At The Samonnah Group, we help behavioral health facilities build smarter, stronger systems for working with insurance payers. Our managed care operations strategy services are designed to stop revenue loss at the source through tighter processes, stronger documentation, and staff who understand how to align with medical necessity criteria from day one.

Whether you’re looking to reduce denials, strengthen your UR workflows, or unify your clinical and administrative teams, we bring clarity, structure, and proven strategy to help you operate with confidence.

Our managed care strategy support includes:

• Assessment of current authorization, UR, and appeal processes

• Workflow development for securing and defending levels of care

• Templates and tools to align documentation with payer expectations

• Training for clinicians and UR teams on how to speak the payer’s language

• Consultation on medical necessity, appeal rights, and peer review readiness

We help your team stop guessing. and start winning approvals from the very first request.

You can’t afford to leave money on the table. At The Samonnah Group, we help behavioral health organizations uncover, investigate, and recover revenue lost to denials, underpayments, and documentation gaps. Most facilities don’t have the bandwidth or the insider knowledge to challenge what they’re owed. We do.

Whether it’s digging into payer data, investigating patterns of denial, or identifying billing gaps that fall through the cracks, we bring precision, persistence, and clarity to your revenue cycle.

Our recovery and investigation support includes:

• Identification of underpayments and recurring denial trends

• Consulting on appeal strategies and payer communication

• Documentation review to uncover missed revenue opportunities

• Guidance on modifier, coding, and level-of-care discrepancies

• Collaboration with billing teams to improve claim accuracy

We don’t replace your billing team. We strengthen the work they do by making sure your clinical and operational systems are backing them up.

At The Samonnah Group, we help behavioral health providers and facilities align with payer expectations, reduce documentation risk, and operate with clarity in the face of managed care demands. Our consulting services simplify the complexities of clinical documentation, operational workflows, and reimbursement strategy so your team can focus on care, not chasing approvals or fixing denials.

Whether you're launching a new program, responding to a high-stakes case review, or tightening internal processes, we bring practical, strategic insight backed by years of direct experience in managed care and utilization oversight.

Our support includes:

• Review and refinement of clinical documentation for medical necessity and defensibility

• Guidance on payer policies, authorization requirements, and utilization management standards

• Support for payer-driven audits and enterprise-level record reviews

• Consulting on internal workflows to reduce denials and documentation breakdowns

• Education for clinical and administrative teams on documentation best practices

We help you bridge the gap between clinical excellence and payer-facing documentation because both are essential to your facility’s financial and operational health.