About Hartstone & Craft

Behavioral Health Revenue Cycle Expertise, Led by an Operator

Hartstone & Craft helps behavioral health companies build revenue cycles that run efficiently, whether billing lives in-house, with us or somewhere in between. The firm is led by James Gibson, who has spent more than 15 years in behavioral health billing, payment processing and treatment center operations.

At a glance
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    15+ years in behavioral health RCM and operations
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    Founder of Elevated Billing Solutions, which was acquired
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    Founder of the Behavioral Health Billing Institute
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    Billing teams built, software and AI implemented
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    Utah focus, clients nationwide
Founder

James Gibson

James has spent more than 15 years in behavioral health revenue cycle management, payment processing and treatment center operations. He founded Elevated Billing Solutions, which was acquired, and created the Behavioral Health Billing Institute to train and certify behavioral health billers.

He has built billing teams from the ground up, implemented billing software and AI integrations, and helped treatment centers prepare for and work through audits. He works directly with owners and leadership teams on every Hartstone & Craft engagement.

Behavioral Health Billing Institute →
How we work

Built around what your program actually needs

1

Fix the cause, not the claim

Denials are symptoms. We trace problems back to intake, authorization, documentation or payer setup and fix them where they start.

2

Numbers you can manage to

Weekly KPIs by payer and level of care, so owners see cash flow problems before they reach the bank account.

3

Build what lasts

Whether we run billing or build your team, the goal is a revenue cycle that keeps working: documented workflows, trained people and the right systems.

Who we work with

Behavioral health programs in Utah and nationwide

Utah is our home market and focus. We also work with programs across the country, in-network and out-of-network.

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    Detox and withdrawal management
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    Residential treatment (RTC)
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    Partial hospitalization (PHP)
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    Intensive outpatient (IOP)
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    Outpatient therapy and group practices
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    New programs preparing to open
Ways to work with us

Full RCM, consulting or one piece at a time

Full revenue cycle management

We run billing end to end for every level of care, from VOB to payment posting, with weekly KPI reporting.

Consulting and RCM builds

We build and train in-house billing teams, redesign workflows, implement billing software and AI integrations, and support audits.

À la carte services

Take on only what you need: VOBs, authorizations, utilization review, claims, A/R follow-up, appeals or credentialing.

Work directly with James Gibson

Book a free one-hour discovery call. You will leave with a clear read on your billing and your options, with custom pricing for every project.