Substance Abuse & Rehab Medical Billing Services
We specialize in health information management, substance abuse medical billing services, and revenue cycle management, all customized to meet the unique needs of your practice. With a proven track record, we achieve a collection ratio of 96% and a clean claim rate of 98.5%, ensuring efficient billing and optimal reimbursements.
Nextgen Billing Solution Substance Abuse Medical Billing Services
Rehabilitation medical billing & coding, like that for any field of medicine is complicated and time-consuming, but it is vital to the success of any rehab or treatment facility. With insurers and government payers cutting down on their payments wherever they can and expenses rising, it is more important than ever to have efficient medical billing for rehab. Outsourcing rehab medical billing services and claims management to professionals has proven to be the best solution for many treatment and rehab centers.
Rehab Centers Income Issues
The Affordable Care Act’s requirement for health insurance to cover mental health and substance abuse treatment (and not exclude pre-existing conditions) has given coverage to many people who need help, but it has also resulted in high deductibles, which are often a problem for addiction treatment center billing since most patients requiring treatment or rehab have lost their incomes.
Top Reasons to Outsource Rehab Medical Billing to NextGen Billing Solution
High Ticket Losses
Substance abuse treatment takes a significant amount of time, which makes it costly. Since charges are generally bundled into codes that cover the entire program, or most of it, one unpaid claim can result in a loss of up to $30,000. This makes it imperative that rehab medical billing services be handled by professionals who have a system in place to ensure that no claims fall through the cracks.
Payments Sent To Patients
In many cases, when the rehab or treatment center is out of network for the payer, the payment ends up being sent to the patient instead of the service provider. The patient is, of course, responsible for paying the center’s bill, but this often doesn’t happen. This may even be used as leverage to get providers to join payers’ networks (and accept whatever fee they offer). The substance abuse billing system must ensure that an assignment of benefits is executed and attested to prior to accepting the patient.
Denial of Medical Necessity
Insurers have to cover treatment if it is medically necessary but may deny claims on the basis that medical necessity was not demonstrated if any of the necessary coding’s is not correctly included in the claim. This is another reason it is best to outsource drug rehabilitation centers insurance billing to a company that is dedicated only to rehab medical billing Revenue Cycle Management.
Maximize Your Revenue with NextGen Billing Solution Substance Abuse Treatment Centers Billing Services
Certified Medical Coders And Billers For Substance Abuse Billing
To ensure the long term sustainability of your treatment or rehabilitation center, every dollar of earned revenue must be protected. The NextGen billing solution provides a team of certified medical coders and billing specialists skilled in drug rehab insurance billing, ensuring that clean claims are accurately filed to minimize rejections and denials. When claim issues do occur, the system’s intelligent tracking and automated follow-up features ensure that each denial is promptly reviewed, corrected, and resubmitted for faster resolution.
Beyond claims processing, the NextGen billing solution manages the entire revenue cycle with customizable service options, allowing facilities to select only what they need. Its comprehensive offerings include payer credentialing management, compliance audits, annual payer adjustments, collections management, and more all designed to streamline operations, maintain compliance, and maximize reimbursement efficiency.
Increase your Rehab Center Revenue by up to 35% With NextGen Billing Solution