Billing

Treatment Consulting

• • ADDICTION TREATMENT CONSULTANTS

• • MARKETING CONSULTING

• • OPENING A CENTER

• • FEASIBILITY STUDY

• • BILLING

• • STAFFING AND TRAINING

• • PROGRAM CREATION

• • LICENSURE CONSULTING

• • INSURANCE CONSULTING

• • CARF CONSULTING

• • JOINT COMMISSION

• • PAYING FOR CONSULTING

 Billing Services

Insurance providers have been changing and evolving their claim distributions and the way they look at addiction treatment claim payouts since the beginning.  Part of the reason is to limit fraud of course but the other reason is that it is a complicated process of checks and balances and mistakes can be costly and when providers can deny a claim for any reason

WHAT OUR SERVICES COVER

• Admissions Contracts – Before anything, a substance abuse center should maintain a quality legal document that outlines the patient’s financial obligations for treatment. It is up to the behavioral health facility to dictate these terms, however, proper paperwork increase collection attempts by over 40%.
• Verification of Benefits – Know what you are getting before you get it. Our Verification of Benefits service calls the insurance company to know what levels of care are covered and at what percentage. This is the first stage in increasing revenue through proper billing techniques.
• Utilization Review – UR is paramount in getting correct authorization for levels of care within the substance abuse and mental health space. The goal of UR is to prove a medical need for the level of care for which you are billing. A quality UR process means the facility’s clinical staff are documenting everything correctly and the UR staff is communicating effectivly with the insurance company as to why the patient needs to maintain at a certain level of care. This is priced based on many factors, so reach out to us to set up a free consultation and to receive a price point.
• Billing – The obvious one for a billing company, we understand what codes to use, and how to maximize your revenue by level of care and service offered.
• Reimbursement Negotiations – There are times when insurance company may underpay for a treatment center’s substance abuse services. When this happens, we step in to work directly with the insurance company to ensure the proper amount is paid to our client. We manage the back and forth with the insurance company so our client can focus on running the business.
• Collections – There are situations where patients may be provided the reimbursement check from the insurance company (Anthem Blue Cross Blue Shield ). When this happens, we perform the collection process for you. We also collect any “patient responsibility” costs that were not covered by insurance.

HOW MUCH DOES IT COST?

Our billing services are charged as a percentage of the collected amount by the facility. The percentage is based on the total monthly billed by the treatment facility. Please give us a call today to learn more.

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