Better Capital. Better Care. 

As we start a new year, we’re taking a quick moment to reflect and embrace the challenges and possibilities that the upcoming year holds. Healthcare is always evolving, and this year will be no exception. With new regulations on the horizon, we’re here to help you stay ahead of the curve, and are committed to […]

To improve your bottom line, it’s not just the insurance companies you’ll need to follow up with for payment; you have to stay on top of your patient’s balances too. Many patients may discharge or leave with a final balance still open. Once a patient leaves, it is more difficult to get in contact with […]

Gathering the correct information during an intake assessment or pre-screen is essential to insurance reimbursement. Use our checklist during your patient’s intake assessment to guarantee that your billing department has all of the information they need for you to get paid.

Outsourcing or changing billing companies can be a lot of work. In fact, many providers stick with a mediocre billing service simply to avoid the work that goes into the transition. Additionally, because many medical practices depend on insurance reimbursement to stay in business, the fear of making a switch that will harm revenue overrides […]

Utilization Review Utilization Reviews bridge the gap between providers, payors and patients. They give the provider the opportunity request authorization for a treatment, and the insurance company the opportunity to determine whether or not the treatment is medically necessary. It is the Utilization Review Specialist’s job to advocate for the patient, so they are given […]

No matter how thorough your billing process is, every provider has a list of claims that seem impossible to get paid. Overturning claim denials can be a grueling process, but if you follow the 5 steps listed below, your outstanding claims list will disappear in no time. Download our Behavioral Health Guide to Quick and […]

Dealing with insurance companies can be a pain. Whether you are a patient or provider, it is difficult to understand how insurance works, what services your policy covers and the correct reimbursement rate. As insurance premiums are at an all time high, coverage is more scarce than ever before. Below, we’ve outlined the most common […]

Collect on Unpaid Claims Many facilities and medical practices have a number of denied insurance claims that are not actively being addressed. Because most billing departments focus mostly on the claims that are easily reimbursed, thousands of dollars are left uncollected. Getting paid on old claims can be challenging so we put together a list […]

What is Prior Authorization? Prior authorization is almost always necessary for behavioral health treatment. Once your authorization team and your patient’s insurance provider agree on they type of service and approximate length of time that the patient will require, the insurance representative will give you an authorization number. Typically before a patient admits into your […]

What is ASAM? ASAM (The American Society of Addiction Medicine) Criteria is the most common set of guidelines that payors and providers use to determine what level of care and length of treatment that the patient needs. They are typically referred to by the Utilization Review Specialist and case manager while they determine a treatment […]