Interventional Psychiatry Consulting, Training & Launch Infrastructure for TMS & Spravato® Practices
Build a TMS and Spravato® program the right way—from reimbursement strategy and device selection to clinical workflows, documentation standards, and operational systems required for long-term financial performance.
Our expertise goes beyond traditional consulting. We have owned, operated, and scaled TMS programs ourselves—giving us firsthand insight into what actually drives reimbursement, operational efficiency, and profitability.
Trusted Support
Accurate. Controlled. Reimbursement-Aligned.
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Built by TMS & Interventional Psychiatry Operators
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Reimbursement-Driven Program Design
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Device Strategy • Clinical Workflows • Billing Alignment
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Nationwide Consulting & Implementation
Most TMS and Spravato® programs are built around equipment and clinical protocols—without a clear understanding of how reimbursement, documentation, and operational structure determine performance.
This leads to:
- Device selection that does not align with payer reimbursement
- Documentation gaps that result in denials or underpayment
- Inefficient workflows that limit patient throughput
- Prior authorization failures tied to improper intake and qualification
- Disconnected systems between clinical care and billing execution
These failures are not always visible at launch—but they define whether a program produces consistent revenue or underperforms.
We build interventional psychiatry programs as integrated operational and financial systems—not clinical add-ons.
Every engagement is structured around:
- Reimbursement-first program design aligned with payer behavior
- Independent TMS device strategy based on operational fit and financial performance
- Clinical workflow development that supports documentation and billing requirements
- Structured training across all roles to ensure consistent execution
- Customized operational systems and manuals that eliminate variability and reduce error
This creates a controlled, scalable model designed to perform under real payer conditions—not theoretical ones.
This Is For
Physicians and healthcare organizations establishing interventional psychiatry, TMS, or Spravato® programs with a strategic focus on operational excellence, financial sustainability, and long-term growth.
Established psychiatry and medical practices expanding into TMS, Spravato®, and other interventional psychiatry services.
Clinics strategically expanding their treatment offerings to include TMS and/or Spravato® services.
Providers who recognize that reimbursement expertise, operational efficiency, and accurate documentation are essential to long-term success.
This Is Not For
Providers seeking entry-level startup guidance or prioritizing the lowest-cost approach over specialized expertise, strategic planning, and proper execution.
Practices treating TMS and Spravato® as ancillary services without investing in the operational infrastructure, specialized expertise, and processes necessary for successful implementation.
Organizations unwilling to establish and follow structured workflows, standardized processes, and operational protocols essential to long-term success.
TMS Start It Up! Strategy & Selection
We provide independent guidance on TMS device selection—evaluated against reimbursement alignment, workflow efficiency, and long-term scalability. Device decisions are made based on how systems perform inside a real practice environment—not how they are marketed or sold.
Operations Manuals
Customized Infrastructure
Fully customized TMS Clinic Operations Manuals built specifically for your practice.
These are not templates. They include:
- Policies and procedures
- Clinical workflows, operational policies and procedures
- Documentation standards
- Patient intake and treatment protocols
- All required patient and clinic forms
Each manual is designed to align with payer requirements and support accurate billing, compliance, and operational consistency.
TMS Device Selection Consulting
Strategy & Selection
We provide independent guidance to help you select the TMS system that best fits your clinical, operational, and financial goals..
Your evaluation includes:
- Reimbursement and payer coverage considerations
- Warranty, maintenance, and service support
- TMS technology and device capabilities
- FDA-cleared indications and treatment options
Our recommendations are based on real-world TMS operations—not manufacturer sales pitches—so you can make an informed investment for your practice.
TMS Start It Up!® Training
2-Day Live Virtual Program
This training is focused on how to run a TMS clinic correctly and efficiently.
Your team is trained on:
- Day-to-day clinical and operational workflows
- Provider and TMS technician roles and responsibilities
- Documentation standards required for compliant billing
- Treatment delivery aligned with payer expectations
- Workflow structure that supports both patient outcomes and reimbursement
- Covered and non-covered TMS treatment protocols
This ensures your clinic is not only operational—but structured to perform financially and clinically from the start.
Patient Intake & Prior Authorization Training
2-Day Live Virtual Program
This training is focused on getting the front-end process right—where most billing failures begin.
Your team is trained on:
- Accurate benefits and eligibility (B/E) verification
- Proper patient identification and qualification for TMS
- Complete and compliant prior authorization submission
- Documentation requirements tied to payer approval
- Workflow execution that supports higher authorization success rates
This eliminates the most common cause of denials and delays—errors in intake and authorization.
Both training programs are delivered live over two days and are designed to ensure your team can execute with consistency, accuracy, and full alignment across clinical, administrative, and billing workflows.
Credentialing & Payer Strategy
(Pre-Enrollment Advisory)
Credentialing for TMS is not a standard enrollment process—it is governed by payer-specific medical policies that directly determine whether your services will be reimbursed at all.
Most providers—and many credentialing firms—do not account for this.
Before any applications are submitted, we evaluate how your providers, services, and structure align with payer-defined TMS & Spravato® requirements, including:
- Which provider types are eligible to perform TMS and Spravato® evaluations
- Who is authorized to conduct the TMS cortical mapping and oversee treatment
- How supervision requirements are defined within each network for both TMS & Spravato®
- Diagnosis and medical necessity criteria tied to coverage
- Documentation and protocol expectations required for reimbursement
Why This Matters
TMS and Spravato® reimbursement are not determined by your ability to perform the service—it is determined by whether your structure aligns with how each payer defines and approves that service.
Without this alignment:
- Providers may be credentialed but not reimbursable
- Services may be delivered correctly but denied based on policy
- Entire programs may be built on incorrect assumptions about coverage
- These issues are often discovered after capital has been invested and operations have begun.
Our Approach
Metro NeuroHealth takes a comprehensive, integrated approach to launching and expanding interventional psychiatry, TMS and Spravato® programs. From initial program planning and operational development to payer contracting, credentialing, reimbursement strategy, and revenue cycle management, we align every critical component to support efficient operations, financial performance, and long-term success.
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Strategic Program Development & Implementation that includes:
Psychiatric hospital credentialing and enrollment
Individual provider credentialing
Commercial payer, Medicare, Medicaid enrollment
Payer contracting support and alignment
- Program Planning & Financial Feasibility: Evaluating practice readiness, reimbursement opportunities, operational requirements, and potential financial risks before implementation.
- Payer Contracting & Credentialing: Establishing appropriate payer relationships, provider enrollment, and network participation to support reimbursable services.
- Operational Infrastructure: Developing structured workflows for patient intake, benefits verification, prior authorizations, scheduling, and treatment coordination.
- Clinical Documentation & Compliance: Establishing documentation standards and operational processes aligned with applicable payer requirements.
- Revenue Cycle Management:
- Integrating billing processes, claims management, reimbursement oversight, and revenue protection into the program's operations.
Our Difference: Unlike companies that focus on selling equipment, processing credentialing applications, or submitting claims, we understand how every component of a TMS or Spravato® program must work together. We bring firsthand experience owning and operating TMS clinics, combined with specialized expertise in program development, payer contracting, credentialing, and reimbursement.
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Documentation and Medical Necessity Standards that includes:
We help establish documentation processes that support medical necessity, satisfy applicable payer requirements, and protect reimbursement integrity.
- Initial Evaluations: Documenting diagnoses, treatment history, prior medication trials, symptom severity, and medical necessity for treatment.
- Treatment Documentation: Establishing consistent records of treatment administration, patient monitoring, clinical response, and progress.
- Payer-Specific Requirements: Aligning documentation with applicable commercial, Medicare, and Medicaid coverage policies.
- Authorization & Continued Treatment: Ensuring clinical documentation supports initial authorizations, treatment extensions, and reauthorization requests when required.
- Audit Readiness:
- Maintaining complete, accurate, and consistent records that substantiate billed services and support reimbursement.
Our Approach: Documentation should do more than record patient care—it should substantiate medical necessity, support accurate reimbursement, and protect practices against preventable denials and audit-related financial exposure.
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Insurance Verification & Prior Authorization Management
We establish structured workflows to support timely treatment approvals, accurate authorization tracking, and compliance with payer-specific requirements for outpatient TMS and Spravato® services.
- Eligibility & Benefits Verification: Confirming active coverage, treatment benefits, network participation, and applicable patient financial responsibility.
- Prior Authorization Management: Coordinating initial authorization requests with required clinical documentation and payer-specific medical necessity criteria.
- Treatment Authorization Tracking: Monitoring approved sessions, units, effective dates, and authorization expiration to prevent treatment outside approved limits.
- Reauthorization & Extensions: Establishing processes for submitting additional treatment requests supported by documented clinical progress and payer requirements.
- Payer Coordination & Follow-Up:
- Managing authorization status, addressing outstanding requests, and resolving discrepancies before they disrupt treatment or reimbursement.
Outcome: More efficient authorization processes, fewer preventable denials, reduced treatment disruptions, and stronger reimbursement protection.
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Billing, Denial Management & Revenue Optimization
Strategy
We take a proactive, results-driven approach to revenue cycle management, addressing the unique reimbursement complexities of outpatient psychiatry, TMS, and Spravato® services.
- Claims Accuracy & Submission: Validating coding, billing requirements, and claim accuracy to minimize rejections and preventable denials.
- Denial Management & Appeals: Identifying denial causes, correcting reimbursement issues, and pursuing appeals supported by payer policies and clinical documentation.
- Accounts Receivable Management: Aggressively pursuing outstanding claims, resolving payment delays, and reducing aging receivables.
- Reimbursement & Underpayment Analysis: Identifying payment discrepancies, underpayments, and opportunities to recover legitimately owed revenue.
- Revenue Cycle Performance Monitoring:
- Analyzing denial trends, collections, and recurring billing issues to improve processes and prevent future revenue loss.
Outcome: Stronger collections, fewer preventable denials, faster reimbursement, and improved financial performance.
Most firms will address one piece of this.
Very few are structured to take control of all of it.
That is the difference between support and operational oversight.
If your credentialing, billing, provider data, and operations are being handled by different people, systems, or vendors—this is where your revenue is being lost.
Launch Your TMS Program with Structure, Not Guesswork
Build your outpatient interventional psychiatry or TMS and Spravato® program on a foundation designed for compliance, efficiency, and long-term financial performance.
Request Your Copy of the TMS Start It Up! Checklist
FAQs
MNH Consulting Services
Do you provide support for new practice startups?
Yes. We provide end-to-end startup consulting, including business structure guidance, credentialing strategy, billing setup, training, TMS therapy device selection, and can answer any questions you may have about getting started with TMS therapy services.
Can you help integrate new services like TMS or Spravato® into my practice?
Yes. We specialize in helping practices successfully integrate interventional psychiatry services such as TMS & Spravato® treatments, ensuring alignment with payer requirements, operational workflows, and reimbursement models.
How do you help prevent costly startup mistakes?
We provide upfront guidance on payer alignment, contracting, payer guidelines, workflow design, contracting and credentialing, and documentation requirements—ensuring critical decisions are made correctly before implementation - thus helping our clients to avoid costly mistakes up front.
Do you provide training for staff and providers?
Yes. We offer structured training programs designed to ensure providers and staff understand payer requirements, documentation standards, and operational workflows. MNH offers a two-day TMS Start It Up!™ Training that covers all operational workflows that all tie into successful billing and audit-readiness. We also offer a two-day TMS Patient Intake & Prior Authorization course that teaches you ‘how to’ obtain correct benefits and eligibility, medical records, and the TMS prior authorization.
Can you support existing practices that are underperforming?
Yes. We assess current workflows, identify breakdowns in operations and revenue cycle processes, and implement corrective strategies to improve performance and profitability.