Why OpenBook Exists
OpenBook Solutions exists to bring clarity, transparency, and strategic insight to behavioral health providers who feel left in the dark by traditional billing companies.
We partner with small to mid-sized Medicaid-contracted organizations to not only submit claims, but to consult, educate, and proactively identify issues that impact reimbursement—so providers can grow sustainably, serve more patients, and experience peace of mind in their business.
We believe billing should be transparent, consultative, and help organizations grow—not just submit claims.
How We Work
A transparent, consultative approach built for Medicaid providers who want clarity, compliance, and sustainable growth.
Radical Transparency, Every Week
We believe providers should clearly understand what’s happening with their revenue—without guesswork.
Weekly Strategic Consultation
We meet with clients weekly for 30–60 minutes to review performance, risks, and opportunities.
Policy-First Execution
All recommendations are grounded in current Medicaid policy.
Clear Expectations & Reality-Based Planning
We help providers plan and grow based on what Medicaid actually reimburses—so decisions are grounded in reality, not assumptions.
What You'll Experience
We help you understand what’s happening with your revenue—without fear, guesswork, or surprises.
Revenue-Focused Medicaid Billing & Reporting
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End-to-end claim submission and reconciliation
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Weekly billing and payment reports
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Identification of unbilled services before revenue is lost
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Clear visibility into earned vs. collected revenue
Revenue Intelligence & Trend Tracking
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Weekly service-to-claim audits
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Revenue trend tracking independent of payment timing
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Early identification of services stuck prior to claim status
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Clear separation of services rendered vs. services paid
Medicaid Expertise & Compliance
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Expert application of the Colorado Behavioral Health Billing Manual
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Ongoing monitoring of policy and unit-limit changes
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Identification of services requiring individual vs. group delivery
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Prevention of denials related to diagnoses, units, or authorization rules
Financial Sustainability Without Compromising Care
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Programming guidance based on billable unit constraints
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Identification of services that can be delivered concurrently
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Optimization of schedules to prevent lost billable units
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Revenue-conscious program design
EMR, Clearinghouse & Payment Reconciliation
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Claim exports and reconciliation across EMRs and clearinghouses
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Detailed tracking of 835 remittance files
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Clear identification of unpaid, denied, or adjusted claims
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Support for multi-program billing under a single NPI
Schedule a Consultation
Feel free to reach out to us for any inquiries or to schedule a consultation. We are here to assist you.
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No obligation
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30-minute call
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“For Medicaid-contracted providers”
