Mental Health QOP runs clearly scoped operational services for behavioral health organizations, where “done” is defined upfront. Delivery is measured on completed, auditable outcomes, not hours, seats, or general activity.
PeopleProcessPerformance
expertise in
Mental Health
Building stronger, more connected teams
Two pillars of scalable growth
Growth breaks when patient intake slows and internal teams get buried in administrative work. Mental Health QOP is built to solve both. We help behavioral health operators stabilize critical workflows—patient access, revenue cycle, compliance-heavy admin—without adding internal headcount. Our outcome-based model owns defined operational queues and delivers completed work, not vague hours or coverage promises. One partner for execution across priorities that tend to break first under scale.
Built to scale growth
Work measured by results
Hire better talent
Outcome based operations support
At Mental Health QOP, we deliver defined, measurable operational outcomes—not seats, shifts, or generic “support.” Clinics and programs use us to offload recurring tasks from overstretched teams without hiring, onboarding, or managing additional staff. The focus is predictable execution with clear completion rules, so payment is tied to finished work rather than time, availability, or effort.
QUALITY OPERATIONS, QUALITY TALENT, REAL IMPACT,
A model built around defined outcomes
Mental Health QOP’s core model is outcome-based operations support, where billing is tied to completed work that can be audited under agreed-upon definitions. Everything starts with a discovery call to confirm which workflows matter most and what “done” needs to look like operationally. We align on completion criteria, then connect the work into your existing systems so execution stays clean and visible. For workflows that can’t be standardized reliably, we also offer a traditional monthly model with a dedicated specialist.
Our most requested services
Prior Authorization Coordination
Manage payer authorizations from submission through documented approval or escalation steps
Mental Health QOP administers prior authorization workflows for behavioral health providers. Submissions are prepared, required documentation attached, payer status tracked, and outcomes documented with reference evidence. If a clinical decision is needed, we route it as “clinic decision needed” rather than guessing, keeping authorizations moving and auditable.
Claims Submission & Charge Entry
Build and submit first-pass claims while capturing acceptance and acknowledgement evidence
Mental Health QOP builds and submits first-pass claims from documented encounters. Acceptance and acknowledgement are captured, and an audit trail maintained. Any corrections or payer rejections are routed to Denial & Rejection Management to prevent overlapping work.
Denial & Rejection Management
Resolve denied or rejected claims through corrections, appeals, and documented escalation
Mental Health QOP addresses rejected or denied claims by identifying causes, correcting claims, and resubmitting with clear documentation. When clinical or policy judgment is required, items are escalated with context, while administrative execution is completed consistently and auditable.
Accounts Receivable Follow-Up
Track aging claims with payer follow-ups and document status and next steps
We monitor aging claims, documents payer responses, and records next actions. Items that require resubmission or appeals are routed to Denial & Rejection Management. Each work item concludes with verifiable completion so claims are tracked and backlogs are minimized.
Patient Scheduling & Reminders
Schedule, confirm, and update appointments with documented outreach and reminders
We coordinate appointment scheduling and outreach for behavioral health patients. Confirmations, cancellations, reschedules, reminders, and inbound inquiries are logged, while urgent or clinical matters are escalated to the client’s care team. Outcomes are captured for operational clarity.
Intake Packet Completion
Collect and verify patient intake packets with complete documentation or exceptions
Mental Health QOP completes and verifies patient intake documentation, collecting forms, consents, IDs, and referrals. Missing items are chased and final disposition documented. Packets are prepared for downstream workflows while prior authorizations and claims work are routed separately.
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 Mental Health QOP.
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
Everything you need to know
How do we decide what services to start with?
We start with a discovery call, then prioritize the mental health workflows creating the most operational load or business risk for your team, as long as they can be defined with clear completion rules. We only take on services that can be scoped tightly enough to execute consistently in a clinical or revenue cycle environment
How does work enter the workflow?
It depends on the service. Work can enter through EHR integrations, system triggers, scheduled batches, shared queues, or an agreed handoff process with your team. The intake method is defined per service so there is a consistent, predictable flow.
Do you work in our systems or your systems?
Either, depending on what makes delivery clean and trackable. Sometimes we operate directly in your clinical, billing, or scheduling tools, sometimes we use ours, and sometimes we connect both so the workflow stays aligned.
How do you define what counts as “complete”?
We categorize services by outcome, each with predefined completion criteria. Any necessary documentation, like claim status reports or appointment confirmations, is specified at the outset to ensure transparency and clear expectations.
How does pricing work?
Pricing is outcome-based. Each outcome type has a unit price tied to the completion rules. Most clients work with Mental Health QOP using a recurring commitment applied based on completed outcomes. Items that are out of scope or blocked are not treated as completed work.
What does onboarding look like?
We align on scope and outcomes, confirm the intake method, set up the tooling or integrations required, then run a short ramp to validate that completion rules match real day-to-day mental health operations. After that, delivery runs in steady state using the same definitions and pricing with Mental Health QOP.
“We brought Mental Health QOP in to take two things off our plate: owning a defined operational work queue end-to-end, and running payer and patient follow-ups so nothing stalls after the first touch. Within the first few weeks, we had clear work item definitions, clean intake, and a steady completion rhythm our internal team could actually rely on across access and revenue cycle workflows.
The difference is that it’s not ‘support hours’ or vague coverage. We can see exactly what was completed, what’s in progress, and what’s blocked due to clinical or payer constraints. They seamlessly adapted to our systems and protocols, allowing us to track progress and verified results. This approach eliminated backlogs, made turnaround times reliable, and freed up internal resources previously spent on tracking.”
Marco Alvarez
COO
Real stories of growth