A strategic partner for behavioral health providers.
PracticeSync Pro helps providers build stronger foundations — operational excellence, compliance, and sustainable growth, designed for the realities of BH and SUD care.
Payers we credential providers with.
Commercial, Medicaid, and managed-care plans across all 50 states — applications, follow-ups, contract review, and re-credentialing.
- Aetna
- Anthem
- Blue Cross Blue Shield
- Cigna / Evernorth
- Humana
- Optum / UnitedHealthcare
- Magellan Health
- Beacon / Carelon BH
- Tricare
- Medicare
- State Medicaid plans
- Regional & MCO plans
Don't see your payer? We've likely worked with them — ask us.
Our mission
Empower providers, strengthen practices, and help organizations create healthier communities.
Measurable impact for the providers we partner with.
200+
Clinicians credentialed across commercial and Medicaid panels
30 days
Average payer enrollment turnaround
100%
CARF survey pass rate for clients we've prepared
$1.2M+
Recovered revenue through billing and AR cleanup
More than basic consulting.
Each engagement is shaped to your stage — whether you're launching, stabilizing, or scaling.
CARF Accreditation Readiness
End-to-end preparation, gap analysis, and survey-ready documentation.
- Full readiness assessment against current CARF standards with a prioritized remediation roadmap.
- Authoring and refinement of program descriptions, performance measurement, and outcomes management plans.
- Mock surveys, staff interview prep, and on-site or virtual support through the survey window.
Case example
Mid-sized outpatient SUD provider, two sites
- Goal
- Achieve first-time CARF three-year accreditation in under nine months.
- What we did
- Ran a full gap analysis, rebuilt the P&P manual, implemented an outcomes measurement system, and led two mock surveys with staff interview coaching.
- Result
- Earned a three-year accreditation with zero recommendations and only two consultations.
Anonymized; details modified to protect client identity.
Startup & Licensing Support
Launch your practice with the right structure, filings, and approvals.
- Entity formation, NPI/EIN setup, and state behavioral health license applications.
- Facility, zoning, and life-safety guidance for outpatient, IOP, PHP, and residential settings.
- Operational readiness: org charts, staffing plans, clinical workflows, and day-one SOPs.
Case example
First-time founder launching an outpatient mental health clinic
- Goal
- Open the doors within six months with full state licensure and a billable provider panel.
- What we did
- Stood up the entity, prepared the state BH license application, built clinical workflows and SOPs, and sequenced credentialing in parallel with buildout.
- Result
- Licensed in 14 weeks and saw the first reimbursed client one week after opening.
Anonymized; details modified to protect client identity.
Provider Credentialing
Payer enrollment and credentialing handled with precision and pace.
- CAQH setup and maintenance, Medicare/Medicaid enrollment, and commercial payer applications.
- Group and individual contracting, re-credentialing cycles, and roster management.
- Status tracking and payer follow-up so providers start billing as soon as possible.
Case example
Group practice onboarding 12 new clinicians across three states
- Goal
- Cut average time-to-bill from 120+ days to under 75.
- What we did
- Centralized CAQH, standardized application packets, and implemented a weekly payer follow-up cadence with a shared status tracker.
- Result
- Average time-to-bill dropped to 62 days and clean approval rate hit 96%.
Anonymized; details modified to protect client identity.
Billing & Revenue Optimization
Clean claims, denial recovery, and revenue cycle that compounds.
- End-to-end RCM review: charge capture, coding accuracy, and clean-claim rate improvement.
- Denial root-cause analysis, appeals workflows, and aged-AR recovery.
- KPI dashboards and fee schedule analysis to protect margin as you grow.
Case example
Community BH agency with rising denials and aging AR
- Goal
- Recover stalled revenue and stabilize the monthly cash cycle.
- What we did
- Audited the denial pipeline, rebuilt appeals workflows, retrained coders on medical necessity, and launched a KPI dashboard for leadership.
- Result
- Recovered roughly $310K in aged AR within 90 days and lifted clean-claim rate from 82% to 97%.
Anonymized; details modified to protect client identity.
Policy & Procedure Development
Custom-built policies aligned to your services and regulatory bodies.
- Tailored P&P manuals mapped to CARF, state licensure, HIPAA, and 42 CFR Part 2.
- Clinical, HR, governance, and corporate compliance policies written for your real workflows.
- Annual review cadence and version control so documents stay survey-ready.
Case example
Expanding IOP provider adding a residential level of care
- Goal
- Build a survey-ready P&P manual aligned to CARF and state residential rules.
- What we did
- Drafted 60+ tailored policies, mapped each to the relevant standard, and trained leadership on the annual review cycle.
- Result
- Passed state residential licensure on the first inspection with no policy-related citations.
Anonymized; details modified to protect client identity.
Medical Records Auditing
Chart reviews that surface risk and protect reimbursement.
- Retrospective and concurrent chart audits against payer and accreditation criteria.
- Documentation quality scoring with clinician-level feedback and training plans.
- Compliance risk reports covering medical necessity, golden thread, and signature integrity.
Case example
Multi-site OP practice facing a payer documentation audit
- Goal
- Reduce takeback exposure and strengthen the clinical golden thread.
- What we did
- Audited a stratified sample of 150 charts, delivered clinician-level scorecards, and rolled out a documentation training series.
- Result
- Documentation compliance scores rose from 71% to 94% and the payer audit closed with no takebacks.
Anonymized; details modified to protect client identity.
Rural Healthcare Development
Sustainable models for underserved communities and rural settings.
- Needs assessments, CCBHC and FQHC partnership strategy, and grant-ready service design.
- Telehealth and hybrid care models built for limited workforce and broadband realities.
- Sustainable funding mix across Medicaid, grants, and value-based contracts.
Case example
Rural nonprofit serving a four-county catchment area
- Goal
- Expand access to MAT and counseling without overextending a small clinical team.
- What we did
- Designed a hybrid telehealth + visiting-provider model, built CCBHC-aligned workflows, and supported a successful HRSA grant submission.
- Result
- Secured $750K in grant funding and doubled active caseload within 12 months.
Anonymized; details modified to protect client identity.
BH & SUD Expansion Consulting
Scale services, add levels of care, and grow with operational rigor.
- Service line expansion: adding IOP, PHP, MAT, residential, or specialty populations.
- Multi-site rollout playbooks covering staffing, credentialing, and compliance at scale.
- Growth modeling, payer mix strategy, and acquisition or partnership readiness.
Case example
Outpatient provider preparing to add PHP and a second location
- Goal
- Launch PHP and a new site without disrupting existing operations.
- What we did
- Built the expansion roadmap, modeled staffing and payer mix, and ran parallel credentialing, licensure, and hiring tracks.
- Result
- PHP opened on schedule, hit 85% census within 90 days, and lifted total revenue by 38% year-over-year.
Anonymized; details modified to protect client identity.
Built for the realities of BH & SUD care.
- Hands-on partnership, not deck-driven advice.
- Compliance-first frameworks aligned to CARF, state, and payer standards.
- Revenue cycle that holds up under audit and growth.
- Documentation, training, and SOPs your team will actually use.
Outcomes our clients talk about.
92%
CARF first-pass success rate
"PracticeSync Pro took us from scattered policies to a CARF-ready organization in months. Their gap analysis caught issues our internal team missed for years."
Dr. Marcus Hale, PsyD, LCSW
Clinical Director · Westbrook Behavioral Health
Questions, answered.
The things providers ask us first. If something isn't here, send it our way and we'll respond directly.
How does your pricing work?
Most engagements are fixed-scope retainers tied to a deliverable — accreditation prep, credentialing build-out, billing turnaround — typically 3 to 9 months. We scope the work after a discovery call and price transparently; no hourly surprises.
How long does a typical engagement take?
CARF readiness runs 4–6 months end-to-end. Credentialing for a full payer panel averages 30 days per payer once submissions are in. Billing and RCM cleanups show measurable AR improvement inside the first 60 days.
Which states do you serve?
All 50 states. We manage state-specific licensure, Medicaid enrollment, and commercial credentialing across the country — including expansion into new states for existing providers.
Can you help us get in-network with commercial payers?
Yes. We handle Aetna, Anthem, BCBS plans, Cigna, Humana, Optum/UHC, and regional payers — applications, follow-ups, contract review, and re-credentialing.
Do you sign a BAA and handle PHI appropriately?
Yes. We execute a Business Associate Agreement before any engagement that touches PHI, work inside your systems under least-privilege access, and follow HIPAA-aligned controls for every workflow.
Move forward with confidence.
Launching, expanding, or preparing for accreditation? Let's talk about where you are and what's next.
info@practicesyncpro.com
Schedule
Book a free discovery call
Address
Everywhere · Serving clients globally, right where they are.