Bringing Sanity to Your Behavioral Health Collections
Are you ready for a change?
Our real-time view of patient ledgers and business accounting quickly shows you complete financial snapshots of each claim.
Peace of Mind
We spot trends and policy changes in the insurance industry so we can proactively guide you to favorable claim resolutions. We are your complete Revenue Cycle Management solution.
While you focus on your mission of creating successful recovery stories, we fight for you to get paid for the work you do.
Call to Discuss Your Billing Needs with Us
Or Tell Us About Your Billing Challenges…
Verification of Benefits
Speak to a certified verifications specialist – weekdays, 8:00 a.m. to 8:00 p.m. Eastern time – to request verification of benefits (VOB) during your intake process. Substance Solutions performs an online VOB check and calls the insurance company to confirm coverage with a live representative. Typically, results are returned to you within an hour. In addition to verifications, we give you a “playbook” so you can plan for maximum coverage throughout the patient’s stay. You will also receive an Estimated Insurance Value (EIV) that allows you to forecast revenue reliably for every admission.
Our reviewers are Masters-level, licensed clinicians who are adept at keeping your EMR compliant with insurance requirements. We obtain initial authorizations as well as concurrent authorizations , often asking follow-up questions of your clinicians to make sure the best case possible is presented to the insurance company. As an added value, Substance Solutions UR experts periodically audit your records for insurance compliance. We will support your quality assurance initiatives by consulting with staff and physicians who need a gentle reminder of how important compliance is
Medical billing is based on the census you submit to us each week. Our billers have the knowledge to ensure claims are optimally submitted based off individual payor guidelines while safeguarding maximum reimbursement.
If you use Substance Solutions for utilization review (UR), we check your census against authorizations on file for accuracy. We post charges to your patients’ ledgers and submit claims to the insurance companies weekly. Most of our clients receive payments within 30 – 45 days of claim submission.
Why should you switch to Substance Solutions?
If you’ve been verifying benefits, conducting UR, billing, and chasing collections yourself…when have you had time to focus on the patient? Wouldn’t it be nice to focus on the reasons you started your practice in the first place?
If you’re considering Substance Solutions to replace your current medical billing company and wonder if this will just be a repeat of the last unpleasant experience, let us demonstrate the difference we can make in your practice.
Substance Solutions welcomes every new Billing customer with a retroactive AR claims audit. If you or your past billing service have left money on the table, Substance Solutions will file appeals and fight to get you paid.
Substance Solutions diligently follows up on your claims once every 30 days, at minimum. This is the customary timeframe for insurance companies to process claims. If claims deny, we aggressively pursue the appeal process until the claim is paid or until all appeal options are exhausted. Write offs are a last consideration for Substance Solutions. You’ve already provided the services. You should be compensated for them.
What Others Say About Us
By far one of the best billing companies. After several years of working with Substance Solutions as well as other billing companies, we always are impressed by the level of personal interaction and communication from SS. The level of service is concierge, and obviously receiving timely reimbursements is huge, the service is unmatched as is the quality and performance. Thank you for helping our business succeed!
Alexis Altier | Chief Executive Officer
I wanted to take a moment to thank Substance Solutions for their wonderful work. True Purpose Ministries is a non-profit drug and alcohol rehabilitation program in Maryville, Tennessee. TPM is a veteran program and has been in the business of helping men and women fight addiction for ten years. When TPM first opened a state-licensed clinical program, the enormous amount of start-up procedures and policies was overwhelming. Substance Solutions was a very real partner during our clinical opening. The caring staff at Substance Solutions stepped in and patiently walked our staff through all the steps necessary to begin our clinical program. When True Purpose began taking clinical clients, Substance Solutions negotiated rates and followed up our claims in a timely and professional manner. The staff at Substance Solutions quickly became family to us and we are forever grateful for their help.
Pam Schleif | Administrative Director