33% Revenue increase in 90 days – how FOPA transformed their billing operations with blueBriX

Company

Fair Oaks Psychiatrist Associates(FOPA)

Products used

RCM services

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“blueBriX’s expertise in addressing the root causes — from manual processes and outdated payment methods to credentialing challenges — enabled us to stabilize our cash flow and establish a solid foundation for sustained growth. Their partnership has been a true game changer for our practice. For any behavioral health organization facing similar billing challenges, I highly recommend blueBriX as a trusted partner and a proven roadmap to recovery and profitability.”

Dr. Janak Kumar Mehtani

Owner and CEO, Fair Oaks Psychiatric Associates

From high AR to high Performance: a 90-day financial turnaround for a psychiatric practice

Fair Oaks Psychiatrist Associates (FOPA), a leading mental health provider in the region, is home to a team of over six highly skilled and compassionate psychiatric professionals. Renowned for their commitment to delivering exceptional, patient-centered care, FOPA has long been a trusted name in the community. However, as the demand for services grew, so did the financial strain caused by outdated and inefficient billing practices. Determined to protect their mission and sustain high-quality care, FOPA made a pivotal move—partnering with blueBriX to take over their revenue cycle operations. What followed was a swift and measurable transformation in their financial health and operational efficiency.

Challenge & solution Challenge #1

Manual claim submission

Are behavioral health clinics losing valuable time and revenue by relying on manual claim submissions instead of fully utilizing their existing systems?

FOPA’s billing team relied heavily on manual claims submission through individual insurance portals instead of leveraging their existing Practice Management system (E-Clinic). blueBriX migrated the entire billing workflow to electronic claims submission via E-Clinic – starting with a complete clearinghouse setup and configuration. This streamlined the process, reduced submission errors, and accelerated reimbursements.

Seamless migration to electronic claims via E-clinic

blueBriX transitioned FOPA’s entire billing process to electronic claims submission using their existing E-Clinic platform—eliminating the need for manual entry into insurance portals.

Clearinghouse setup fixed

blueBriX configured and activated the appropriate clearinghouse setup within E-Clinic, enabling smooth electronic claims routing and submission across all major payers.

Faster turnaround & fewer errors

By leveraging E-Clinic’s built-in automation features, blueBriX significantly reduced claim submission errors and delays, leading to quicker reimbursement cycles.

Optimized staff efficiency

With automation in place, FOPA’s billing team could shift their focus from repetitive tasks to more strategic functions—improving overall team productivity and morale.

Challenge & solution Challenge #2

EFT/ERA setup issues

Are outdated payment methods like paper checks slowing down cash flow and creating blind spots in your financial data?

Many behavioral health providers unknowingly settle for paper-based reimbursements, missing out on the speed, reliability, and transparency of electronic payment systems. Major insurers were configured to issue paper checks instead of using Electronic Funds Transfer (EFT) and Electronic Remittance Advice (ERA), delaying revenue inflow at FOPA. blueBriX worked closely with each payer to configure and activate EFT and ERA. This shift enabled faster, more reliable payments and enhanced visibility into payment data.

Direct coordination with major payers

blueBriX took the lead in working with key insurers—including BCBS, Aetna, Cigna, and Humana—to set up and activate EFT and ERA, removing administrative roadblocks and simplifying the transition.

Accelerated and reliable payment processing

By replacing paper checks with electronic fund transfers, FOPA experienced faster, more predictable revenue inflows—boosting financial stability.

Improved payment visibility and reporting

With ERAs in place, blueBriX enabled real-time access to remittance data, empowering FOPA with clearer insights into payment trends, denials, and reconciliation.

Challenge & solution Challenge #3

Pre-authorization denials and credentialing gaps

Is your clinic losing revenue due to missed pre-authorizations and limited payer credentialing for providers?

Behavioral health practices often face preventable claim denials and restricted reimbursement opportunities when pre-authorization workflows are weak or credentialing is incomplete. A significant volume of FOPA’s claims were being denied due to missing pre-authorizations. Additionally, the Behavioral Group within FOPA was not credentialed with several major insurers, limiting reimbursement opportunities. blueBriX implemented a robust process to reduce claim denials and handled credentialing with key payers broadening the network and opening new revenue streams.

Implemented a robust pre-authorization workflow

blueBriX established a proactive, systematic process for managing pre-authorizations—dramatically reducing the volume of denied claims and ensuring coverage before services are rendered.

Credentialing expansion with key insurers

Team blueBriX managed credentialing efforts for FOPA’s Behavioral Group, successfully onboarding providers with payers like Tricare, BCBS, and Railroad Medicare—unlocking access to a broader patient base.

New revenue opportunities and improved claim success

With fewer denials and an expanded insurance network, FOPA not only stabilized revenue but also grew their billing potential by tapping into previously inaccessible reimbursement streams.

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Impact & outcome

With blueBriX’s intervention, FOPA saw a remarkable turnaround in just 90 business days. Key operational gaps were resolved, leading to immediate financial improvements. The practice recovered $120,000 in aged AR, experienced a 33% boost in collections, and achieved greater billing efficiency with fewer denials and delays.

FOPA’s partnership with blueBriX demonstrates how targeted billing improvements can lead to measurable financial success. By addressing root causes—manual processes, outdated payment methods, and credentialing issues— blueBriX empowered FOPA to stabilize cash flow and lay the foundation for sustained growth. For behavioral health practices facing similar billing challenges, FOPA’s success story serves as a clear roadmap to recovery and profitability.

Discover how blueBriX can help you unleash the potential of data to transform your industry.

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33% Revenue increase in 90 days – how FOPA transformed their billing operations with blueBriX

33%

120K

20%

4%

Company

Category

Products used

Share this story

Dr. Janak Kumar Mehtani

From high AR to high Performance: a 90-day financial turnaround for a psychiatric practice

Manual claim submission

Are behavioral health clinics losing valuable time and revenue by relying on manual claim submissions instead of fully utilizing their existing systems?

Seamless migration to electronic claims via E-clinic

Clearinghouse setup fixed

Faster turnaround & fewer errors

Optimized staff efficiency

EFT/ERA setup issues

Are outdated payment methods like paper checks slowing down cash flow and creating blind spots in your financial data?

Direct coordination with major payers

Accelerated and reliable payment processing

Improved payment visibility and reporting

Pre-authorization denials and credentialing gaps

Is your clinic losing revenue due to missed pre-authorizations and limited payer credentialing for providers?

Implemented a robust pre-authorization workflow

Credentialing expansion with key insurers

New revenue opportunities and improved claim success

Discover

how you can achieve similar results

Impact & outcome

Discover how blueBriX can help you unleash the potential of data to transform your industry.

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33% Revenue increase in 90 days – how FOPA transformed their billing operations with blueBriX

33%

120K

20%

4%

Company

Category

Products used

Share this story

Dr. Janak Kumar Mehtani

From high AR to high Performance: a 90-day financial turnaround for a psychiatric practice

Manual claim submission

Are behavioral health clinics losing valuable time and revenue by relying on manual claim submissions instead of fully utilizing their existing systems?

Seamless migration to electronic claims via E-clinic

Clearinghouse setup fixed

Faster turnaround & fewer errors

Optimized staff efficiency

EFT/ERA setup issues

Are outdated payment methods like paper checks slowing down cash flow and creating blind spots in your financial data?

Direct coordination with major payers

Accelerated and reliable payment processing

Improved payment visibility and reporting

Pre-authorization denials and credentialing gaps

Is your clinic losing revenue due to missed pre-authorizations and limited payer credentialing for providers?

Implemented a robust pre-authorization workflow

Credentialing expansion with key insurers