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Behavioral health · 12 providers · Southeast US
Multi-Location Mental Health Group
A growing mental health group reduced denials and gained weekly revenue visibility after switching from an in-house billing team.
Challenge
Denial rate exceeded 14% due to auth tracking gaps and inconsistent telehealth coding across locations.
Solution
Pro Nexus deployed a dedicated denial specialist, standardized telehealth coding rules, and implemented weekly KPI reviews.
Results
| Metric | Before | After |
|---|---|---|
| Denial rate | 14.2% | 5.8% |
| Days in AR | 47 | 34 |
| Net collections | 91% | 97% |
| Clean claim rate | 89% | 96% |
“Within four months, our denial rate dropped from 14% to under 6%. Pro Nexus gave us weekly visibility we never had with our previous vendor.”