For administrators, owners, and regional operations
A standing psychiatric clinic, on terms you can explain to ownership
Reliability, contracting, who pays, and what growth looks like if the first building works. The clinical detail is on the nursing-leadership page; this one is about running the relationship.
Reliability and continuity
A standing slot on the calendar, not a specialist who visits when they can
Intermittent psychiatry is where a lot of the chart problems your consultant pharmacist flags come from — psychotropics without a documented indication, GDRs never attempted or never explained, PRNs renewed past their limit. Those close one chart at a time, with a clinician who saw the resident and wrote down the reasoning. That takes a weekly clinic your coordinator can plan around and a signed note that goes into your routing once it's signed.
Because the visits are live video, the schedule doesn't depend on traffic. Because onboarding and leadership meetings are in person, you'll know who you're working with. Documentation is what we control. Survey outcomes aren't, and we won't imply otherwise.
Contracting, BAA, credentialing, start
The start process, in order
1
Service agreement and BAA
Signed by your administrator or owner and by Horizon Peak Health. No resident information moves before both signatures.
2
Credentialing and payer check
We confirm clinician enrollment against the plans your residents actually carry — Original Medicare, Medi-Cal managed care, Medicare Advantage — before the first clinic, not after the first denied claim.
3
Access
EHR read access, current eMAR and orders, and the census, through your existing pathway. PointClickCare is common and preferred.
4
First list and dry run
Your coordinator — the person we asked for on the first call — builds the first clinic from residents awaiting evaluation and those with open psychotropic questions. We test the room and the device.
We don't name a start date before those four are done. A date we can't keep costs you more than a date we can.
Who pays
The facility doesn't pay for the clinic
Visits are billed to the resident's coverage, not to the facility. Original Medicare is covered. Medi-Cal managed-care plans vary by plan and by facility, and Medicare Advantage depends on network participation and authorization, so the payer mix gets sorted out before the first clinic. Every encounter is verified for coverage and medical necessity on the date of service.
None of that is a payment guarantee for any individual encounter, and we won't put one in a contract.
More than one building
One site first
A locally empowered group of two to ten facilities can expand after one site is running well, with the same coordinator model in each building. We're not built for a national chain's procurement cycle and don't pretend to be.
Talk to us about coverage
Approximate licensed beds, average census, and how psychiatry is covered today are enough to start. Leave resident names, diagnoses, and chart details out until the agreement and BAA are signed. We'll tell you on the first call whether the model fits your building.
Scheduled coverage — not a 24/7 emergency or onsite hospitalist service. Your emergency process stays your emergency process.