Substance Abuse Rehab Billing Services
MedEx MBS Substance Abuse Medical Billing Services
Rehabilitation medical billing and coding, like any other medical field, is complex and time-consuming, but it’s crucial for the success of rehab and treatment facilities. With insurers and government payers reducing payments and expenses increasing, efficient medical billing for rehab is more important than ever. Outsourcing these billing and claims management tasks to specialists has proven to be an effective solution for many treatment and rehab centers.
Rehab Centers Income Issues
The Affordable Care Act’s mandate for health insurance to cover mental health and substance abuse treatment, including pre-existing conditions, has expanded access to care for many individuals. However, it has also led to high deductibles, which pose challenges for billing at addiction treatment centers. Many patients seeking treatment or rehab are often without income, making it difficult to manage these costs.
Key Benefits of Outsourcing to a Substance Abuse Billing Company
High Ticket Losses
Substance abuse treatment requires substantial time and can be costly. As charges are typically bundled into codes that encompass most or all of the program, a single unpaid claim could lead to a loss of up to $30,000. Therefore, it’s crucial to have rehab medical billing services managed by professionals with a robust system to ensure that no claims are overlooked.
Payments Sent To Patients
When a rehab or treatment center is out of network with a payer, payments are often sent directly to the patient rather than the service provider. Although the patient is responsible for paying the center’s bill, this payment is frequently not made. This situation can be used as leverage by payers to persuade providers to join their networks and accept their fees. To prevent this, the substance abuse billing system must ensure that an assignment of benefits is completed and confirmed before accepting the patient.
Denial of Medical Necessity
Insurers are required to cover treatment deemed medically necessary, but they may deny claims if the claim lacks proper coding to demonstrate medical necessity. This underscores the importance of outsourcing insurance billing for drug rehabilitation centers to a company specializing exclusively in rehab medical billing and revenue cycle management.
Optimize Your Revenue with MedEx MBS Billing Services for Substance Abuse Treatment Centers
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