Behind the Scenes of Better Care: South Florida Psychiatry’s Revenue Cycle Transformation

South Florida Psychiatry is built on a simple, powerful idea: care should be personal. From anxiety and PTSD to addiction, OCD, and bipolar disorder, their team offers full-spectrum psychiatric support with a focus on long-term well-being.

But as the practice grew to meet rising demand, staying focused on care meant rethinking what happened behind the scenes. Revenue operations, once handled manually, needed to evolve quickly. That’s where Inovalon came in.

“We didn’t want to rely on an outside company to manage our claims,” said Dr. Ernesto Sarduy, the organization’s CEO and psychiatric nurse practitioner. “We wanted to stay close to the process, but we didn’t have the structure to do it efficiently.”

Scaling with structure

From the outset, South Florida Psychiatry made a deliberate choice to manage billing in-house. But early processes like submitting paper claims and tracking reimbursements manually created bottlenecks that weren’t sustainable as the patient base expanded.

The team turned to Inovalon’s revenue cycle solutions for visibility into key performance data, from rejections to coding errors, and more accurate, timely workflows.

“The software gave us visibility into everything. We were able to do it all ourselves, accurately and efficiently,” said Sarduy.

Built for growth

What started with a handful of claims a week has now scaled to over 1,500 claims per month. South Florida Psychiatry currently supports more than 4,000 clients, and the demands on the business have grown right along with patient needs.

To support that volume, the team upgraded from individual eligibility checks to batch processing with Inovalon’s Eligibility Verification Pro™, and adopted Claims Management Pro™ to drive greater automation across the board. The shift has allowed them to adapt without disruption, even as the scale of operations changed dramatically.

Seamless integration, minimal disruption

A key piece of the puzzle was maintaining alignment across clinical and financial operations. Inovalon’s seamless compatibility with the practice’s EHR system, ICANotes, meant the team could keep existing workflows intact while introducing new efficiencies.

That ease of integration helped the practice stay focused on what matters most: delivering care, not navigating system transitions.

Results that matter

The improvements in workflow and visibility have translated into real outcomes. South Florida Psychiatry has seen an 80% drop in claims denials and gained the ability to support rapid growth without compromising on care delivery or financial control.

As Sarduy puts it, “We wouldn’t be where we are today without Inovalon.”

See what smarter RCM can do for your practice

Your growth doesn’t have to mean more headaches. With Inovalon, you can simplify billing, reduce claims denials, and scale with confidence.

Contact us today to learn how we can support your journey.

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