Revenue Recovery for Behavioral Health

Recover the revenue your behavioral health facility already earned.

Payers deny a large share of behavioral health claims — and most facilities never fight back. Blackgate is a forensic audit team that finds the money, recovers it, and fixes the process so the losses stop recurring.

We audit and recover — we don't replace your billing team.

137M
Americans live in a behavioral health provider shortage area.
1,000s
of licensed U.S. facilities lose revenue to the same denial patterns.
Every cycle
Denials recur monthly — and unappealed claims are written off for good.
$0
Your first claims audit costs nothing to find out what you're owed.
The Problem

Clinicians built your facility. Nobody built your billing.

Behavioral health facilities are opening faster than ever to meet a national shortage. They're run by people who are exceptional at care — and were never meant to be experts in payer contracts, denial codes, and appeals.

So insurers deny, underpay, and delay. Because fighting each claim takes time and specialized knowledge, most denials are simply written off. That's real, earned revenue that never gets collected — every billing cycle, forever.

The losses aren't a one-time event. They compound, quietly, every month you don't audit.
Where the money leaks
  • Denied claims that are never appealed
  • Payments quietly landing below contracted rates
  • Services rendered but never billed at all
  • Coding errors that trigger automatic denials
  • Authorizations mismanaged before care begins
What We Do

A forensic audit team for your claims data.

We don't sell you software and walk away. We investigate your denials the way a forensic accountant works a ledger — find the root cause, recover what's owed, and repair the process.

01

Forensic claims audit

We analyze your denial and remittance data claim-by-claim to expose the patterns behind lost revenue — the codes, payers, and process gaps quietly draining your bottom line.

02

Revenue recovery

We rework, appeal, and resubmit denied and underpaid claims still inside their filing window — turning written-off losses back into collected, earned revenue.

03

Process repair

We correct the root causes — coding, authorization, documentation — so the same denials stop recurring cycle after cycle, not just this quarter.

Know Exactly What You're Hiring

Clear about what we are — and what we're not.

What Blackgate is
  • A forensic audit and recovery partner
  • Experienced coders and revenue-cycle specialists
  • A fix for the root causes of your denials
  • An engagement built to pay for itself
What Blackgate is not
  • A replacement for your billing team
  • Another billing-software subscription
  • A generic outsourced call center
  • A long, disruptive systems overhaul
How It Works

From denial data to recovered revenue — in four steps.

A clear, low-friction path that starts with proof, not a contract. You see the money on the table before you commit to anything.

1

Free claims audit

Share a sample of your denial and remittance data under a signed BAA. We analyze it and show you exactly what is recoverable — at no cost and no obligation.

Week one · No cost
2

Your recovery plan

We present a prioritized plan: which denials to appeal first, how much is realistically recoverable, and the timeline to collect it. The findings are yours to keep.

Findings you own
3

Recover & resubmit

Our team reworks, appeals, and resubmits every eligible claim — working alongside your billing staff, never around them — and drives the dollars back in the door.

Revenue back in the door
4

Fix & safeguard

We correct the underlying causes and put safeguards in place so the same denials stop recurring. The leak closes; the losses stop compounding.

Losses stop compounding
Results

Real proof — not testimonials we haven't earned yet.

Blackgate is early by design. Rather than borrow logos or invent numbers, we'll publish verified recovery results as our first engagements close. Here's exactly how the work creates value in the meantime:

3 layers
Denied, underpaid, and never-billed claims — we audit all three, not just the obvious rejections.
Claim-by-claim
Every finding is documented and defensible, so recoveries hold up under payer review.
$0 upfront
The initial audit is free, and the engagement is built to pay for itself in recovered revenue.
Our commitment to honesty: as our first facility engagements close, a verified case study — recovered dollars, timeline, and payer mix — will be published right here. We don't post numbers we can't stand behind.
HIPAA-aligned & BAA-backed
Every engagement runs under a Business Associate Agreement. Your data is handled to HIPAA standards.
Specialist-led team
Work is led by experienced coding and revenue-cycle specialists — not generalists.
Forensic & documented
Every finding is traceable, claim-by-claim, and defensible under payer review.
Aligned incentives
Built to pay for itself. If there is nothing worth recovering, we will tell you plainly.
Get Started

See what you're owed.

Start with a free claims audit. Share a sample of your denial data and we'll show you what's recoverable — no cost, no obligation, no pressure.

Confidential
Covered under a BAA — always

Request your free claims audit

No cost, no obligation. We'll review a sample of your denial data and show you what's recoverable — usually within days.

Your information is kept strictly confidential and covered under a Business Associate Agreement. We never share your data.