Substance Abuse & Rehab Medical Billing Services
We provide expert health information management, substance abuse medical billing, and complete revenue cycle management services, all tailored to fit the specific needs of your practice. With a strong track record of success, we consistently achieve a 90% collection ratio and an 88% clean claim rate, helping you streamline billing, reduce denials, and maximize your reimbursements.
Substance Abuse Medical Billing Services for Rehab & Treatment Centers
Billing and coding for substance abuse and rehabilitation services is complex and time-consuming—but it’s crucial to the financial health of your facility. With insurance providers and government payers tightening reimbursement policies and operational costs on the rise, efficient billing is more important than ever. That’s why many rehab and treatment centers choose to outsource their medical billing and claims management to experienced professionals, ensuring faster payments, fewer denials, and stronger revenue performance.
Financial Challenges Facing Rehab Centers
While the Affordable Care Act expanded access to mental health and substance abuse treatment by mandating insurance coverage and eliminating exclusions for pre-existing conditions, it also introduced new billing challenges. High deductibles are now common, and many patients seeking addiction treatment have limited or no income—making it difficult for rehab centers to collect payments and maintain steady revenue.
Top Reasons to Outsource Rehab Medical Billing to A Medi Solution
Preventing High-Ticket Losses in Rehab Billing
Substance abuse treatment programs are often long-term and expensive. Because billing is typically bundled into comprehensive codes that cover most or all of the program, a single unpaid claim can cost a facility up to $30,000. That’s why it’s critical to have experienced professionals managing your rehab medical billing with systems in place to track every claim and ensure nothing slips through the cracks.
Payments Sent To Patients
When a rehab or treatment center is out-of-network, insurance payments are often sent directly to the patient instead of the provider. While patients are legally responsible for paying the facility, many fail to do so—leading to significant revenue losses. In some cases, payers use this tactic to pressure providers into joining their networks at lower reimbursement rates. To prevent this, it’s essential that the substance abuse billing process includes obtaining and verifying an Assignment of Benefits (AOB) before admitting any patient.
Avoiding Claim Denials for Lack of Medical Necessity
Insurance providers are required to cover treatment deemed medically necessary—but if the claim lacks proper coding or documentation, they may deny it on that basis. Even small errors in coding can lead to lost revenue. That’s why many drug and alcohol rehab centers choose to outsource their insurance billing and revenue cycle management to specialists who focus exclusively on rehab medical billing and understand the specific requirements for demonstrating medical necessity.
Maximize Your Revenue with A Medi Solution’s Substance Abuse Treatment Centers Billing Services
Certified Medical Coders And Billers For Substance Abuse Billing
To keep your treatment or rehab center financially sustainable, you can’t afford to leave revenue unclaimed. Our certified medical billers and coders specialize in drug rehab insurance billing and know how to submit clean, accurate claims—minimizing rejections and denials. When issues do arise, we have a reliable system in place to track, correct, and swiftly resubmit claims to ensure timely reimbursement. Beyond claims management, we offer complete, customizable Revenue Cycle Management (RCM) solutions. Whether you need full-service support or help with specific tasks, we tailor our services to fit your needs. From payer credentialing and compliance reviews to annual payer adjustments, payback processing, and bill collection, we’ve got every aspect of your revenue covered.