Behavioral Health
BEHAVIORAL HEALTH PRACTICE CEOS ARE LEAVING $50,000 TO $250,000 ON THE TABLE EVERY YEAR.
Triple Threat Mathematics finds it, reclaims it, and rebuilds the system that captures it for good. Specialized in Texas Medicaid SB58 TCM/MHR providers, expanding nationally.
Get Your Free DiagnosticThe methodology in action
A behavioral health practice CEO — $1.2M annual revenue, 4 years of operational data. The Diagnostic found $52K in revenue streams the practice was qualified to deploy but wasn't, $38K in operational errors compounding across 4 years, and $24K in services delivered but undercoded. The CEO had been running the business for 6 years.
$114K identified in 30 days.
Where the equation breaks
THE MATH IN BEHAVIORAL HEALTH
MAKE Money
$52K
Revenue streams you're qualified to bill but aren't deploying. Adjacent codes your credentials support — T1017, H2014, H2017, H2015, 96127 — sitting untapped because no one mapped them to your growth equation.
SAVE Money
$38K
Modifier-position errors compounding across years. TF in slot 2 instead of slot 1. Missing HA on child services. Concurrent billing violations. Every error is a silent revenue leak or a future clawback.
CAPTURE Money
$24K
Services delivered but undercoded. Claims denied for preventable reasons and never appealed. Rate gaps between what your MCO paid and what TMHP allows. Money already earned but never collected.
Numbers from a real TTM engagement. Your findings will vary based on practice size, payer mix, and data history.
What the Diagnostic analyzes
BH-SPECIFIC CALIBRATION
MAKE
- Adjacent code activation (SB58 / state-specific)
- Service line expansion analysis
- Payer mix optimization
SAVE
- Denial prevention workflows
- Modifier compliance automation
- Documentation defensibility for retrospective audits
CAPTURE
- 4-year retroactive claims audit
- Modifier correction & re-billing
- Authorization unit protection
WHERE BEHAVIORAL HEALTH OWNERS LOSE
These aren't hypothetical. They're the patterns TTM finds in every behavioral health engagement.
Revenue Leakage
Unbilled sessions, missed authorizations, and write-offs silently drain your practice every month. Most owners don't see it until TTM maps it.
Modifier Compliance
Each MCO has different modifier rules for T1017, H2014, and H2017. One position error on every claim compounds into five figures over a year.
Provider Output Visibility
Your clinicians are busy — but are they productive? Without data tying sessions to revenue, you're measuring effort, not output.
Authorization Management
Units expiring unused, re-authorizations missed, and payer requirements changing faster than your team can track them.
Denial Recovery
Claims denied for preventable reasons — and never appealed. Every unappealed denial is money you earned and handed back.
Compliance & Audit Risk
MCOs reserve retrospective audit rights. Weak documentation turns easy billing into clawbacks. The Diagnostic builds defensibility before the audit happens.
CareIncite
● LIVERevenue intelligence for behavioral health. Growth Formula Dashboard, CEO Intelligence Feed, provider-level billing analytics, and payer mix optimization — built for the way BH practices actually operate.
Visit CareIncite →The Path
HOW TTM WORKS IN BEHAVIORAL HEALTH
01
THE DIAGNOSTIC
Free — 30 days
We get read-only access to your EMR and billing data. Our Calibration engine analyzes 4 years of claims against TMHP fee schedules, MCO modifier matrices, and DSHS clinical guidelines. Within 30 days, you receive a Three Numbers Report: revenue you're not deploying, errors you're absorbing, and money you already earned but never collected. Every dollar cites its source.
02
THE SPRINT
90 days
A 90-day engagement to recapture the money the Diagnostic identified. Includes retroactive claims audit, modifier correction and re-billing, workflow rebuild, denial prevention playbook, and CareIncite platform deployment.
03
PARTNERSHIP
Monthly — invitation only
Monthly strategy, quarterly Diagnostic refreshes, ongoing compliance monitoring, and CareIncite intelligence. For Sprint alumni who want a fractional Chief Growth Multiplier on retainer.
COMMON QUESTIONS
Do you work with my EMR?
Notenetic is our primary integration for Texas SB58 providers. We accept other EMRs on a case-by-case basis — all we need is a claims data export.
What if my state isn't Texas?
Texas SB58 TCM/MHR is our deepest vertical. We accept practices in other states case-by-case — the methodology is the same, only the reference data layer changes.
What MCOs do you have data for?
Superior HealthPlan, Amerigroup (Wellpoint), Molina Healthcare, Aetna Better Health, UnitedHealthcare Community Plan, Texas Children's Health Plan, Driscoll Health Plan, and Community Health Choice.
What if I don't have 4 years of data?
The analysis still runs with whatever history you have. We'll note any caveats in the report. Even 12 months of clean data produces actionable findings.
Is my data safe?
We use read-only access. Your data never leaves your systems — we connect, analyze, and disconnect. No copies, no storage, no risk.
Every engagement starts here
THE MATH IS WAITING.
The Diagnostic analyzes your claims data against TMHP fee schedules and MCO modifier matrices. Free. 30 days. Three numbers with citations.
Limited to 4 active Diagnostics at a time. Currently accepting applications.