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Review, Revamp, Streamline
Admissions, Billing & UR
The ValKri Difference
Review
Streamline
Review
We begin with a comprehensive review of your existing systems, including utilization management, billing processes, credentialing status, AI integration, and administrative workflows.
Our team conducts interviews, audits documentation, and analyzes payer data to uncover gaps, inefficiencies, and revenue opportunities.
Focus areas include:
- Current UM and billing workflows
- Insurance and credentialing status
- Compliance and documentation standards
- Staff roles, responsibilities, and training needs
Goal: Establish a clear picture of what’s working, what’s not, and where improvement will have the greatest impact.
Revamp
Streamline
Review
Once we identify gaps, VALKRI designs customized solutions to rebuild processes, strengthen infrastructure, and train staff.
We help you implement efficient systems and documentation practices that enhance communication between clinical, administrative, and billing teams.
Revamp services include:
- Policy and workflow redesign
- Updated UM protocols and documentation templates
- Integration of vetted billing and credentialing partners
- Targeted staff training and leadership support
Goal: Build efficient, compliant systems that support both quality care and financial success.
Streamline
Streamline
Streamline
With systems and staff in place, we focus on sustainability — aligning your workflows for continued efficiency and accountability.
VALKRI provides ongoing oversight, data monitoring, and strategic recommendations to ensure your operations stay optimized as your center grows.
Streamline services include:
- Implementation of performance tracking dashboards
- Regular compliance and revenue audits
- Continuous improvement consulting and staff refreshers
- Support for scaling services or expanding levels of care
Goal: Maintain a lean, responsive, and financially sound operation that supports your mission long-term.
The Importance of a Strong Admissions, Billing & UR Team
Our Vision
At VALKRI, we empower behavioral health and substance use disorder treatment centers to strengthen their operational foundations through strategic Utilization Management and Billing solutions. Our consulting services focus on training, brand development, system streamlining, and sustainable revenue growth, helping your organization provide exceptional care while maintaining financial and regulatory integrity.
Utilization Management Training & Optimization
Strong Utilization Management (UM) processes are essential for maintaining compliance, ensuring timely authorizations, and supporting consistent reimbursement. ValKri works with treatment centers to build, train, and optimize UM departments that function efficiently and proactively. We help your team establish the right systems, documentation standards, and workflows to improve payer relationships and minimize denials.
Our UM services include:
- Development of custom utilization management protocols and policies.
- Training for UM staff, clinical reviewers, and case managers
- Compliance and audit reviews for insurance and regulatory alignment.
- Creation of real-time tracking systems for authorizations, review and discharges.
- Data analysis and recommendations for ongoing performance improvement.
With deep expertise in behavioral health operations, our consultants ensure your utilization management functions with precision, compliance, and confidence.
Billing & Coding Partnership Solutions
Accurate billing and coding are critical to your organization's financial stability. ValKri collaborates with vetted, high-performing billing and coding firms that specialize in behavioral health and addiction treatment. These trusted partners have a proven history of clean claims, faster reimbursements, and transparent reporting.
ValKri does not directly manage billing: instead, it serves as your strategic liaison, ensuring your internal processes, documentation, and vendor partnerships are optimized for success.
Our Billing & Coding Partnership Services include:
- Evaluation of your current billing systems and workflow efficiency.
- Coordination with pre-screened, reputable billing and coding firms.
- Oversight and accountability consulting to ensure partner performance.
- Training your internal team for clear communication and documentation accuracy.
- Data monitoring and reporting to support informed financial decisions
Through this partnership model, ValKri helps bridge the gap between clinical operations and financial performance, ensuring every claim reflects the quality of your care.
The Backbone of Growth- Barriers
Barriers of a Weak Billing Team
A weak billing team in substance use disorder (SUD) and mental health (MH) facilities often stems from issues like inadequate training, poor coordination with clinical staff, outdated processes, and insufficient resources. This leads to systemic barriers across financial, operational, and compliance domains, ultimately threatening facility sustainability and patient care continuity. Key barriers include:
- Financial Instability and Cash Flow Disruptions
- Revenue Loss from Denials and Appeals
- Compliance and Legal Risks
- Operational Inefficiencies
Barriers of a Weak Admissions Team
Weak admissions teams- often understaffed, untrained in standardized criteria, or reliant on manual processes, create bottlenecks in patient intake, affecting access, treatment quality, and retention. In SUD/MH settings, where patients may present with acute needs or stigma-related hesitancy, these issues amplify dropout rates. Primary barriers include:
- Delayed or Inaccessible Care
- Inappropriate Admissions and Clinical Mismatches
- Patient Dropout and Attrition
- Access Disparities and Network Barriers
Financial Loss
- Claim Denial Rates and Direct Revenue Loss
- Delayed Payments and Cash Flow Strain
- Overall Annual Impact
- Patient Dropout and Episode Revenue Loss
- No-Shows and Leakage Costs
- Broader Operational Ripple Effects
Reputation
Weak billing and admissions teams in substance use disorder (SUD) and mental health (MH) facilities create ripple effects that extend far beyond financial losses, directly undermining trust, credibility, and long-term viability. These operational shortcomings often manifest in patient dissatisfaction, ethical lapses, regulatory violations, and negative publicity, fostering a perception of unreliability or exploitation in an industry already grappling with stigma and scrutiny. In a sector where word-of-mouth, online reviews, and media coverage heavily influence referrals (e.g., 70-80% of patients research facilities online), such damage can reduce patient volume by and deter partnerships or investments
- Erosion of Patient Trust Through Negative Experiences
- Regulatory and Legal Scrutiny
- Media Coverage and Public Outrage- "This place is a scam!"
- Long-Term Business and Sector-Wide Consequences
Growth barriers
Weak billing and admissions teams in SUD/MH facilities create bottlenecks that limit revenue, scalability, and long-term growth. With demand projected to continue growing, these gaps prevent programs from capitalizing on opportunities lik service expansion or market entry. Billing errors drain financial stability, while inconsistent admissions processes limit patient volume compared to optimized competitors. Together, these issues slow short-term revenue and undermine long-term competitiveness, putting underperforming facilities at risk of falling behind—or even closing.
Do these Gaps Cause Interdepartmental Strife?
Yes, weak billing and admissions teams in substance use disorder (SUD) and mental health (MH) facilities frequently spark interdepartmental strife, manifesting as tension, blame-shifting, and communication breakdowns between administrative (e.g., billing, admissions) and clinical (e.g., therapists, nurses) staff. In an industry where 41% of healthcare conflicts have negative consequences on care quality, primarily timeliness, efficiency, and patient-centeredness, these issues arise from fragmented workflows and overlapping responsibilities, exacerbating burnout and turnover in already high-stress environments. This strife not only hampers daily operations but also perpetuates a cycle of inefficiencies, with facilities reporting up to 25 hours weekly lost to interdepartmental follow-ups on errors like incomplete documentation or mismatched patient data.
Lack of Support
Lack of leadership support, manifesting as unclear vision, inadequate resources, poor accountability, and insufficient training or change management, profoundly undermines the growth and abilities of billing (revenue cycle management, or RCM) and admissions (patient access) teams in substance use disorder (SUD) and mental health (MH) facilities. In a sector already strained by complex regulations (e.g., 42 CFR Part 2) and high denial rates, this absence fosters burnout, silos, and resistance, stalling scalability and innovation. Facilities with weak leadership see annual turnover in these departments, revenue leakage, and reduced process efficiency, limiting overall organizational expansion amid projected demand growth through 2030.