PRRS

What PRRS does

PRRS (Professional Revenue Recovery Solutions, Inc.) is a privately held, behavioral-health-exclusive revenue cycle management firm founded by Zarina R. Christian and headquartered in Sunrise, Florida. The company delivers full-stack revenue operations — verification of benefits, utilization review, billing and collections, contracting and credentialing, audits and clinical reviews, and strategic consulting — to mental health and substance use disorder treatment facilities across all levels of care (detox, residential, PHP, IOP, outpatient). PRRS operates a modular, ten-product architecture that allows facilities to engage individual modules (VOB, UR, billing, credentialing, audits, fractional revenue leadership, consulting, in-house build, additional payments recovery, or PE acquisition analysis) or hand over the entire revenue operation to a single specialized team. Target customers range from single-site outpatient practices to multi-state networks of 10+ residential facilities with $5M-$50M in annual revenue, plus private equity buyers conducting behavioral-health acquisition diligence.

PRRS's technology approach is human-led rather than API-centric: credentialed operators work inside client systems with documented user access rather than replacing them with autonomous software. The firm maintains deep operating integrations across 12+ behavioral-health EHRs (Kipu, Alleva, Sunwave, Sigmund AURA, BestNotes, ICANotes, Cerner/Oracle, Welligent, TheraNest, SimplePractice, PIMSY, Procentive), five clearinghouses (Availity, Waystar, Office Ally, Change Healthcare, Trizetto), CAQH ProView credentialing database, and BH-specific CRMs (Salesforce Health Cloud, HubSpot, RecoveryCRM, Avant, Dazos). Proprietary technical components include the Additional Payments Program (underpayment recovery system reviewing every paid out-of-network claim against plan terms and U&C benchmarks), payer-specific scrubbing rules layered atop clearinghouse logic, denial coding feedback loops feeding UR and clinical documentation teams, and a behavioral-health VOB system delivering one-page summaries in under 59 minutes.

PRRS generates revenue across multiple streams: subscription-based core RCM at 4-8% of net collections; performance-based fees on Additional Payments recoveries; fixed-fee consulting and PE acquisition analysis engagements; subscription pricing for Fractional Revenue Leadership (10-20 hours per week embedded operator); and managed-services pricing for In-House Billing Solutions build-outs. Go-to-market is direct enterprise field sales supported by a structured funnel — free 30-minute senior-operator consult, 10-day Revenue Audit, 30-day onboarding — with content marketing through the PRRS Insights Blog and a bi-weekly operator-grade newsletter. Geographic reach is nationwide from the Sunrise, FL headquarters, with all customers operating exclusively in the U.S. behavioral-health vertical. The firm is HIPAA-compliant as a Business Associate, with designated Privacy and Security Officers, encryption of PHI in transit and at rest, and standard BAA-governed client engagements.

Name

PRRS

Legal name

Professional Revenue Recovery Solutions, Inc.

Website

https://revenuerecoverysolutions.com

Company type

Private

Founded year

2003

Operating status

Operating

Headcount range

101–250 employees

Short description

PRRS is a behavioral-health-exclusive revenue cycle management firm serving mental health and substance use treatment facilities. It delivers full-stack revenue operations — VOB, UR, billing, credentialing, audits, and strategy — through modular engagements led by credentialed senior operators across the United States.

Ownership category

akta.pro rank

Product category

Healthcare Revenue Cycle Management

akta.pro primary industry

Claims Management, Scrubbing & Clearinghouse (HLACACAB)

Keywords

• Behavioral health billing
• Revenue cycle management
• Substance use billing
• Verification of benefits
• Claims denial management

Headquarters

HQ city

Sunrise

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure

Revenue model

1. Core RCM (Billing & Collections): Revenue cycle management services including claims submission, denial management, A/R follow-up, and collections. Industry benchmark pricing of 4-8% of net collections for outsourced RCM services. This is the primary revenue stream for most engagements.
2. Additional Payments Program: Performance-based standalone recovery service that reclaims underpaid out-of-network claims. Works alongside any billing operation (PRRS or otherwise). Clients have recovered millions through the program. PRRS clients receive this as part of their engagement; non-clients can engage standalone.
3. Consulting & Operational Strategy: Project-based consulting engagements lasting 4-12 weeks with defined deliverables. Typical engagements include revenue cycle diagnostics, payer mix optimization, new facility launches, M&A due diligence, and KPI dashboard design. Fixed-fee pricing for scoped projects; hourly when scope is uncertain.
4. PE Acquisition Analysis: Deal-grade behavioral health due diligence for private equity buyers. Scoped to closing timeline, typically 3-6 weeks with 2-week compression available. Fixed-fee pricing scoped against the deal, dependent on target size, geographic footprint, and timeline urgency.
5. Fractional Revenue Leadership: Embedded VP/CRO-level operator engagement at 10-20 hours per week. Owns revenue strategy, KPIs, payer relationships, hiring oversight, and board reporting. Typically serving $5M-$50M annual revenue facilities.
6. Verification of Benefits (Standalone Module): Modular service for facilities that want specific RCM components. VOB delivery in under 59 minutes with one-page summaries. Can be engaged standalone or as part of full RCM.
7. Audits & Clinical Reviews (Standalone Module): Pre-audit chart reviews, recoupment defense, documentation training, and accreditation prep. Can run standalone alongside existing UR and billing operations.
8. Contracting & Credentialing (Standalone Module): Parallel credentialing across all payer panels including MBHOs, CAQH ProView management, and active contract rate negotiation. Standalone engagement option for facilities with existing billing.
9. In-House Billing Solutions: Build-and-manage internal team service: hiring profiles, training programs, SOPs, systems setup, and ongoing senior oversight. Monthly oversight from senior PRRS operator. Surge support available.

Pricing tiers

Go-to-market motion2 records

Distribution channels3 records

Marketing channels5 records

Core offering

PRRS runs the entire behavioral health revenue cycle for mental health and substance use treatment facilities — from verification of benefits and utilization review through claims submission, denial management, A/R follow-up, contracting, credentialing, and audit defense. The company also operates a proprietary Additional Payments Program that reclaims underpaid out-of-network claims, plus fractional revenue leadership and PE acquisition due diligence services. Services can be engaged as a full RCM takeover or as standalone modules.

Product overview

PRRS is a behavioral health revenue cycle management (RCM) firm offering a modular platform-plus-services architecture. The core portfolio spans ten distinct products organized as: six Core RCM modules (Billing & Collections, Verification of Benefits, Utilization Review, Audits & Clinical Reviews, Contracting & Credentialing, and the Additional Payments Program), plus four strategic/add-on modules (Fractional Revenue Leadership, Consulting & Operational Strategy, In-House Billing Solutions, and PE Acquisition Analysis). Facilities can engage individual modules or hand over the entire revenue operation. The integrated platform is backed by a proprietary operational stack including scrubbing rules, denial coding feedback loops, payer-specific workflows, and monthly KPI dashboards with senior operator commentary. All services are exclusively focused on mental health and substance use treatment facilities.

Differentiator

Problem solved

Functional benefit

Products and services

• Billing & Collections End-to-end claims submission, payer-specific scrubbing, denial management, and A/R follow-up for behavioral health facilities. Targets 95%+ clean-claim rate with daily claims submission and payer-specific workflows built around the realities of MH & SUD payment, including modifier handling and MBHO routing.
• Verification of Benefits Insurance benefit verification delivered in under 59 minutes as a one-page summary covering patient liability, deductibles, OOP max, pre-auth status, exclusions, MBHO routing, and payment approximations per level of care. Archive maintained for 7 years. Available standalone or as part of full RCM.
• Utilization Review Licensed, credentialed UR clinician service covering pre-authorization, concurrent reviews, and peer-to-peer advocacy across all behavioral health levels of care (detox, residential, PHP, IOP, outpatient) and payers. Protects authorized days and length of stay.
• Audits & Clinical Reviews Payer-style chart audits, pre-audit readiness scoring, recoupment defense, documentation training for clinical staff, and Joint Commission/CARF accreditation prep. Can run standalone alongside existing UR and billing operations.
• Contracting & Credentialing Parallel credentialing across commercial, Medicare, Medicaid, and MBHO panels; active contract rate negotiation; CAQH ProView management with 90-day re-attestation discipline; and re-credentialing tracking. Compresses time-to-in-network by half.
• Fractional Revenue Leadership Embedded VP/CRO-level operator providing revenue strategy, KPI ownership, payer relationships, team oversight, board reporting, and M&A support for 10-20 hours per week. Cost-effective alternative to a $200-350K full-time VP of Revenue, with the full PRRS platform backing the fractional leader.
• Consulting & Operational Strategy Project-based consulting engagements (4-12 weeks) including revenue cycle diagnostics, payer mix optimization, new facility launches, M&A due diligence, KPI dashboard design, and operational playbook builds. Fixed-fee pricing for scoped projects; hourly when scope is uncertain.
• In-House Billing Solutions Build-and-manage service for facilities preferring internal RCM: hiring profiles, SOPs, systems setup (clearinghouse, scrubbing rules, dashboards), training, and ongoing monthly senior PRRS operator oversight. Surge support available.
• Additional Payments Program Proprietary out-of-network underpayment recovery system that reclaims up to 75% of underpaid charges on closed claims using plan documents, state payment laws, and direct payer negotiation. Runs standalone alongside any billing operation with performance-based pricing. PRRS clients receive this as part of their engagement; non-clients can engage standalone.
• PE Acquisition Analysis Deal-grade behavioral health due diligence for private equity buyers covering revenue cycle defensibility, payer mix risk, clinical documentation audit, credentialing integrity, recoupment exposure, and post-close operating plan. Typical engagement 3-6 weeks with 2-week compression available. Fixed-fee pricing scoped against deal parameters.

Quantifiable outcome

• A/R days reduced from 102 to 31 in 6 months
• +7 more outcomes

Named customers6 records

Segments1 record

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration24 records

Feature4 records

Partnerships

Eight partnerships are on record, tiered core.

• Kipu HealthcoreTechnology or IntegrationEHR integration partner. PRRS team is fluent in Kipu SUD EHR, pulling charts, posting documentation, pushing claims, and reconciling payments inside the platform. Enables seamless claims processing for Kipu-using facilities.
• AllevacoreTechnology or IntegrationEHR integration partner with AI capabilities (TravisAI, Echo). PRRS operates inside Alleva for behavioral health billing workflows, documentation, and payment reconciliation.
• Sunwave / Lightning StepcoreTechnology or IntegrationEHR integration partner. PRRS team works in Sunwave/Lightning Step platform for SUD treatment facilities, handling claims and documentation workflows.
• Sigmund AURAcoreTechnology or IntegrationEHR integration partner. PRRS integrates with Sigmund AURA for behavioral health clinical and billing operations.
• Salesforce Health CloudcoreTechnology or IntegrationCRM integration for facilities using Salesforce Health Cloud. PRRS pulls inquiry data, attaches VOBs, syncs benefit information, and feeds qualified leads back to sales/admissions teams.
• AvailitycoreTechnology or IntegrationClearinghouse integration. PRRS submits claims and manages payer connectivity through Availity clearinghouse for behavioral health facilities.
• WaystarcoreTechnology or IntegrationClearinghouse integration. PRRS uses Waystar for claim transmission and payer connectivity in behavioral health billing workflows.
• CAQH ProViewcoreTechnology or IntegrationPRRS manages CAQH ProView credentialing database for all provider profiles, maintaining 90-day re-attestation discipline and document currency for behavioral health providers.

Scale indicators16 records

Recent moves6 records

Expansion highlights6 records

Emerging players

• Valant: Outpatient behavioral health EHR with billing and credentialing features. Competes with PRRS for outpatient BH facilities, particularly smaller practices seeking integrated EHR + RCM rather than outsourced services.
• CentralReach: Practice management and EHR platform for behavioral health and applied behavior analysis providers with billing and RCM features. Competes with PRRS in the outpatient BH segment, particularly ABA and autism services.

Broad incumbents

• R1 RCM: Large-scale, publicly-traded RCM platform serving hospitals and large provider systems. While not BH-specialist, it competes for multi-state BH networks and PE-backed platforms by offering enterprise-grade scale PRRS cannot match.
• Waystar: Healthcare revenue cycle and claims management software platform used by PRRS as a clearinghouse integration partner. Represents the broader, well-capitalized RCM software category PRRS competes against for technology-forward buyers.
• Experian Health: Healthcare division of Experian offering eligibility, claims management, and RCM solutions. Competes with PRRS for generalist RCM mandates from multi-vertical healthcare providers and large BH networks.

Direct peers

• Kipu Health: Leading SUD-focused EHR platform with adjacent RCM/billing services and referral relationships with PRRS. Competes for the same facility wallet on the billing side while partnering on the EHR side, creating a hybrid competitor/integrator dynamic.
• Lightning Step Technologies: SUD-focused EHR (Sunwave/Lightning Step) with which PRRS integrates; competes for the same SUD treatment facility revenue through bundled software-plus-RCM offerings.
• Medivance Billing Services: Behavioral-health-exclusive RCM firm where PRRS founder previously served as President. Operates in the same BH/SUD vertical with comparable billing, collections, and consulting services, making it the closest direct peer to PRRS.
• Alleva: Behavioral health EHR with embedded AI capabilities and RCM-adjacent services. Targets the same BH facility buyer (CEOs/CFOs) with a software-plus-services bundle that overlaps PRRS's billing and utilization review offerings.
• Credible Behavioral Health: Behavioral-health-specialized software platform with RCM capabilities. Targets the same mental health and SUD facility market, offering EHR + billing that competes directly with PRRS's modular service architecture.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks5 records

Key highlights6 records

Customer concentration

• Xx.com/prrsinc
• Facebookfacebook.com/prrsinc1
• LinkedInlinkedin.com/company/prrsinc

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about PRRS