OUR SERVICES
Expert advisory across every dimension of behavioral health
We advise on program design, staffing models, regulatory alignment, billing workflows, third party vendor auditing, and GDR programs.
01
Program Design & Launch
Maximize legitimate Medicare Part B revenue from behavioral health CPT codes. We train your team on consolidated billing exclusions, modifiers, place-of-service codes, and compliant claim submission and build the documentation that supports every claim.
02
Third-Party Audit Vendor
When behavioral health is delivered by a third party, the citations, the documentation gaps, and the survey exposure still land on your license. Sentinel provides independent, conflict free audits of your behavioral health vendors
03
Billing Optimization
Maximize legitimate Medicare Part B revenue from behavioral health CPT codes. We train your team on consolidated billing exclusions, modifiers, place-of-service codes, compliant claim submissions, and build the documentation that supports every claim.
04
Clinician Credentialing
Guidance on enrolling PMHNPs, LCSWs, LMFTs, and LMHCs as Medicare providers, including expanded billing eligibility effective January 1, 2024 under CAA 2023 §4121. We manage the sequence so your clinician can bill from day one.
05
Gradual Dose Reduction (GDR) programs
We design and operationalize gradual dose reduction programs that satisfy F758, improve your CMS Five Star rating, and reduce census risk driven by antipsychotic quality measures without destabilizing residents.We also have developed the Sentinel GDR Tracker © as purpose built app that automates psychotropic stewardship across your census. Every psychotropic. Every GDR clock. Every resident. One dashboard.
06
PDPM & MDS Accuracy
Clinical Documentation Quality
Regulatory Alignment
Billing Integrity, and Contract Performance
We have no staffing arm and no vendor relationships to protect
Our only interest is whether the care in your building would survive a survey
CPT code and modifier training
Consolidated billing exclusion mapping
Documentation-to-claim workflow design
Revenue modeling by census and acuity
CPT code and modifier training
Consolidated billing exclusion mapping
Documentation to claim workflow design
Revenue modeling by census and acuity
PECOS & CAQH enrollment guidance
Payer panel and revalidation tracking
Supervision and scope documentation
Onboarding checklists for new hires
Better behavioral health documentation in MDS Sections B, C, D, and E drives more accurate acuity classification and improved PDPM per diem. We train your team to capture the clinical reality that's already present in the chart.
Not sure which engagement fits?
Most partnerships start with a readiness assessment and expand from there