Operational services for psychiatry-led and behavioral-health practices, scoped tightly enough that “done” has a real definition. Prior auth coordination (including psychotropic meds and TMS / Spravato where relevant). Claims and denial management. AR follow-up. Patient scheduling and reminders. Intake packet completion. You pay for completed outcomes, not seats or hours.
PsychiatryMedicationBehavioral health
expertise in
Behavioral Health
Building stronger, more connected teams
Behavioral-health practice work that actually gets finished
Outpatient psychiatry practices lose hours every week to med-management prior auths that stall, intake packets that come in incomplete, claims that age without an owner, and scheduling chaos across multiple prescribers. QOP Mental Health runs those exact workflows to a defined done. Psychiatry groups, medication-management practices, structured outpatient behavioral-health programs. One partner, billed by outcome.
Built to scale growth
Work measured by results
Hire better talent
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.
Intake. Scheduling. Coverage.
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.
How we help
Prior Authorization Coordination
Track prior authorization requests with complete documentation and status updates
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.
Claims Submission & Charge Entry
Prepare and submit initial claims with full documentation and submission tracking
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.
Denial & Rejection Management
Correct, resubmit, and escalate claims with full resolution documentation
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.
Accounts Receivable Follow-Up
Perform consistent payer follow-up on outstanding claims and log responses
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.
Patient Scheduling & Reminders
Manage patient bookings, reschedules, cancellations, and reminder communications with logging
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.
Intake Packet Completion
Process patient forms, capturing all required consents and identification
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.
Tailored Service
Custom work items built around your workflow
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.
Dedicated Full-Time Specialist
Flexible tasks that do not fit our fixed outcome model
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.
Frequently Asked Questions
Common questions
How do we decide what services to start with?
Discovery call first. We look at where your practice is bleeding time or carrying compliance or revenue risk, then pick the services where we can write a clean completion rule. If a service can’t be scoped that tightly, we won’t take it on. Better to do four things well than ten things vaguely.
How does work enter the workflow?
Depends on the service. Prior auths arrive through your payer portal or a shared queue. Claims run off your billing system on a schedule. Intake packets pull from your EHR. Scheduling exceptions batch overnight. The intake path is set per service so nothing falls through assumptions.
Do you work in our systems or your systems?
Whichever keeps the work cleanest. Often we work directly in your EHR, billing system, or scheduling platform. Sometimes we run from our own tools and push results back. We connect both sides so the workflow doesn’t fork into two truths.
How do you define what counts as “complete”?
Each service breaks into outcome types. Each outcome type has a written completion rule. If the outcome needs evidence (a claim status, an appointment confirmation, an intake completion, a documented follow-up), that evidence is named in the rule before the work starts, not after.
How does pricing work?
Outcome-based. Each outcome type has a unit price. Most practices run on a recurring service credit or a minimum commitment, drawn down by what actually completes. Overage above the commitment uses the same unit price. Out-of-scope or blocked items don’t count as completed. You don’t pay for effort that didn’t move.
What does onboarding look like?
Scope and outcomes first. Then intake method. Then tooling and integrations. Then a short ramp where we run the completion rules against your real work to make sure they match reality. Once that’s true, delivery runs steady-state. The rules and pricing from day one of the ramp are the rules and pricing in month nine.
“We brought QOP Mental Health in to relieve two specific bottlenecks: claims processing and patient scheduling follow-ups. Work kept falling through the cracks and we couldn’t see where. Inside a few weeks, each work item had a real definition. Intake flows were clean. The completion rhythm became something the team could actually trust.
The thing I appreciate is that “open-ended coverage” is not the unit. We see what closed, what’s pending, what’s blocked. QOP Mental Health plugged into our existing workflows and we only pay for verifiable outcomes. The backlogs stopped growing. Turnaround got predictable. My team went back to the parts of the job only they can do.”
Jonathan Fletcher
Operations Manager
What clients say