SUBSTANCE ABUSE AND REHABILITATION CENTERS BILLING SERVICES
Remote Expert Solution’s Substance Abuse Medical Billing Services
Rehabilitation medical billing and coding, akin to any medical specialty, is intricate and demanding of time. However, it remains crucial for the triumph of any rehabilitation or treatment facility. With insurers and government payers tightening their payment criteria and expenses escalating, efficient medical billing for rehab has become increasingly imperative. Outsourcing rehabilitation medical billing services and claims management to professionals has emerged as the optimal solution for numerous treatment and rehab centers.
Rehab Centers Income Issues
The Affordable Care Act’s mandate for health insurance to include coverage for mental health and substance abuse treatment, along with prohibiting exclusions based on pre-existing conditions, has extended coverage to numerous individuals in need. However, it has also led to high deductibles, posing a challenge for addiction treatment center billing. This is particularly problematic as many patients seeking treatment or rehab have experienced income loss.
Key Benefits of Outsourcing Substance Abuse Billing Services
High Ticket Losses
Substance abuse treatment entails substantial time investment, leading to increased costs. As charges are typically consolidated into codes covering the entire program, or a significant portion of it, a single unpaid claim can lead to a loss of up to $30,000. Hence, it is crucial that rehab medical billing services are entrusted to professionals equipped with systems to prevent any claims from being overlooked.
Payments Sent To Patients
In numerous instances, when the rehab or treatment center is out of network for the payer, the payment is directed to the patient rather than the service provider. While the patient is accountable for settling the center’s bill, this payment arrangement frequently does not materialize. It may even serve as a tactic to compel providers to join payers’ networks and accept their offered fees. The substance abuse billing system must guarantee the execution and verification of an assignment of benefits before accommodating the patient.
Denial of Medical Necessity
Insurers are obligated to cover treatment deemed medically necessary, yet they may reject claims if the required coding is inadequately included, citing a lack of demonstrated medical necessity. This underscores the importance of entrusting drug rehabilitation center insurance billing to a specialized company solely focused on rehab medical billing Revenue Cycle Management.
Boost Your Revenue with Remote Expert Solution's Billing Services for Substance Abuse Treatment Centers
Certified Coders and Billers for Substance Abuse Billing
To ensure the sustainability of your treatment or rehab center, it's essential not to overlook potential revenue opportunities. Remote Expert Solution boasts a sizable team of certified medical coders and billers specializing in drug rehab insurance billing. With their expertise, we guarantee the submission of clean claims, significantly reducing the occurrence of claim rejections and denials. Should rejections or denials arise, our system diligently tracks each instance and ensures swift resolution by making the necessary modifications and resubmissions. Beyond claims handling, we offer comprehensive Revenue Cycle Management (RCM) services tailored to your specific needs. Our customizable offerings ensure that you receive precisely what your center requires without any unnecessary obligations. From payer credentialing management and compliance reviews to annual payer adjustments, payback processes, bill collection, and more, we handle all aspects of RCM to optimize your revenue potential.