Navigating Medical Billling Software for Substance Abuse Treatments

Medical billing is a complex process in itself, it requires trained professional with exceptional skills in this field. But when it comes to Medical Billing for substance abuse, things get way more difficult to manage. 

Manual labor does not get you anywhere with this particular task as there are already thousands of things that need special attention and care.

Although the problem can be simplified if you introduce new innovations like substance abuse EMR software and medical billing software for substance abuse in your workplace.  

Several drug rehabilitation centers are on the verge of going out of business as there are various unpredictable challenges that they must fight through every day. Wondering what those challenges might be? Let’s take a look.  

Challenges of Medical Billing for Substance Abuse 

Higher Rate of Claim Denials   

Drug Rehabilitation centers across the globe are struggling with an increase in claim denials.

This is happening because of issues like, lack of medical necessity documentation, inaccurate coding, incomplete patient information, non-covered services, etc.  

Insufficient Documentation 

The documentation for the medical billing of Substance abuse treatments is more intricate than the usual. There are additional documents like, detailed notes of the patient’s stay at the center to prove that the requirements were fulfilled, long term treatment justification, integration of multiple provider notes, etc.  

Verification of Patient Eligibility  

In the case of substance abuse, the coverage a patient has depends on their health insurance plan and the state where the benefits were purchased. If these details are not taken under consideration while filing the claim, then the claim is at risk of being denied.  

ICD – 10 Codes 

There are thousands of ICD – 10 Codes for substance abuse. There are specific codes being used for: alcoholism, heroin addiction, detox, and general group therapy. Medical coding can become a tough task here as which code is used where must be kept in mind and due to the vast number of codes available the task can be confusing.  

Using Medical Billing Software for Substance Abuse Treatments 

Specialty Specific Tool 

Medical billing software for substance abuse are specialty specific. Specialized tools make sure you avoid all the unnecessary codes and not get confused in the process. These tools improve clarity, accessibility and efficiency.  

Authorization and verification 

Prior authorization and verification are very crucial, especially for substance abuse patients. There are a lot of insurance companies that do not offer coverage for substance abuse, through medical billing software you can get prior authorization to ensure the rest of the process goes by smoothly.  

Speedy Claim Submissions  

With the ability to use the two most common claim forms (CMS –1500 and UB-04), medical billing software for substance use expedite the claim submission process while ensuring that there are no errors. 

EMR Integration 

Electronic medical records are the key to filing clean claims. Substance Abuse EMR software ensures that all the information regarding the patient in question is accurate. It automates the workflow by making patient record accessible and syncing information with the billing system.  

Conclusion 

In conclusion, integration of medical billing software for substance abuse can make the entire billing process easy to comprehend. With features like specialty tools and EMR software, it can make a difference in the industry. 

A well-structured medical billing system for substance abuse patients is important to ensure that they get the treatments and the care they deserve. Medicraft is one of the medical billing software programs that can be employed to achieve the highest standard possible while removing the complexities from the process.