Our Services

Accurate insurance verification is the foundation of sustainable revenue. JACO provides thorough insurance verification and benefits confirmation to help organizations admit confidently and avoid preventable denials before services begin.

We verify eligibility, behavioral health and substance use benefits, deductible and copayment requirements, authorization requirements, and network status across Medicaid and commercial payers. Each verification is documented clearly and time-stamped to support admissions, billing accuracy, and audit readiness.

Our process helps organizations understand coverage limitations upfront, reduce billing surprises, and make informed decisions about level of care and financial responsibility.

Authorizations are one of the most common points of revenue loss in behavioral health and substance use treatment. JACO manages the authorization process from initial submission through ongoing renewal tracking to protect continuity of care and reimbursement.

We coordinate initial and concurrent authorizations, monitor authorized days or units, track renewal deadlines, and follow up with payers to prevent lapses. Our structured tracking process ensures authorizations are submitted timely, supported by medical necessity documentation, and aligned with payer requirements.

This service reduces denials related to missed authorizations, expired approvals, and documentation gaps while allowing clinical teams to focus on care delivery.

JACO provides full-cycle billing services tailored specifically to behavioral health, mental health, counseling, and substance use treatment organizations. Our billing support is designed to meet the unique payer rules, coding requirements, and authorization dependencies common in this space.

Services include claim submission, clearinghouse management, denial resolution, accounts receivable follow-up, payment posting oversight, and revenue reporting. We focus on identifying trends that impact cash flow, such as payer delays, authorization-related denials, and coding inconsistencies.

Our approach prioritizes accuracy, compliance, and transparency—helping organizations establish stable cash flow while reducing administrative burden.

Utilization management plays a critical role in payer compliance and reimbursement. JACO provides administrative utilization oversight to support medical necessity alignment, authorization strategy, and continued stay coordination.

We assist organizations in structuring utilization workflows that align clinical documentation with payer expectations. This includes monitoring length of stay, coordinating continued stay requests, and identifying risk areas that could trigger denials or audits.

Our utilization oversight strengthens payer communication, supports authorization approvals, and reinforces defensible documentation practices—without interfering with clinical decision-making.

Preventing denials is more effective than appealing them. JACO focuses on proactive denial prevention by identifying operational gaps before revenue is lost.

We analyze denial trends, authorization failures, billing errors, and payer-specific patterns to identify root causes of revenue leakage. Based on these findings, we recommend targeted process improvements that reduce future denials and improve reimbursement timelines.

This service helps organizations move from reactive billing correction to proactive revenue protection—supporting long-term financial stability and compliance. description

Our Revenue & Operations Assessment is designed for organizations preparing to establish or strengthen billing, authorization, and revenue workflows.

During this structured assessment, we evaluate insurance verification processes, authorization readiness, billing infrastructure, utilization practices, and compliance considerations. The goal is to identify gaps that could delay reimbursement or create unnecessary financial risk.

At the conclusion of the assessment, organizations receive clear, prioritized recommendations outlining which services are essential now and which can be phased in as operations grow. description