Our Services
Increase the efficiency and effectiveness of your pre-admissions process through access to:
- Full information on patient responsibilities, pre-certification requirements, insurance policy exclusions and estimated reimbursement values provided in document form
- Efficient and accurate benefit turnaround
- High-level insurance verification training for designated facility staff
- Reimbursement negotiations and payor ongoing agreements
We handle all communications with third-party payors including pre-authorizations, continued stay authorizations and discharge planning. Research has shown unanimously that longer treatment stays in high-quality program settings lead to improved clinical outcomes. It is our mission to advocate for more days at higher levels of care on behalf of your patients and your facility. We achieve excellence in these areas through capitalizing upon our:
- In-depth understanding of ASAM criteria for all levels of care
- Personal relationships with all major third-party payors
- Extensive experience with all levels of the appeals process
After all the hard work you’ve provided to the patient, high-level billing and collection systems and processes are of the utmost importance. Our highly personal services ensure that you receive the most efficient and effective processing, management and collection of your accounts. Our process includes:
- Customized electronic claims processing
- Preemptive auditing to ensure error-free claims transmission
- Accurate filing of secondary and tertiary insurance claims
- Continuous follow-up on all claims
- Reminders and notes on patient accounts requiring attention
- Personalized weekly and monthly reports
- Expert analysis and proposals for fee structuring
- Fee negotiations and single case agreements
- Monthly patient statements
- Reporting on allowables and usual and customary rates
From providing insight into client acquisition strategies and admissions processing to identifying and implementing best clinical methodologies and industry practices, we offer consultation in even the most granular areas of clinical and business operation.