of a seasoned director — from credentialing and payer contracting through denials, underpayments and aging AR — and fixes problems at the source, without the cost of a full-time hire.
Founder-led, with director-level experience — most recently running revenue cycle across roughly 30 behavioral health facilities in multiple states. 100% US-based — no offshore resources.
~30facilities overseen as Director of RCM, across multiple states
38 payersmapped contract by contract across 18 facilities to catch underpayments
24–48 hrsto deliver your Revenue Cycle Assessment once we have your data
100% US-basedno offshore resources — and a BAA signed before any PHI is touched
Where practices call us
The revenue is earned. It just isn't arriving.
Denials keep climbing, and nobody can say why
We trace them to the step that creates them — intake, authorization, documentation or charge entry — instead of reworking them one by one.
You suspect payers aren't paying contract rates
We line up your contracts against remittances, service by service, so underpayments show up as a list rather than a feeling.
AR over 90 days keeps growing
We separate what is still collectible from what isn't, and set up the follow-up rhythm that stops the next batch from aging.
Your billing is a black box
Whether it's one in-house biller or an outside vendor, you get reporting you can trust and someone senior who knows what good looks like.
Specialties
Every specialty loses money in its own places. We know where to look.
A general billing company works the same checklist for every client. We start from the rules that trip up your kind of practice.
Behavioral health & SUD
- Authorizations that follow each level-of-care change
- Concurrent review deadlines, so approved days stay approved
- VOB, out-of-network benefits and single-case agreements
- 42 CFR Part 2 consent before records reach a payer
Psychiatry
- E/M visits with psychotherapy add-on codes
- Telehealth place-of-service and modifier rules by payer
- Enrollment for psychiatrists and PMHNPs
- Supervision and incident-to requirements
ABA therapy
- Authorized units tracked against units delivered
- Re-authorization timing and treatment plan updates
- BCBA and RBT credentialing and supervision rules
- Medicaid managed care and commercial plan differences
Physical therapy
- Plan-of-care certification and recertification
- Timed-unit billing under the 8-minute rule
- Medicare KX modifier threshold tracking
- Visit limits and authorizations by payer
Approach
Fix it upstream, not after it's denied.
We treat the revenue cycle as an engineering problem. Every denial and every short payment started somewhere earlier in the process. Find that step, fix it, and measure the result honestly — with numbers that mean what they say. Compliance is the floor we build on, never the corner we cut.
1. Assess
Pull claims, remittances, contracts and AR. Map where money leaves the cycle.
2. Prioritize
Rank fixes by dollars recovered per hour of effort. Agree on owners.
3. Fix at the source
Change the intake, auth, documentation or system setup that creates the defect.
4. Measure
Monthly checkpoints on clean-claim rate, denials and days in AR — defined the same way every time.
How to work with us
What we do
Lead
Fractional RCM Leadership
A director on retainer: we run the fixes, lead your billing staff or vendor, and report monthly.
Levels of involvement →Fix
Project Work
Payer contract reviews, rate and payer setup in your EHR, credentialing clean-up, process documentation.
See common projects →Get in network
Credentialing & Payer Contracting
Providers enrolled and in network, and contracts that pay what they should — settled before the first claim goes out.
Credentialing & contracting →Run
Full-Service Billing
Claims, posting, follow-up and denials handled end to end by a US-based team, with director-level oversight built in.
How billing works →
Our tool
Powered by Crank
This is the tool we use to execute and provide value.
Partner with Crank →What you can hold us to
The questions to ask any RCM partner — and our answers.
Who owns our data?
You do, always.
We work inside your EHR and clearinghouse under your accounts. Every report is built from your own data, and you can see the numbers underneath it.
What exactly is included?
Scope in writing.
Every proposal lists what's in and what's out, so denials, patient statements or credentialing never turn into surprise add-ons.
How will we know it's working?
KPIs with written definitions.
First-pass clean claim rate, denial rate, net collection rate, days in AR and AR over 90 and 120 days — measured the same way every month.
Will old claims get ignored?
Aged AR is reported on its own.
Easy claims can make a billing report look good while old balances sit. We report aged AR separately so you can see it being worked down.
Who do we actually talk to?
The founder, by name.
Daniel leads every engagement. No ticket queue — you get a direct line and a reply within one business day.
What if we want to leave?
A clean exit.
A written handoff of all open work, and PHI returned or destroyed with a written certificate.
About
Director-level revenue cycle experience, sized for smaller practices
SPR Group exists because smaller practices face the same denials, payer games and staffing gaps as large health systems — without the budget for a full-time revenue cycle director.
Every engagement is led by Daniel himself. No hand-off to a junior team, no offshore resources touching your claims or patient data, and no recommendation we wouldn't be willing to own the result of.
Daniel Osipovich
Founder
The revenue cycle director you'd hire if you could, working on your practice within days.
Daniel has worked every seat in the revenue cycle, from working claims on the billing floor to running RCM for a 30-facility, multi-state behavioral health group. That's why he can look at a practice's numbers and see in a day or two what has been quietly costing it for a year.
He's the person leadership calls when the money doesn't add up: payers paying less than the contract says, denials that keep coming back, a new location that can't get credentialed. He has fixed each of those at scale, and he'll fix them for you personally.
“Every denial starts somewhere upstream. Find that spot, fix it there, and the money follows.”
- Director of RCM · ~30 facilities
- 38 payer contracts mapped
- Behavioral health & SUD
- Credentialing & contracting
- Billing teams across 11 facilities
Based in Boynton Beach, Florida · Working with practices nationwide
Insights
All articles →Tell us where the revenue is leaking.
A 30-minute call with Daniel — not a sales rep.
- For owners, administrators and practice managers of behavioral health, psychiatric and PT practices
- We'll look at your denial and AR picture together
- You leave with two or three priorities, whether or not you hire us
- Please don't send patient information through this form
Prefer email? daniel@sprcm.com