About Potentia Solutions
Navigating the intricacies of patient requirements and fluctuating payer reimbursements is essential for the success of your behavioral health practice, making mastery of billing and credentialing processes imperative.
Unlock your practice's full potential with our comprehensive approach to becoming in network with major payers. Our proven track record ensures independent, swift results, eliminating the need to wait on billing companies. We go above and beyond by reviewing your current contracts to guarantee you're receiving top reimbursement rate aligned with market standards. Experience full transparency with our detailed price sheet. Don't miss out on maximizing your revenue potential - get in touch today!
Our Vision
Credentialing
Credentialing is a structured procedure employing established guidelines to guarantee that patients receive optimal care from healthcare professionals with rigorous scrutiny regarding their ability to practice medicine. Providing assurance to patients that they are receiving treatment from providers with acceptable qualifications, training, licensure, and proficiency in practicing medicine.
Contracting
Healthcare contracting is a vital component of the healthcare industry. We negotiate agreements govern everything from payment rates to treatment protocols, influencing patient access, provider networks, and overall healthcare delivery. Potentia Solutions utilizes CAQH processes which reduce unnecessary costs and complexity.
Provider Enrollment
Provider enrollment ensures that providers are able to receive reimbursement for the healthcare services they deliver. It involves verifying qualifications, licenses, and accreditations, as well as complying with regulatory requirements and contractual obligations. We streamline access to care, facilitating billing and reimbursement for both providers and patients.
Intensive Outpatient
Partial Hospitalization
Partial Day Residential
Therapeutic Behavioral
Group Psychotherapy
Subacute Detox
Residential
Psychosocial Rehab
up to 51.8%
up to 29.9%
up to 35.4%
up to 125%
up to 60%
up to 4.5%
up to 15.4%
up to 191.7%
Success in Rate Increases by Potentia Solutions
Success in Rate Increases by Potentia Solutions
Intensive Outpatient Average
Partial Hospitalization
Partial Day Residential
Therapeutic Behavioral per 15 Minutes
Group Psychotherapy
Subacute Detox
Residential
Psychosocial Rehab per 15 Minutes
up to 51.8%
up to 29.9%
up to 35.4%
up to 125%
up to 60%
up to 4.5%
up to 15.4%
up to 191.7%