Service and charge
SmartCare RCM creates charges and claim documents when a service is marked complete, following each payer's reimbursement rules. Clean service records are where clean claims start.
SmartCare billing handoffs start at Ready to Bill
SmartCare is Streamline Healthcare Solutions' enterprise EHR for behavioral health and human services. Its revenue cycle module flags charges as Ready to Bill or in error and posts remittances against services. This page covers what to settle before an outside team works that billing.
Book a demoThis guide covers SmartCare from Streamline Healthcare Solutions, not other products with similar names. The key question is which SmartCare RCM screens and queues an outside team would work.
Service complete
Charge created when service is marked complete
Ready to Bill
Claimable charges checked for errors
Remittance
Payments posted, denials and underpayments flagged
How billing moves through SmartCare RCM
SmartCare keeps clinical and billing data in one platform, so billing starts from the service record.
Ready to Bill review
The system checks services, rates, and charges for claimability and flags errors to fix. Decide who clears that error list and how clinicians approve the codes Taiga drafts.
Submission
SmartCare RCM uses HIPAA standard formats for eligibility, claims, and remittances across commercial, Medicare, Medicaid, and managed care payers. Agree who submits and who watches for rejections.
Posting and denials
Remittances post electronically to services, and denied or underpaid claims are grouped for review. Taiga would work that denial list and the appeals behind it if it is in scope.
What a handoff can change on SmartCare
Clinical teams keep SmartCare. Billing work gets dedicated attention.
Flagged claims followed through
Denied and underpaid claims are pursued to appeal, whatever the amount.
Checks before submission
Taiga checks eligibility and scrubs claims against payer rules before they go out.
Statements in one place
Client statements and balance follow-up stay with one team.
Confirm these SmartCare details first
SmartCare setups differ by organization, so access is agreed case by case.
Which modules are live?
Confirm SmartCare RCM is in use and list programs such as outpatient, IOP, residential, or primary care.
Which payers and programs?
Map commercial, Medicare, Medicaid, and managed care billing, plus any contract funding.
Who clears the error list?
Agree who fixes services flagged before Ready to Bill and who submits.
What is open now?
Pull open claims and flagged remittances so Taiga can take over open A/R or run in parallel.
For smaller behavioral health organizations on SmartCare
An independent outpatient mental health practice or small agency on SmartCare that wants an outside team for claims, denials, and statements.
What to confirm first
Taiga does not claim a SmartCare integration, Streamline partnership, or automatic sync. For residential, IOP, or human services programs, bring your service mix and Taiga will tell you straight whether it fits.
Questions from SmartCare organizations
Is this the SmartCare EHR from Streamline Healthcare Solutions?
Yes. This guide covers Streamline's SmartCare platform for behavioral health and human services.
Do we have to stop using SmartCare RCM?
No. Taiga works alongside your existing EHR, and the screens its team would use are agreed with you.
Who works denied and underpaid claims?
SmartCare groups them for review after remittance posting. In a handoff, Taiga works denials and appeals within the agreed scope.
Can Taiga take over our open A/R?
Yes, either by taking over open A/R or by running in parallel. Bring an aging report and a list of flagged claims.
Bring your SmartCare billing map
Show Taiga your programs, payer mix, and flagged claims. Expect a straight answer on fit and timing.