The challenge To fulfill its mission to provide the best behavioral healthcare in the world, Integrated Behavioral Health Network (IBHN), needed an improved methodology to ensure better capture of the revenue it had earned. IBHN sought out the expertise of consultants Gretchen McMahon to lead change strategy and Jessica Jankowski to assess IBHN’s revenue cycle, recommend next steps and take action to optimize performance across 21 mental health agencies serving the state of Iowa. (Both McMahon and Jankowski are now officers with IBHN.) An assessment of each agency identified that antiquated electronic health records made it difficult for billing staff to even send an 837 file to initiate electronic claims processing. As a result, the agencies either rekeyed claims into a p

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