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Census By Design is a behavioral health consultancy firm specializing in the evaluation, development, and optimization of cross functional systems and departments that influence how patients access your programs.
We’re the experts in developing patient acquisition strategies that help treatment centers achieve their census goals.

As behavioral health owners, executives, investors, and stakeholders, we live and breathe for the census. We need to know how many patients are in our beds, the pipeline, average length of stay, occupancy rate and how our current census compares to plan – at all times. Most organizations can report this essential information through a basic spreadsheet, a CRM, or complex business intelligence tools that have not been fully implemented. However, these metrics provide only a snapshot and basic trends, and provide no actionable information from which to base improvements or curate a growth strategy. The challenge is the number and variety of factors that influence your census. Program leaders are too busy or lack the knowledge required to fully implement tactical, technical, and cross-functional strategies that drive results.

That’s where we come in.

We dig deep into your data or architect analytics platform(s), in order to evaluate your admission and outreach teams, internet marketing efforts, and design a patient acquisition strategy that will exceed your census goals.

Why Work With Us

Census By Design possesses the operational expertise to optimize all the departments that influence your census. With 20 years of experience developing behavioral health access systems in startup environments and large-scale, complex health systems, we know how to curate a growth strategy to meet your goals, whatever the maturity or scale of your organization. We’ve managed the patient acquisition strategy for all levels of care and treatment specialties.

We’re experts in:

Types of Programs We Design For:

  • Residential Treatment Centers
  • Intensive Outpatient & Partial Hospitalization Programs
    (in person and virtual)
  • Wilderness Programs
  • Therapeutic Boarding Schools
  • Detox Only Centers
  • Comprehensive DBT Programs
  • Medication Assisted Treatment
    (Suboxone and Methadone centers)
  • Private Practice Clinicians

Our Specialties:

  • Adult and Adolescent Treatment at All Levels of Care
  • Substance Use Disorder
  • Primary Mental Health
  • Eating Disorders
  • Trauma Programs
  • Gender Specific and Co-ed Programs
  • Gender Affirming Treatment
  • Private Pay, In and Out of Network Facilities

From making the phone ring with high quality inquiries through B2C advertising and B2B referral/partnership development, to designing a high converting efficient admissions processes that incorporates accurate verification of benefits, maximizes collections and prepares for successful utilization review and authorizations.

Census By Design is able to deliver results by differentiating your services, training your teams and ensuring a quality customer experience.

Questions We Can Answer

Does your admissions team represent your brand appropriately?

Do they know how to qualify a call, clinically and financially?

Does your admissions team need assistance with closing on objections to treatment? 

What business do you turn away?

 How can you convert the inquiries you get?

Do they rule out appropriate inquiries?

Do they admit appropriate clients?

What’s your response time to inquiries?

How many calls do you miss?

Could you benefit from skill-based routing of calls or an opener/closer model for lead handling?  

Does your team document conversations appropriately? 

Can your reps articulate financial responsibility and how insurance works, based on results from the verification of benefits? 

Are they able to ask for money?

Do you lose self-pay opportunities? 

Does your team know how to effectively execute single case agreements?

Does their documentation capture the KPI data you need to make strategic decisions? 

Do they capture the clinical information required to get initial authorization and appropriate lengths of stay?

Is your utilization review department integrated into your admissions process?

Can you improve the rate per patient day through renegotiation of current contracts, or could you benefit from additional contracts? 

Should you continue to bill on an OON network basis? 

What rate can you expect to get from new contracts?

Which payers should you target?

Do you have the right people requesting authorization and conducting utilization reviews?

Could you improve length of stay through centralization or training? 

Can your UR team build a case for medical necessity?

Are they skilled at requesting single case agreements, or do they leave money on the table?

Does your UR team have the information they need from your clinical team to maximize length of stay? 

Are your psychiatrists prepared well enough to win Dr. to Dr. reviews for medical necessity? 

Has your UR team established credibility with care managers to ensure maximum authorization? 

Is your website as effective as it should be?

Could you drive more qualified traffic?

Does your online reputation help or hurt you? 

Is your social media presence on message and aligned with your brand? 

Do your digital efforts drive qualified calls to your admissions team? 

Can you improve your digital CPA? 

Is legitscript certification worth it? 

How much should you spend on PPC? 

Does your PPC strategy drive qualified inquiries? 

What is the quality of your content?

How can you improve your content?

Does your SEO content strategy work?

Does your SEO content strategy follow google healthcare best practices? 

Where does your facility rank on the google search engine results page on key converting terms for your specialty? 

Since PPC advertising is expensive, can you rely on outreach to fill your beds?

Do your business development reps drive results? 

Do your business development reps effectively convey and elevate your brand? 

Does your outreach strategy drive qualified calls? 

Do your marketers market to marketers? 

What KPI’s do you use to track rep performance? 

Do they document their work? 

Census by Design Blog

Is Your Digital, Outreach, and Admissions Messaging Part of an Organized, Cohesive, Well-Conceived Enrollment Strategy?