practolytics (2) - PowerPoint PPT Presentation

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practolytics (2)

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Why it is essential to have a solid approach to getting insurance reimbursements for Spravato therapy? All you need to know – PowerPoint PPT presentation

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Title: practolytics (2)


1
How Much Do Insurance Providers Reimburse for
Spravato?
2
Issues faced by the providers in handling
insurance reimbursements for Spravato
  • Practolytics offers Spravatospecific
    consultations to troubleshoot your problems in
    establishing a smooth-running Spravato practice.
    Being one of the pioneers in the industry, we
    make sure you get paid for all the valuable
    services rendered.

3
How to get the insurance provider to reimburse
for Spravato?
  • Here are some things to keep in mind while
    setting up a Spravato practice. Compared to other
    practice specialties.

4
Spravato practitioners are required to fulfill
the following requirements
  • Requirements on patient eligibility verifications
    to receive Spravato
  • Requirements on the provider to bill for Spravato
  • Requirements for specific codes to bill for
    Spravato
  • Requirements for processing claims for Spravato
    billing

5
Requirements on patient eligibility verifications
to receive Spravato
  • Pre-authorizing the patient to ensure that
    their insurance reimburse for Spravato is the
    very first step to take, even before commencing
    the treatment. Eligibility for benefits varies
    from one insurance payer to another, and the
    specific plan under which the patient is enrolled.

6
Requirements on the provider to bill for Spravato
  • To administer and bill for Spravato, your
    healthcare setting must be certified for Risk
    Evaluation and Mitigation Strategies.

7
Requirements for specific codes to bill for
Spravato
  • The process of revenue management does not end
    with the claim approval. You have to ensure that
    the correct claim amount is deposited in your
    account based on your contracts with Insurances. 

8
Requirements for processing claims for Spravato
  • Practolytics can help you with prior benefit
    checks and eligibility verifications in up to two
    days before submitting the claims.

9
Benefits of outsourcing Spravato billing
  • An expert Spravato biller can help you in
    speeding up the process and coordinating the
    treatment and claim processing with better
    efficiency. With the right codes and code
    modifiers, your claims have a better chance of
    getting accepted without facing denials.

10
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