Psychiatric Connections: $0 to $43,678/Month
Billing $178,237 a month. Collecting nothing for six months.
Psychiatric Connections is a six-state telehealth practice led by Praveen Bodakunta, PMHNP-BC.
The practice billed $178,237 a month. For six consecutive months, it collected $0.
An in-house billing team cost $4,000 a month. Nobody on staff knew which claims had paid. Denial reasons were invisible.
Why $178,237 in Claims Produced $0
Why $178,237 in Claims Produced $0
Two enrollment steps had never been completed. Both should have been in place before the first claim went out.
ERA was not enrolled.
No remittance data posted to the system. Denials accumulated across six states. Root causes went unidentified.
EFT was not enrolled.
No payment path existed. Payers processed claims on their end. Deposits had nowhere to go.
How We Restored $43,678 a Month
How We Restored $43,678 a Month
ERA and EFT enrollment.
We completed both enrollments across every active payer. Remittance data now posts automatically. Payments deposit directly into the practice account.
Denial recovery.
Remittance data made the denial backlog visible. Each denial was categorized by root cause. Appeals were filed within payer deadlines. Upstream causes were corrected to prevent recurrence.
Daily eligibility verification.
A Daily Eligibility and Copay Action Report reaches the provider before each session. The report confirms active coverage and the exact copay due.
Revenue reporting.
Collections, denial rates, and AR aging are now reported continuously across all six states.
Results
Results
| Metric | Before | After | Change |
|---|---|---|---|
| Monthly charges | $178,237 | $0 | No change |
| Monthly collections | $0 | $0 | +$43,678 |
| Collection rate | 0% | 0% | +24.5 pts |
| ERA/EFT status | Not configured | Active | Activated |
| Claims processed (4 mo.) | 0 | 0 | 1,260 |
| Monthly billing cost | $4,000 | Lower | Reduced |
Why Two Missing Forms Cost Six Months of Revenue
Why Two Missing Forms Cost Six Months of Revenue
The charges never changed. $178,237 before. $178,237 after.
No new patients were added. No new providers joined. Coding stayed the same.
The only change: money had a path back. ERA made denials visible. EFT made deposits possible. Two missing enrollment forms had separated this practice from its revenue for six months.
Is Your Remittance Data Posting?
Is Your Remittance Data Posting?
If your billing team cannot tell you which claims paid this week, verify your ERA and EFT enrollment across every active payer. Quick to verify. Expensive to miss.