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Outcome based operations support

QOP Mental Health provides outcome-based operational support for psychiatry practices and outpatient groups, delivering measurable results without the burden of additional headcount. We offload recurring administrative tasks from clinical teams, ensuring therapists and providers stay focused on patient care. With clear completion definitions, your spend is tied directly to verifiable finished work—stabilizing your revenue cycle while removing the overhead of internal staff management.

QUALITY OPERATIONS, QUALITY TALENT, REAL IMPACT,

A model built around defined outcomes

The core approach at QOP Mental Health is outcome-driven operations, with costs linked to completed, auditable tasks. We start with a discovery session to determine which services are priorities and define “done” for each workflow. Completion standards are documented, and tasks are connected to your current systems. For work that cannot be standardized, a monthly dedicated specialist option is available.

QOP Mental Health manages the end-to-end authorization process for psychiatry and intensive outpatient services. We track requests from initial submission through final disposition, ensuring all clinical documentation is attached to prevent stalled approvals. By routing medical necessity inquiries to your providers with full context, we minimize treatment interruptions and ensure every session is pre-authorized for payment.

We compile and scrub claims from completed psychiatric encounters and therapy sessions, submitting them directly to payers through your EHR. Every submission is backed by an acknowledgement receipt, creating a verifiable audit trail. By ensuring high-clean-claim rates for behavioral health codes, we reduce front-end rejections and accelerate your practice’s cash flow.

We systematically resolve rejected or denied claims by identifying root causes, correcting data entries, and filing precise resubmissions or appeals. We ensure all administrative actions are executed with consistency and speed. When clinical or policy expertise is required, items are escalated with full context, allowing your team to intervene effectively without searching for details. The result is a recovered revenue stream.

We proactively track and resolve unpaid or aging claims by capturing real-time payer feedback and identifying missing data. Any items requiring technical corrections or formal appeals are immediately routed to our Denial & Rejection Management team for resolution. Every task concludes with documented completion, providing your leadership with total operational visibility and a verifiable audit trail for your revenue cycle.

We manage the complexities of outpatient scheduling, from recurring therapy blocks to psychiatric medication checks. Our team handles bookings, cancellations, and proactive reminders to reduce no-shows—a critical pain point for behavioral health providers. Every interaction is logged in your system, maintaining a consistent access workflow and a seamless experience for your patients.

QOP Mental Health ensures every patient is "ready for care" by gathering and validating all intake forms, HIPAA consents, and insurance IDs before the first appointment. For psychiatry and therapy groups, we capture specific referrals and coordination of care documents. This rigorous front-end validation ensures that downstream billing and authorizations proceed without documentation delays.

You tell us the workflow you want off your plate. We map it into clear work items, define inputs and “done”, set exception rules, then connect it to the right systems so delivery is consistent and auditable with QOP Mental Health.

If a traditional model fits better, you can work with a dedicated full-time specialist through us. They focus on your workflows day-to-day, integrate into your tools where needed, and handle a wider mix of tasks that are hard to standardize into work items.

What exactly do you deliver?

QOP Mental Health provides clearly defined operational services for behavioral health organizations, where “done” is established upfront. Performance is measured by completed, auditable outcomes rather than hours, seats, or general effort.

How do we decide what services to start with?

We begin with a discovery call and prioritize the mental health workflows that create the most operational load or risk for your team, as long as they can be defined with clear completion rules. We only accept services that can be scoped tightly enough to execute consistently within clinical or revenue cycle operations.

How does work enter the workflow?

Work intake varies by service. It can come through EHR integrations, system triggers, scheduled batches, shared queues, or agreed handoff processes. Each service has a defined intake method to ensure a predictable and reliable workflow.

Do you work in our systems or your systems?

Delivery depends on your preference and what keeps execution clean and traceable. We are happy to operate directly within your own clinical, billing, or scheduling systems so that all work remains in your records and your team stays updated in real-time. If you prefer, we can utilize our own specialized tools or link the two together—whatever ensures the handoff is seamless and the work is auditable. You define the access; we provide the results.

How do you define what counts as “complete”?

Each service is divided into outcome types with written completion rules. Required evidence—like claim status updates, appointment confirmations, intake completion, or documented follow-ups—is defined upfront.

How does pricing work?

Pricing is outcome-based. Each outcome type has a unit price tied to its completion rules. Most clients work with QOP Mental Health under a recurring commitment, with usage applied to completed outcomes. Items that are out of scope or blocked are not counted as completed work.

What does onboarding look like?

We confirm scope and outcomes, finalize the intake method, set up any necessary tooling or integrations, and run a short ramp to ensure completion rules match real-world mental health operations. After this, QOP Mental Health delivers consistently in steady state using the agreed definitions and pricing.