We Don’t Just Bill Claims. We Recover Revenue and Build Control.
Revenue cycle is not a back-office function. It’s one of the most critical levers in your business. But for most behavioral health providers, it’s also one of the least understood and most neglected.
Claims go out late. Authorizations are missed. Documentation doesn’t match billing. Denials pile up without resolution. Reporting is vague or nonexistent. And leadership is forced to make financial decisions without clear visibility into what’s collectible, what’s stuck, and what’s already lost.
Align was built to fix this. We partner with treatment centers and PE-backed platforms to clean up, rebuild, and operate their entire revenue cycle, end to end.
We’re not a billing vendor. We’re an embedded execution partner who takes ownership of outcomes.
Where We Focus
Our RCM work centers around three core goals:
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Recover Lost Revenue
We conduct forensic audits on aging AR and identify what’s collectible, what’s been missed, and where the process broke down. Then we work the claims ourselves, or partner with your billing team to do it the right way. We don’t leave money on the table.
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Build Audit-Ready Processes
We restructure your workflows to align documentation, authorization, billing, & follow-up. No more guessing about what was sent, when, or why it was denied. We build systems that can withstand scrutiny, whether it’s from a payer, a buyer, or an internal audit.
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Create Financial Clarity
You’ll have visibility into key metrics that matter: clean claim rate, denial rate by payer, AR aging by category, authorization timeliness, and cash collection trends. No fluff. Just the numbers you need to lead with confidence.
What We Handle
- Eligibility verification and live VOBs
- Pre-auth, concurrent review, and UR alignment
- Accurate coding and claim submission
- Denial resolution and appeal management
- Payer communication and follow-up
- Reporting dashboards with relevant KPIs
- Staff training on documentation and compliance
- System optimization for billing platforms and EMRs
We’ve worked inside and outside of billing vendors. We know the games they play and the corners they cut. If your vendor isn’t delivering, we’ll validate the gaps, hold them accountable, or replace them with a solution that works.
Common RCM Problems We Solve
- AR that’s bloated, stale, and miscategorized
- Claims submitted without authorization or supporting documentation
- Providers underpaid due to incorrect coding or missed bundling
- Appeals filed too late or not at all
- Denials labeled “technical” but never fixed
- VOBs that miss key reimbursement limitations or carve-outs
- Poor coordination between clinical, UR, and billing
- Financial leadership operating without clear reimbursement data
These are the reasons cash flow suffers, even at high census. We don’t just identify them. We fix them.
How We Engage
Diagnostic + Cleanup
We conduct a full audit and clean up the backlog. Ideal for facilities preparing for sale or transitioning billing vendors.
Vendor Oversight + Rebuild
We work alongside your current billing provider or internal team to redesign workflows, create dashboards, and train staff.
Fully Managed RCM
We take full ownership of billing, authorizations, follow-up, and reporting. The goal is to stabilize operations and cash flow simultaneously.
We are currently delivering this model in partnership with Xperitus Revenue Solutions under the Align + Xperitus umbrella.
If Your Billing Isn’t Producing Cash, It’s Costing You Control
Revenue cycle isn’t just paperwork. It’s your business model in action.
We’ll help you recover revenue, reduce denial risk, and finally get the visibility you need to lead with confidence.