Who we serve

Partial Hospitalization Billing, Built to Scale with Your Program.

PHP programs require precise coordination between benefit verification, authorization management, utilization review, and billing. We help providers build connected revenue cycle processes that support financial stability as programs grow.

What's different

Revenue Cycle Work Specific to PHP.

PHP sits between residential and outpatient care, and its billing has to reflect that in-between position on its own terms.

01

Precertification for Step-Down Admissions

Many PHP admissions follow a higher level of care, and the transition needs its own precertification and documentation trail, not a continuation of the prior authorization.

02

Per Diem Billing Structure

PHP is typically billed on a structured per diem basis rather than individual encounter billing, and that structure has to be set up correctly from the first claim.

03

Utilization Review at Program Intensity

Medical necessity documentation for PHP has to reflect the intensity of a partial-hospitalization schedule, distinct from what a lower level of outpatient care requires.

04

Payer Coordination as Programs Grow

As a PHP program adds capacity or locations, keeping authorization and billing processes consistent across every site becomes part of protecting revenue.

Questions

PHP Billing, Answered.

Does PHP require its own precertification, even after an inpatient or residential stay?
Generally yes. A step-down to PHP is its own level of care in most payers' eyes, and it typically needs its own authorization and documentation, separate from whatever preceded it.
How is PHP typically billed compared to outpatient visits?
PHP is usually billed on a per diem basis reflecting the full day's structured programming, rather than as a series of individual encounters the way standard outpatient visits are billed.
Can you support a PHP program as it adds locations?
Yes. We build the verification, authorization and billing processes to work the same way at every site, so growth doesn't introduce inconsistency into the revenue cycle.
Free billing review

Tell Us How Your PHP Bills Today.

Share how your program handles verification, authorization and billing today, and we'll show you exactly where we'd change it: no cost, no obligation.

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