Services

Every discipline of revenue cycle management, under one umbrella.

A closed-loop system of clinical and financial expertise — built for behavioral health providers who refuse to leave revenue on the table.

Services ASHER provides

In depth

Medical and Behavioral Health Billing

Billing Expertise That Lets You Focus on Care

Running a Behavioral Health Facility means your time should go toward patients — not chasing denied claims or untangling payor rules. Our billing team brings deep, hands-on experience across Medicare, Medicaid, and commercial insurance, with a particular specialization in behavioral health billing — one of the most complex and frequently changing areas in all of healthcare reimbursement.

Behavioral health claims come with their own rulebook: time-based behavioral health codes, add-on codes for extended sessions, telehealth modifiers, same-day medical/behavioral billing restrictions, prior authorization requirements that vary by payor and by service type, and documentation standards that differ from general medical billing. We know this world well, and we build every claim to meet it.

What We Bring to Your Practice

Medicare Billing

We manage the specific coverage rules, documentation requirements, and coding conventions Medicare applies to behavioral health and medical services alike — including the nuances around covered diagnoses, session limits, and provider qualifications that trip up many billing teams.

Medicaid Billing

Medicaid billing rules shift not just by service but by state, and behavioral health carries some of the most detailed requirements in the entire Medicaid system. We stay current on state-specific behavioral health carve-outs, managed care plan variations, and the prior authorization and documentation standards Medicaid reviewers expect to see.

Commercial Insurance Billing

From major national carriers to regional plans, we understand how commercial payors structure behavioral health benefits differently from general medical benefits — including separate deductibles, visit limits, and network requirements — and we bill accordingly to reduce denials and delays.

Behavioral Health Specialization

This is where we do our deepest work. Individual and group therapy, psychiatric evaluation and medication management, intensive outpatient and partial hospitalization programs, substance use treatment, and telehealth-delivered behavioral care all require precise, current coding and payor-specific know-how. We specialize in exactly this space, so your claims are built right the first time.

Automatic Claim Verification

Benefit verification isn't an occasional check for us — it's built into our process. Every time we submit a bill, our software automatically verifies the patient's benefits. That means confirming active coverage. The result: fewer denials, fewer surprises for your patients, and faster, more predictable reimbursement for your practice.

Why It Matters for Your Practice

Fewer denials and rejections, thanks to accurate, payor-specific coding and automatic benefit verification on every claim
Faster reimbursement, so cash flow stays healthy and predictable
Reduced administrative burden, freeing your clinical staff to focus on patient care instead of paperwork
Specialized behavioral health expertise, not a generic billing approach applied to a specialty that deserves better

Let us handle the complexity of Medicare, Medicaid, and commercial billing — so you can stay focused on what you do best.

In depth

Utilization Review

Utilization review sits at the intersection of clinical care and reimbursement — insurers deciding whether a treatment episode gets approved, extended, or paid for at all. In behavioral health, that intersection is especially unforgiving: level-of-care criteria are strict, documentation standards are exacting, and payors scrutinize behavioral health stays more closely than almost any other service line. Our utilization review team exists to manage that intersection on your behalf, so your clinical staff can stay focused on treatment instead of paperwork and phone calls with insurance reviewers.

Our UR department is led by a licensed psychologist with over 25 years of experience in the behavioral health field — clinical leadership that shapes how we build documentation, argue medical necessity, and push back on inappropriate denials.

How We Support Your UR Process

Before Treatment Begins

We confirm coverage and secure the authorizations a patient's plan requires before care starts, so your program isn't left treating a patient without funded days in place.

While Treatment Is Underway

As care continues, we handle the ongoing check-ins insurers require to keep authorization active — submitting updated clinical justification, tracking authorization expiration dates, and pushing for continued coverage at the appropriate level of care before a gap in funding can occur.

After a Case Closes

Once treatment ends, we look back over the record to catch anything that should have been reimbursed but wasn't, and we build the appeal when a payor's decision doesn't match the clinical picture.

What Sets Our Approach Apart

Documentation built to hold up under scrutiny

We work directly with your clinical team to make sure notes, treatment plans, and progress records clearly support medical necessity in the language payors expect — not after a denial forces a scramble, but from the start.

Direct payor communication

Our team handles the calls, portals, and paperwork with insurance reviewers directly, so your clinicians aren't pulled out of patient care to argue a case with an insurer.

Behavioral-health-specific expertise

General utilization review experience doesn't transfer cleanly to behavioral health. Level-of-care distinctions, substance use treatment criteria, and psychiatric admission standards all require reviewers who know this specialty specifically, not medical UR generally.

Clinical leadership, not just billing expertise

Our UR department is led by a licensed psychologist with 25+ years in behavioral health, ensuring every case is reviewed with genuine clinical judgment behind it — not just administrative processing.

A tight link between UR and billing

Because utilization review and billing run through the same team, authorization status and billing status never fall out of sync — a common failure point when these functions are handled separately.

Why It Matters for Your Program

Fewer unfunded treatment days, because authorizations are tracked and renewed before they lapse
Stronger appeal outcomes, backed by documentation built to withstand payor review
Less administrative load on your clinical team, who can spend their time on patients instead of on hold with insurers
More predictable reimbursement, since treatment and authorization stay aligned throughout a patient's care

Let our utilization review team manage the ongoing work of keeping care authorized and reimbursed — so your program can stay focused on the patients in front of you.

In depth

Collections

Getting You Paid for the Care You’ve Already Provided

A clean claim doesn’t guarantee a timely payment. Even correctly billed, properly authorized behavioral health claims routinely sit unpaid past the timeframes payors are legally required to honor — and chasing that money down, payor by payor, claim by claim, is its own full-time job. Our collections team exists to do that job for you: pursuing every dollar owed, holding payors to the standards they’ve agreed to, and turning outstanding receivables into cash in the bank.

Leadership That Makes the Difference

Our Collections department is led by a specialist with more than 20 years of experience in behavioral health revenue cycle management. Over that time, they’ve built direct, working relationships with payors across the industry — the kind of relationships that turn a stalled claim into an answered phone call instead of another form letter. They also bring deep, practical knowledge of prompt payment laws, and put that knowledge to work holding payors accountable whenever reimbursement is delayed beyond what they’re required to pay.

That combination — real payor relationships plus real leverage under the law — is what separates a collections process that waits from one that actively pushes claims to resolution.

How We Pursue What’s Owed to You

Aging Claims, Actively Worked

We don’t let claims quietly age in an A/R report. Every outstanding balance is tracked, prioritized, and followed up on — with the oldest and highest-value claims getting the most immediate attention.

Payor-by-Payor Follow-Through

Every payor has its own quirks, escalation paths, and internal contacts. We know which levers to pull with which payors, and we use the relationships we’ve built to move a stalled claim forward faster than a first-time caller could.

Prompt Payment Enforcement

Most states set legal deadlines for how quickly a clean claim must be paid, along with penalties or interest owed when payors miss them. We track those deadlines claim by claim and hold payors to them — turning a legal requirement into real, collected revenue rather than a fact nobody enforces.

Appeals on Underpayments and Denials

When a payor pays less than it owes, or denies a claim it shouldn’t have, we build the appeal and see it through, rather than writing the balance off as a loss.

Why It Matters for Your Practice

Faster resolution on aging claims, driven by established payor relationships rather than cold follow-up calls
Payors held to the payment timelines they’re legally required to meet, with delays actively challenged rather than absorbed
Less revenue quietly written off, because underpayments and denials get appealed instead of accepted
More predictable cash flow, so your practice isn’t financing patient care out of its own pocket while claims sit unpaid

You’ve already done the work of providing care. Let our collections team make sure you’re actually paid for it — in full, and on time.

In depth

How we work with you.

Custom tailored services

The team at Asher utilizes a custom tailored approach to design and implement business practices that stimulate clinical and financial growth. Staff at Asher monitor documentation and provide staff trainings on an as needed basis in order to maintain compliance with insurance and other governing bodies. We provide individualized contracting and negotiations for third party payors and never settle for subpar reimbursement. Asher strongly believes in transparency and therefore offers all clients a personal log in to our software in order to track all transactions and up to date collections as well as run individualized reports.

Insurance Auditing and Records Review

Asher conducts routine audits of medical records as well as Utilization Review to ensure documentation meets the highest standards. Should a patient chart be requested, we excel at appealing adverse decisions by the insurance companies. In addition, our staff will maximize the patients' benefits by attaining the highest level of care and length of stay required by utilizing medical necessity criteria.

Consultations and Audits by a Licensed Psychologist

The clinicians at Asher have the experience and the expertise to navigate insurance audits by using a multidisciplinary approach consisting of clinical and administrative assistance. Our team has successfully assisted our clients by addressing overpayment demands, disputing insurance takebacks, and negotiating details of payment.

Clinical Documentation Training

Asher provides in person, telephonic, and live video training sessions as part of the onboarding process. All training is provided by licensed clinicians specializing in Utilization Review. Ongoing training may be provided upon request.

Corrective Action Plans

Asher historically has assisted clients going through an insurance audit by creating an individualized Corrective Action Plan. These Corrective Action Plans have successfully been accepted and utilized by the major managed care companies. Clients can use these CAPs to implement policies and procedures for documentation purposes in order to ensure compliance with insurance company guidelines.

Availability After Hours

The Asher team understands the importance of open communication with our clients. Clients are provided with a direct line to management staff, as we take pride in providing the highest quality customer service.

Ready to see what a clinician-led billing partner looks like?

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