insurance

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Ai and ChatGPT Enabled EHRs are a Game Changer for Addiction Treatment 

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As with most things “technology,” the behavioral health community is behind the curve with the adoption of ChatGPT enabled EHRs. 

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Your Complete Guide to Addiction Treatment Insurance Billing in Florida

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Learn the basics of addiction treatment medical billing in Florida and examine the most relevant legislation and regulations for the behavioral health community in the Sunshine State.

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Denial Rates for Addiction Treatment with Centene Corporation (With Level of Care Breakdown!)

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Here’s what the actual rates of denial are with Centene when it comes to behavioral health. We’ll also look at what levels of care are most likely to be denied at Centene and why.

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Everything You Ever Wanted to Know About Aetna Precertification for Addiction Treatment Billing

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When it comes to addiction treatment, Aetna uses the terms precertification and preauthorization interchangeably. Aetna may also refer to this concept as Authorization, Certification, Prior authorization, or Pre-service utilization review .

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What Anthem Inc's Level of Care Denial Rates Mean for Your Addiction Treatment Center's Billing Department

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Who is Anthem, Inc? What are their average denial rates and how do they compare to the industry average? What levels of care are most likely to be denied by Anthem, Inc? What can your addiction treatment center do to fight back against behavioral health care denials from Anthem, Inc?

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How to Quickly Appeal a Centene Corporation Health Addiction Treatment Claim Denial Using the Expedited Appeal Line

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Understanding how to request an expedited appeal from big addiction treatment insurance providers - like Centene Corporation - is a key component to advocating for SUD patients.


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How to Determine the Medical Necessity of Addiction Treatment Services for UnitedHealth Group, Inc

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Got questions about working with addiction treatment and UnitedHealth Group Inc when determining the medical necessity (or if treatment is medically necessary)? Here’s how it works.

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Here’s How to Fix Your Substance Abuse Billing Issues

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Step #1: Realize that substance abuse billing is rigged against addiction treatment providers.

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Contingency Management is Coming. Is Your Addiction Treatment Center Ready?

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Contingency Management is a treatment modality that intermittently rewards clean time and program participation with cash or prizes. While some have moral objections to “paying an addict to get sober,” others point to the fact that, unlike a lot of treatments for meth, cocaine and stimulant abuse, Contingency Management (CM) actually works.

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Here's What Your Addiction Treatment Facility Needs to Know About ERKA in 2021

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The act targets patient brokering and other practices designed to defraud insurance companies.

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The Ultimate Addiction Treatment Medical Billing Glossary

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Working with medical billing isn’t the most exciting part of addiction treatment, but it is one of the most necessary parts of a successful business in the behavioral health field.

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VOB Delays = Addiction Treatment Admissions Killer. Turbocharge Your Insurance Verifications with eVOBs

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Learn about instant VOBs — also known as eVOBs — and how they could be a game changer for your addiction treatment center.


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2021: Adapt and Modernize Your Addiction Treatment Center - Or Else

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Change has been constant in the addiction treatment community in the last 10 years. We have seen more change more quickly in the last few years than we have seen in an entire generation.