Case Study
Theraputic Play Foundation
How Health Roads Helped Therapeutic Play Foundation Turn Chaos Into Compliance, Claims & Cash Flow, acheiving complete operational transformation and delivering $300K+ in recovered revenue and full CalAIM compliance.
$300K+
Claims Recovered
30 Days
Implementation Time
3
Systems integrated
Restored
Staff Retention
The Challenge
TPF was under pressure with multiple critical system failures threatening their operations and financial stability.
Their QHIO onboarding was blocked due to unresolved information security issues flagged by LANES.
Their existing EHR system, TherapyNotes, couldn't support ECM workflows.
Their first transition into a new EHR, Exym, meant to address ECM specifically, collapsed under the strain of the workload/policies.
Their newly procured EHR, Exym, sat idle due to internal resource capacity gaps.
Claims worth $300,000 were stuck in limbo—denied, rejected, and unresolved across various case management and EHR systems.
Staff retention and outreach capabilities were collapsing under financial strain.
The Solution
Turning the Tide: TPF turned to Health Roads via the CalAIM TA Marketplace, and the transformation began:
Security Compliance & QHIO Onboarding
We identified and resolved information security gaps, re-engaged LANES, and successfully got TPF onboarded—helping them meet California DxF signatory obligations.
EHR Transformation
We guided a seamless implementation of Exym, migrating critical data from TherapyNotes without operational downtime.
RCM Reinvention
Using our SocialRCM platform, we unified billing across systems, cleared the $300K backlog, and established reliable revenue streams—in just 30 days. TPF is on its way to get its due payments!
Grant Writing & TA Strategy
We authored multiple winning TA proposals that enabled TPF to systematically fix operational blockers, instead of patching them temporarily.
Others failed to resolve what Health Roads untangled in weeks. Their ECM knowledge and SocialRCM platform made all the difference.
— Nakeya Fields
Executive Director, Therapeutic Play Foundation
Outcome
Fully integrated with LANES QHIO
$300K+ in stuck claims recovered
EHR optimized for ECM
Outreach restored and scaled
AI-Driven Efficiency
Tackles the biggest crisis in social care -- workforce shortages. AI cuts manual billing work by up to 70%.
Revenue-Positive
Already live and bringing in revenue with enterprise clients across multiple counties.
Untapped Market
Thousands of CBOs and county agencies billing for the first time under CalAIM and Medicaid modernization.
High Switching Costs
Once integrated, SocialRCM becomes the financial backbone of a CBO network.
First-Mover Advantage
No other RCM platform is built specifically for social-care datasets and multi-system intake.
Cash-Flow Positive ROI
Boosts net collections, shortens cycle times, and reduces revenue leakage from day one.