Maximize Substance Abuse Reimbursements: Cut Denials & Clear Old AR

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Maximize Substance Abuse Reimbursements Cut
Denials Clear Old AR
Are High Claim Denial Rates Stalling Your
Substance Abuse Reimbursements? Youre not alone
if claim denials and aging accounts receivables
delay your revenue. Substance abuse treatment
centers frequently face this challenge due to
complex coding, documentation requirements, and
insurance inconsistencies. Did you know that
claim denials can cost practices up to 5-10 of
their potential revenue? Maximize Substance Abuse
Reimbursements by tackling these issues head-on
for substantial year-end growth. Why Every
Denied Claim is Costing You Thousands in Lost
Revenue Every denied claim is a roadblock and a
significant revenue loss. Studies show that 90
of denied claims are preventable, yet many
practices miss opportunities by not resubmitting.
For substance abuse billing practices, these
denials often stem from inadequate documentation,
inaccurate coding, or outdated insurance
verification. Top Revenue Cycle Management KPIs
to Track Why They Matter for Substance Abuse
Billing Measuring the correct RCM KPIs is vital
for growth. These metrics directly impact your
reimbursements
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Maximize Substance Abuse Reimbursements Cut
Denials Clear Old AR

• Claim Denial Rate Keep it under 5.
• Formula (Total Denied Claims / Total Submitted
  Claims) x 100.Lowering this rate not only boosts
  revenue but also improves cash flow efficiency.
• Days in A/R Aim for under 40 days to ensure fast
  payments and lower the risk of aging receivables.
• Formula (Total Denied Claims / Total Submitted
  Claims) x 100.A high Day in A/R could indicate
  inefficiencies in collections, delaying cash
  inflow and impacting the practices financial
  health.
• First-Pass Resolution Rate Target 90. This KPI
  measures the percentage of claims paid without
  resubmission.
• Formula (Claims Paid on First Submission / Total
  Claims Submitted) x 100.A low rate suggests
  inefficiencies in your claims submission process.
• How to Reduce Old AR and Unlock Hidden Substance
  Abuse Reimbursements
• Old AR is often overlooked, but it is a goldmine
  waiting to be recovered. Practices with
  uncollected receivables over 90 days risk losing
  substantial amounts in bad debt. By consistently
  following up on these claims, many

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Maximize Substance Abuse Reimbursements Cut
Denials Clear Old AR
practices have unlocked 15-20 more revenue
annually. For instance, a substance abuse
treatment center in Texas used RCM services to
analyze its old AR and discovered that 20 of its
unpaid claims had been improperly coded. After
correcting the codes and resubmitting, it
recovered 100,000 in lost revenue in six
months. Tip Automate AR follow-ups with
dedicated tools that send reminders and escalate
accounts to collections if necessary. Substance
Abuse Billing Trends to Watch Automation is
Key With rising complexities in substance abuse
billing, automation is no longer optionalit is
essential. Practices that adopt automated billing
processesfrom claim submission to denial
managementsee up to a 30 increase in
efficiency and fewer errors. By incorporating
advanced RCM tools and analytics-driven insights,
substance abuse practices can keep mistakes at
baythus improving overall collection
rates. Outsource to MBC for Maximum Substance
Abuse Reimbursements Managing substance abuse
billing on your own can be complex. Also, failing
to adapt to ever-changing
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Maximize Substance Abuse Reimbursements Cut
Denials Clear Old AR

• regulations and insurance policies can lead to
  significant revenue loss. Medical Billers and
  Coders (MBC) is a specialized billing company
  with extensive experience in substance abuse
  practices, providing customized RCM solutions
  tailored to meet the unique needs of your
  practice.
• Why Outsource to MBC?
• Reduce Denial Rates Benefit from expert coding
  and claim submissionminimizing errors and
  improving your first-pass resolution rate.
• Faster Payments With MBC, you can reduce your
  Days in A/Rensuring your practice collects
  payments faster and reduces bad debt.
• Automated Solutions MBC offers data-driven
  insights and automated processes to streamline
  your revenue cycleenabling you to focus more on
  patient care.
• Dedicated Support Get personalized support with
  dedicated account managers, weekly updates, and
  custom dashboards to track your performance.
• Take Control of Your Practices Financial Health
  Before Its Too Late!
• Contact MBC today to reduce denials, streamline
  billing, and maximize substance abuse
  reimbursements.

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Maximize Substance Abuse Reimbursements Cut
Denials Clear Old AR
FAQs Q How do I reduce claim denial rates in
substance abuse billing? A Focus on accurate
coding, complete documentation, and insurance
verification. Implement denial management
software to catch frequent errors. Q What is
the significance of Days in A/R for substance
abuse billing? A Days in A/R indicate the speed
of collections. Reducing this metric improves
cash flow and ensures faster payments. Q How
can automation boost my substance abuse
reimbursements? A Automation streamlines billing
processes, reducing errors and denial rates. It
improves efficiency and helps you recover
payments faster. Q What compliance regulations
should substance abuse practices follow for
accurate billing? A Substance abuse practices
must adhere to HIPAA and CMS guidelines for
maintaining compliance in billing and coding.
Ensuring accurate documentation and secure
patient data is essential to avoid penalties and
claim denials.
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Maximize Substance Abuse Reimbursements Cut
Denials Clear Old AR
Q Which CPT codes are commonly used in substance
abuse billing? A Common CPT codes for substance
abuse billing include H0001 for alcohol and drug
assessment and H2036 for comprehensive substance
abuse treatment programs. Accurate coding is
vital for proper reimbursement and avoiding claim
rejections.