Operational services for mental-health and behavioral-health organizations, scoped tightly enough that “done” has a real definition. Intake packet completion. Prior authorization coordination. Claims submission and denial management. AR follow-up. Patient scheduling and reminders. You pay for completed outcomes, not seats or hours.
TherapyCounselingIntake
expertise in
Mental Health
Building stronger, more connected teams
Mental-health operations that actually get finished
Mental-health practices lose hours every week to intake packets that never quite finish, prior auths that stall scheduling, claims that age without an owner, and no-show slots no one had time to refill. Mental Health QOP runs those exact workflows to a defined done. Therapy groups, counseling practices, addiction treatment programs, community mental-health centers. One partner, billed by outcome.
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.
Scheduling. Intake. Coverage.
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.
How we help
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
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. Intake packets pull from your EHR. Prior auths arrive through your payer portal or a shared queue. Claims run off your billing system on a schedule. 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, a record update, a log note), 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 Mental Health QOP in to take two workflows off our plate: the operational queue that ran end-to-end, and the payer and patient follow-up loop that kept stalling after first touch. Inside a month, each item had a real shape. Clean intake. A completion rhythm the team could actually rely on across access and revenue cycle.
The thing I appreciate is that “support hours” is not the unit. We see what closed, what’s in progress, what’s blocked due to clinical or payer constraints. Mental Health QOP adapted to our systems and we track verified results. The backlogs went away. Turnaround got reliable. My team went back to the parts of the job only they can do.”
Marco Alvarez
COO
What clients say