33% Revenue Increase in 90 Days – How FOPA Transformed Their Billing Operations with blueBriX
Owner and CEO, Fair Oaks Psychiatric Associates
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 However, as the demand for services grew, so did the financial strain caused by outdated and inefficient billing practices.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.
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.
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.
blueBriX configured and activated the appropriate clearinghouse setup within E-Clinic, enabling smooth electronic claims routing and submission across all major payers.
By leveraging E-Clinic’s built-in automation features, blueBriX significantly reduced claim submission errors and delays, leading to quicker reimbursement cycles.
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.
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.
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.
By replacing paper checks with electronic fund transfers, FOPA experienced faster, more predictable revenue inflows—boosting financial stability.
With ERAs in place, blueBriX enabled real-time access to remittance data, empowering FOPA with clearer insights into payment trends, denials, and reconciliation.
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.
blueBriX established a proactive, systematic process for managing pre-authorizations—dramatically reducing the volume of denied claims and ensuring coverage before services are rendered.
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.
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.
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.
