health insurance

Everything You Need to Know About Insurance Billing for Addiction Treatment in Pennsylvania 

If you’re running an addiction treatment center, IOP program or any type of behavioral health concern in Pennsylvania, you know that addiction treatment billing in Pennsylvania is anything but straightforward.

How to Complete Insurance Registration with Florida Blue for Addiction Treatment Centers

Wondering how to get your addiction treatment center started with registration and network registration for Florida Blue?

Is Credentialing or Enrolling with Blue Cross Blue Shield of Michigan Worth it for Addiction Treatment Providers?

There are many pros to enrolling with BCBSM. For one, you’ll find that it is easier to attract addiction treatment patients when you are in network with BCBSM. This is huge because BCBSM is such a large payer in the area and commands such a large market share of patients.

Finding Addiction Treatment Billing Contact Information for Blue Cross Blue Shield Association Corporation

Every state has a different BCBSA company with different addiction treatment billing contact information. To make matters even more confusing, some states have more than one BCBSA company operating within their borders!

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

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 .

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

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?

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

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.


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

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.

Here’s How to Fix Your Substance Abuse Billing Issues

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

Is It Time to Outsource Your Addiction Treatment Medical Billing?

You’ve been curious about outsourcing your medical billing for a while, but you’ve heard it’s expensive and you’re apprehensive about hiring the work out.

Can Your Addiction Treatment Center's EHR Handle Value Based Care?

Many health care experts are calling values based care the wave of the future. Smart players in the addiction treatment community are getting ready to embrace the change before it’s too late.

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

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


How to Get the Top 10 Insurance Companies to Cover Care for Your Patients

Working with the top insurance providers in the country is an important part of running an addiction treatment business. Each company handles their billing differently. 

Slowly building relationships with employees at each company over time is the “gold standard” approach for managing tricky claims and other sticky billing issues with the top 10 insurance companies for addiction treatment. 

Should Your Addiction Treatment Center Accept Public Payers like Medicaid and Medicare?

About 12% of patients with Medicaid insurance have a substance abuse problem. 

If your center isn’t accepting public payer plans—like Medicaid and Medicare—then you’re missing out on a massive pool of potential patients. Still, many centers decide to pass on public payer insurance and only accept private insurance and self-pay patients—and for good reason. 

The 5 Big KPIs You Need to be Tracking For Addiction Treatment Billing

Being able to “take the temperature” of your revenue cycle is an important piece of running an efficient addiction treatment billing program. Key Performance Indicators (KPIs) help you track how your organization is doing from month-to-month, quarter-to-quarter, or year-to-year.

How Verification of Benefits (VOBs) Can Make or Break Your Addiction Treatment Center

“Playing nice” with insurance companies is one of your most important jobs as an addiction treatment provider. Organizations that master the art of interacting with insurance providers reap major rewards in terms of happy patients, strong revenue cycles, confident clinicians, and flawless documentation. Organizations that struggle with “insurance speak” grapple with angry patients, poor cash flow, unmet patient responsibility payments, and wary clinical staff.

Stop Struggling With Addiction Treatment Utilization Reviews in 4 Easy Steps 

Getting insurance companies to fairly reimburse for services rendered is one of the biggest struggles for many addiction treatment providers today. Between an initial verification of benefits, pre-authorizations, concurrent reviews, and even retrospective reviews, it’s easy to get lost in the insurance authorization labyrinth and spend a lot of your organization's time (and money!) fighting with insurance companies.

4 Ways to Improve Your Behavioral Health Center's SOAP Notes Today

SOAP (Subjective, Objective, Assessment, and Plan) notes have been the cornerstone of medical documentation since Lawrence Reed introduced the “Problem Oriented Medical Record” in the 1950’s. Before the dawn of SOAP notes, medical practitioners of Reed’s time had no standardized method of record-keeping. Instead, each provider would scribble notes in their own fashion, making insurance reimbursement, coordinated care, and chart review difficult and time-consuming.

It’s Never Been Easier to Open a Treatment Center. Here’s Why.

Thinking of opening a drug rehab center or sober living house?

Good news—your timing couldn’t be better. Now is a great time to get into this industry and start making a difference in your community!