Detox stays are short, authorizations are tight, and one missed review can cost days of reimbursement. We verify, authorize, code and bill every detox day so it gets paid.
Patients arrive fast. Benefits, authorization and patient responsibility need to be confirmed within hours, not days.
Payers often approve detox a few days at a time, with frequent concurrent reviews. Miss one and those days go unpaid.
Withdrawal scores, vitals and physician notes have to support the level of care the payer authorized.
Residential, medically monitored and medically managed detox bill with different revenue and HCPCS codes.
The move from detox to residential or PHP needs a new authorization before the first day of the next level.
Out-of-network detox claims are often paid well below billed charges without a reprocessing request or appeal.
Hand us the full revenue cycle or just the parts that are breaking. Either way, one team is accountable for the result.
A reference to the codes commonly used at this level of care.
Codes, units and billing rules vary by payer, contract and state. We bill to your contracts and your payers' current policies.
One hour on your program, your numbers and your goals. You leave with clear options and no obligation.
We scope what you need, from one service like VOBs or authorizations to full RCM, and price it to the project.
We clean up denials and A/R, build and train your team or run billing every day, with weekly KPI reporting.
We verify benefits and start the authorization as soon as intake has the insurance information, then track the authorized days so the first concurrent review is never missed.
Yes. We bill out-of-network detox claims and work underpaid claims through reprocessing requests, appeals and single-case agreements.
We request authorization for the next level of care before the transition so the first day of residential, PHP or IOP is covered.
Yes. We work inside the EHR and clearinghouse you already use, including Kipu, Alleva, CollaborateMD, Waystar and Availity.
Book a free one-hour discovery call. We will look at how your billing runs today and lay out your options: full RCM, consulting for your team or help with one piece, like VOBs or authorizations. Serving Utah treatment centers and programs nationwide.
.png)