100%
Own Centralized EMR. Total ownership
300+
Therapists run their practice on our EMR
90%
90% automation in scheduling, intake, notes
Zero
Errors in claim formatting and submission
Client Overview – Parent’s Information and Resource Center (PIRC)
Parent’s Information and Resource Center, Inc. (PIRC) is a Florida-based nonprofit organization dedicated to providing inclusive behavioral and mental health services to children and families. With an emphasis on early intervention, case coordination, and culturally responsive therapy, PIRC operates at the heart of community wellness and family empowerment in South Florida.
With increasing administrative load, evolving payer requirements, and limited internal resources, PIRC required a reliable RCM partner to handle its billing, coding, and claims follow-up with consistency, compliance, and transparency.
The Challenge
Before engaging CapMinds, PIRC faced significant challenges:
- High administrative burden related to billing and collections.
- Inconsistent charge posting and demographic accuracy.
- Delays in claims submission, denial resolution, and payment posting.
- Lack of transparent A/R tracking and reporting.
As a nonprofit provider with limited margin for inefficiency, PIRC needed a dependable partner to streamline the revenue cycle, improve collections, and reduce manual bottlenecks.
Our Solution: Full-Service RCM Automation and Support
CapMinds provided end-to-end revenue cycle management (RCM) services customized to meet PIRC’s operational and compliance requirements.
Core RCM Services Delivered:
Patient Demographic Management:
- Entered and validated all new and existing patient records.
- Ensured clean data entry to reduce claim denials.
Claims Submission:
- Transmitted primary and secondary claims daily via clearinghouse.
- Monitored and resolved all EDI rejections automatically.
A/R and Denial Management:
- Continuous follow-up on outstanding claims.
- Root cause analysis and intelligent rebilling.
Coding & Charge Entry:
- Applied CPT/ICD-10 codes based on documentation.
- Reviewed superbills and clinical notes for accuracy.
Payment Posting:
- ERA/EOB payment posting with automated batch logic.
- Manual intervention workflows for exceptions.
Reporting:
- On-demand reports on charges, collections, aging, and denial trends.
- Performance benchmarking to drive operational decisions.
Automation & Platform Integration
CapMinds implemented several automation layers to reduce manual workload and improve turnaround times:
Auto-charge and payment reconciliation
integrated with PIRC’s practice management software.
Automated eligibility checks
at the time of claim creation.
Claim scrubbing engine
with real-time validation against payer rules.
Alerts for high-risk denials
and claim aging thresholds.
Secure FTP pipeline
for document transmission and storage.
Results & Measurable Impact
Operational Efficiency
- 95%+ clean claim rate within first 90 days of implementation.
- Reduction in A/R over 60 days by 47% within six months.
- Net collections rate exceeded 97% across payers.
- 30% reduction in staff time required for billing operations.
Why PIRC Chose CapMinds
- HIPAA-compliant infrastructure and strong data privacy policies.
- Nonprofit-sensitive pricing with flexible minimum billing guarantee.
- Integrated workflows that adapted to PIRC’s existing systems.
- Domain expertise in behavioral health and pediatric billing.
- Proactive client engagement with ongoing optimization recommendations.
Executive Summary
By partnering with CapMinds, PIRC transformed its revenue cycle management from a manual, error-prone process into a streamlined, automated financial engine. CapMinds not only reduced administrative overhead but also improved claim performance, cash flow, and operational visibility—allowing PIRC to focus on its core mission of helping children and families thrive.
Looking to improve your nonprofit clinic's financial health with smarter RCM solutions?
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