Case Study:
Expanding Access & Revenue for a Multi-State Mental Health Provider
“A mission-driven mental health organization with four providers across three states needed
urgent help enrolling with Medicaid and Medicare to qualify for a major funding opportunity.
The organization was at risk of missing out on a vital grant without completing this
credentialing on time.”
The Challenges
- Providers were not enrolled with Medicare or Medicaid.
- No clear billing structure or use of optimized CPT codes.
- Revenue was inconsistent, and key payer reimbursements were being left on the
table. - Tight timeline: Grant application depended on completed enrollments
Our Solution
Umulisa Health stepped in to:
- Enroll all four providers with both Medicare and Medicaid in their respective states.
- Streamline multi-state credentialing, navigating different payer rules and deadlines
- Audit and revise their billing structure, ensuring they used the correct, highest- reimbursing CPT codes for their services
- Train their admin staff on billing best practices and payer-specific
documentation requirements
The Results
Complete enrollment within 3 months, meeting the grant eligibility deadline Improved coding and billing accuracy across services Boosted monthly collections by over $1 million Providers are now fully reimbursable and set up for sustainable growth
What This Means
By addressing credentialing and billing holistically, we helped the organization unlock new revenue streams, meet strategic funding goals, and deliver care to more clients—without unnecessary delays or administrative burdens.