Rockwell Health runs two busy locations - one in Brooklyn, one in Astoria. They do primary care, mental health, and telehealth across both sites.
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From the outside, everything looked fine. Patients were coming in. Providers were happy. The clinics were full.

But the CFO? She was watching $200K a month just... disappear. Not because they weren't doing good work. Because their RCM couldn't keep up.

Their previous RCM setup wasn't terrible. It just wasn't built for what they were doing. Mental health billing is different. Telehealth has its own rules. Multi-location means more complexity. And their vendor? Treating them like every other primary care clinic.
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❌ Mental health claims kept getting kicked back. Wrong diagnosis codes. Missing session notes. Telehealth modifiers wrong. Each denial meant 45-60 days before they could resubmit. Some never got paid at all.

❌ Telehealth was a black hole. They ramped up virtual visits during COVID like everyone else. Great for patients. Nightmare for billing. Claims got denied for "place of service" issues they didn't even know existed.

❌ No one watching the money. Their old vendor sent monthly reports. But by the time Sarah saw a problem, it was already 3 months old. She'd find out about a $15K denial trend after it had cost them $45K.

❌ Cash flow was a guessing game. Sarah couldn't forecast revenue because she never knew what would actually get collected. Board meetings were awkward. "How much are we collecting this quarter?" Honestly? No idea.

The breaking point came in Q2 2024. They had a $87K month - their busiest ever in patient visits. They collected $52K. Sarah ran the numbers three times thinking she made a mistake. She hadn't.

That's when she started looking for a real RCM partner.

✅ David's board meetings? Actually strategic now. Not explaining why the numbers are bad.
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✅ Their billing coordinator? Handles exceptions. Not the entire workload.

✅ Mental health providers? Actually getting paid properly. For the first time ever.
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Nothing complicated. We just actually know how mental health and telehealth billing works. And we do it right. Every single time. For both locations.
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🧠 Mental health billing that actually works
We know the diagnosis code requirements. We know the session documentation rules. We know which payers need what. Week one, we caught a modifier issue on their therapy claims that had been costing them $8K a month for six months. Nobody noticed until our AI flagged it.

📱 Telehealth claims that don't get denied
Place of service codes, modifiers, state rules, payer-specific requirements - we handle all of it. Claims go out clean the first time. Astoria's telehealth denial rate went from 28% to 1.4% in the first month.

🔍 Real-time visibility into your money
Sarah logs into the dashboard at 9am and knows exactly where they stand. What's pending, what's paid, what's stuck. No more surprises. No more "let me check with the biller."

⚡ AI that catches problems before they cost you
Our AI monitors every claim across both locations for patterns. It caught a credentialing issue at the Brooklyn location before a single claim got denied. Saved them the 45-day fix-and-resubmit nightmare.

🛡️ Denials worked immediately, not eventually
When something does get denied (rare now), we're already working it. Appeals filed with documentation the same day. Not next week. Not when someone gets around to it.

💰 Multi-location complexity handled automatically
Different NPIs, different payer contracts, different state rules. We manage all of it so Sarah doesn't have to. Brooklyn and Astoria might as well be different practices - we handle both seamlessly.