We confirm eligibility, manage prior approvals, and monitor reauthorization deadlines to avoid service interruptions and payment delays.
Our coders apply precise HCPCS and revenue codes for detox and inpatient treatment stays, ensuring every reimbursable day is captured accurately.
Certified coders map documentation to the correct CPT and HCPCS codes, including H0010, H0015, H0035, H0018, and H2036, in compliance with ASAM levels of care.
Automated claim scrubbing tools identify missing details before submission. Our appeal process quickly resolves payer denials tied to medical necessity or documentation gaps.
We monitor evolving parity and state-level billing standards, keeping your organization audit-ready and fully compliant with payer expectations.
Interactive analytics reveal payment trends, denial sources, and revenue recovery opportunities so administrators can make data-backed financial decisions.
We manage every step from eligibility to posting, delivering clean claims and faster payments.