Estimating Revenue Per Admission Before You Admit
Most facilities can produce an estimate of what an admission will be worth. Very few can tell you whether last quarter’s estimates were any good.
September 3, 2026
Kyle McHenry
Kyle McHenry is the founder of Revenue Logic and CFO of Webserv. He has worked behavioral health revenue cycle since 2012, founding an RCM company he led as president until its 2020 acquisition by Prosperity Behavioral Health, then serving as VP of revenue cycle management and VP of business development through 2023. He presented on maximizing cash collections at The Business of Healing in 2021. PayerLenz was built from the adjudicated claims data his teams accumulated over more than a decade of billing the same payers across thousands of behavioral health claims.
Articles by Kyle McHenry
When a Live VOB Is Worth the Call, and When It Is Not
A verification team can work every case by phone. It will be thorough, it will be slow, and it will become the reason admissions cannot
September 1, 2026
Behavioral Health Carve-Outs and the Plan That Actually Pays
The eligibility response comes back clean. Coverage active, deductible mostly met, out-of-network benefits in place. Admissions passes it to the family as a yes. Six
August 27, 2026
What a Trust Score Actually Measures
Two benchmark results sit side by side on the same screen. Both name a dollar figure for the same level of care. One is worth
August 25, 2026
How to Find Out What a Payer Paid Other Providers
A facility director asks what a payer pays for PHP in their state. The billing manager can answer it for their own facility, from their
August 20, 2026
Does a Verification of Benefits Tell You What the Payer Will Pay?
A verification confirms coverage and returns the coinsurance percentage. It does not return the allowed amount that percentage applies to, which is why an accurate
August 18, 2026
Why Two Patients With the Same Insurance Plan Get Reimbursed Differently
Two members of the same payer group can be reimbursed at rates that differ by more than four times for identical care. The four variables
August 13, 2026
What Determines an Out-of-Network Behavioral Health Reimbursement Rate
Out-of-network payers price behavioral health claims two distinguishable ways, and the gap is roughly threefold. What the claims show, and why no payer tells you
August 6, 2026
PayerLenz vs VerifyTX: An Honest Feature and Pricing Comparison
Both run real-time eligibility, but only one attaches an expected reimbursement rate. Where VerifyTX is the better tool, where it is cheaper, and which bottleneck
July 29, 2026