Clinician hired
The offer is accepted and onboarding begins.
For small Maryland practices at a change point
Find where you lose time and money before a new clinician's first claim is paid.
The Provider Revenue Readiness Diagnostic follows the path from hiring a clinician to getting that clinician's first claim paid. In 7 business days, you get a clear report showing where the process slows down and what to fix first.
7 business days$1,500 flatRemoteNo new software
When a clinician is ready to work but not ready to bill
The delay is usually spread across several people and steps.
A clinician can be ready to see clients while enrollment, authorization, system access, eligibility, or a clean claim is still waiting. No one person sees the whole path.
Credentialing and enrollment
Required records and payer steps are started and tracked.
Medicaid and Carelon
The clinician and services are authorized where required.
Eligibility and access
Staff can verify coverage, use the right systems, and schedule correctly.
Claim and resubmission
The first claim is sent, errors are corrected, and resubmissions are tracked.
First paid claim
You confirm that payment was received, not only that a claim was submitted.
A good fit
Built for operating practices that are changing faster than their process.
This diagnostic is for small behavioral-health providers that are hiring, adding a payer or program, setting up billing ownership, or trying to understand why recent hires are not reaching a first paid claim reliably.
It may not help a large, established provider that already has clear ownership and reliable reporting across the full process.
The 7-day diagnostic
A short review of the real process, followed by a clear report.
Confirm the fit
We agree on the starting point, end point, people involved, and non-patient information needed. If the review cannot be completed safely and usefully, the first payment is refunded.
Trace the work
We review handoffs and waiting points from accepted offer through first paid claim.
Find the delays
We identify unclear ownership, missing information, and where claims stall or need resubmission.
Deliver the report
You receive the findings, the order in which to address them, and a short review call.
The report
Know what is slowing payment and what to fix first.
- A one-page map from accepted offer to first paid claim
- The delays and unclear handoffs found in that path
- A clear owner for each step
- Missing checks, dates, or follow-ups
- A 30-day fix list in priority order
- A final call to walk through the report
The report does not promise a savings amount. It uses numbers your organization provides to show what is happening and where to act.
What we look for
Questions that often get lost between departments.
Who owns each step after a clinician accepts an offer?
Which Medicaid or Carelon authorizations are still open?
Are eligibility checks happening at the right time?
Is the first claim clean, accepted, or actually paid?
Who follows up when a claim is rejected?
Why was it resubmitted, and is the error repeating?
Fixed scope and price
7 business days. $1,500 flat.
$750 to begin
$750 when the report is delivered
Clear boundaries
No patient names, clinical notes, medical records, or patient-level claim information are needed. The review uses process information, dates, roles, status reports, and summary numbers.
There is no software to buy. The diagnostic does not take over billing, credentialing, or payer enrollment.
This is an operations diagnostic, not clinical, legal, billing, credentialing, or payer-enrollment advice.
Who is behind the project
Independent, founder-led work.
Shimi Fuerst is the founder of Behavioral Health Operations Project and an MSW student focused on behavioral-health systems and access.
BH Operations Project is independent. It is not owned by a software company, billing company, payer, university, or health system. The diagnostic starts with your current process rather than a product to sell.
Start with 12 minutes
Tell me where the process is getting stuck.
We'll check whether the problem fits the diagnostic, who is involved, and whether the needed non-patient information is available.
Book a 12-minute call