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CCBHC & CCBHC-E Billing Capabilities

The only RCM partner built for CCBHC complexity from Day One

Newly certified CCBHCs run two parallel billing systems, manage PPS attribution, track QBP measures, and stay audit-ready, all simultaneously. Rannsolve's AI, RPA, and specialist teams handle every layer so your clinic gets paid accurately from the first claim.

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Reduction in Claim Error Rates with AI Pre-Submission Review
53 %
First-pass Prior Authorization Approval Rates through Intelligent Automation
95 %+
Revenue Cycle Operating Cost Reduction through Intelligent Automation
25 –40%
of CCBHCs have Mature Automation, We Close that Gap
5 %

Intelligent Automation

One platform. Every billing workflow automated.

Our AI-powered Intelligent Automation continuously monitors, validates, predicts, and executes every stage of the CCBHC revenue cycle, from eligibility verification and prior authorization to claim submission, payment posting, denial prevention, compliance monitoring, and reporting.

Revenue Intelligence

Real-time visibility for smarter decisions.

Track claims, denials, reimbursement trends, QBP measures, payer performance, operational bottlenecks, and compliance metrics through intelligent dashboards that help leaders act faster and protect revenue.

Healthcare Specialists

Human expertise where it matters.

CCBHC-experienced billing professionals manage complex payer scenarios, appeals, recoupment defense, MCO contract disputes, dual eligible gap payment pursuit, compliance reviews, and audit readiness while automation handles routine work.

Full Revenue Cycle Coverage

AI-Powered Intelligent Automation Across Every Billing Stage

Patient Access & Intake

  • Real-time Medicaid eligibility check
  • Medicaid enrollment prediction for uninsured
  • CCBHC attribution conflict check
  • Sliding fee auto-calculation
  • Payer track routing (PPS vs. FFS)

Prior Authorization

  • Automated PA submission to payer portals
  • PA requirement prediction by CPT/payer
  • Expiration monitoring & auto-renewal
  • Clinical doc gap detection pre-submission
  • PA denial pattern analysis by payer

CCBHC-Specific Billing

  • PPS vs. FFS claim routing
  • Shadow claim auto-generation
  • T1040/Q2 modifier accuracy scan
  • County PPS rate update monitoring
  • Dual eligible gap payment tracking

Claim Scrubbing & Submission

  • Denial prediction before submission
  • Payer-specific edit rule scrubbing
  • Timely filing deadline monitoring
  • Site modifier verification (U1/U2/U4)
  • Documentation completeness check

Payment Posting

  • ERA auto-posting, zero manual entry
  • Dual eligible secondary billing
  • MCO vs. PPS rate reconciliation
  • Underpayment pattern detection
  • Payment variance anomaly flagging

Denial Management & Appeals

  • Auto-categorization by denial reason
  • Simple denial auto-correction & resubmit
  • Root cause pattern analysis
  • Appeal success prediction by payer
  • CCBHC recoupment defense package

QBP Reporting

  • PHQ-9 / SDOH / ASC data auto-pull
  • QBP score forecasting (months ahead)
  • Measure window alerts to clinical staff
  • URS table auto-population
  • Cost report data auto-compilation

GPRA Compliance (CCBHC-E)

  • 6-month follow-up auto-outreach
  • GPRA completion rate monitoring
  • Non-responder escalation workflow
  • Grant compliance risk prediction
  • Uncompensated care reporting

Two Pathways, One Partner

How Rannsolve serves CCBHC & CCBHC-E differently

CCBHC Demonstration Clinics

Medicaid billingPPS T1040/Q2 bundled rate
Medicare billingFFS CPT — dual eligible gap tracked
Commercial billingStandard FFS — unchanged
AttributionManaged via state portal — automated
Shadow claimsAuto-generated every encounter
QBP reportingAI-tracked, auto-submitted
Uncompensated careAuto-logged for pool submission

CCBHC-E Expansion Grant Clinics

Medicaid billingStandard FFS CPT codes
Medicare billingStandard FFS — unchanged
Commercial billingStandard FFS — unchanged
AttributionNot required — open access
GPRA complianceRPA-automated 6-month outreach
Grant reportingAI-monitored completion rates
Demo transition readyPPS infrastructure pre-built

Full Revenue Cycle Coverage

Free billing readiness assessment. Discover opportunities to improve reimbursement accuracy, reduce manual effort, and strengthen compliance with AI-powered Intelligent Automation and experienced CCBHC billing specialists.

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Infognana is an AI solutions and digital services company with 25+ years of expertise in empowering enterprises through intelligent platforms, scalable digital solutions, and innovation-driven growth.

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