Addiction treatment centers focus on helping patients rebuild their lives and achieve long-term recovery. However, revenue cycle management often takes a back seat when clinical staff are managing patient crises, documentation requirements, and treatment protocols. This creates billing problems. Claims are submitted late, modifiers are missing, and authorization denials accumulate due to insufficient time for proper appeals.
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States Served
First Pass Claim Ratio
Nexus io specializes in rehab medical billing services, tackling complex reimbursement rules and payer-specific policies for treatment centers. Backed by AI technology, our certified coders manage your revenue cycle, reduce denial rates, and increase collections, improving your facility’s financial performance.
Addiction
Recovery
Cardiac
Rehabilitation
Cognitive
Rehabilitation
Neurorehabilitation
Occupational
Therapy
Physical
Therapy
Psychiatric
Rehabilitation
Pulmonary
Rehabilitation
Speech
Therapy
Vocational
Rehabilitation
Clean Claims Rate
Reduction in A/R
Coding Accuracy Rate
Outsource rehab billing services to specialists who are familiar with your facility’s specific payer mix and program structure. We analyze current denial patterns caused by coding errors, identify missed revenue opportunities, and implement billing workflow optimization around your documentation systems. Our substance abuse billing company reduce outstanding balances by proactively scrubbing claims and applying accurate Level II HCPCS codes.
We deliver round-the-clock support for substance abuse and rehab billing, helping clinics maintain efficient revenue cycle operations. Our team makes sure that your facility’s claims are submitted quickly and correctly, whether it provides addiction recovery, physical therapy, occupational therapy, or speech rehabilitation. We do this by using the right CPT codes (97110, 97140, 99408, H0001-H0050) and ICD-10 diagnosis codes.
Ready to hire medical billing specialists who understand substance abuse treatment complexities? Nexus io is here to help you explore how our substance abuse billing services can benefit your treatment facility and administrative staff. We also support behavioral health practices and mental health billing with specialized revenue cycle management solutions.
Reach out to us by filling out this quick form, and one of our rehab medical billing services experts will contact you within 12 hours.
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What CPT and HCPCS codes are used in substance abuse billing?
Substance abuse medical billing services use a range of codes, including CPT 90832–90837 for individual therapy, CPT 90853 for group therapy, H0001–H2036 for addiction treatment services, and HCPCS G-codes for opioid treatment programs (OTPs). Therapy modifiers like GP, GO, and GN must be appended correctly to avoid claim denials.
How does prior authorization work for rehab and substance abuse treatment?
Most payers require prior authorization management before approving inpatient rehab, intensive outpatient programs (IOP), or medication-assisted treatment (MAT), and concurrent reviews are needed to continue authorized levels of care. Our substance-abuse billing company does the entire authorization lifecycle so that your clinical staff can remain focused on patients recovering from a substance use disorder.
Does Nexus io handle billing for both inpatient and outpatient rehab?
Yes. Our rehab billing outsourcing services cover all levels of care — detox, residential treatment, partial hospitalization programs (PHP), intensive outpatient programs (IOP), and standard outpatient counseling. We use properly coded timed therapy codes, untimed therapy codes, and modifiers for the respective outpatient and inpatient settings and bill on behalf of the various payers.
Is patient data secure with Nexus io's substance abuse billing services?
Nexus io maintains full HIPAA compliance and ensures that SUD patient records are handled in compliance with 42 CFR Part 2, therefore ensuring that the confidentiality of each patient is protected throughout the billing workflow optimization process. All of the systems utilized for billing are encrypted and meet all of the appropriate federal requirements for compliance-based billing.
What reporting does Nexus io provide for rehab revenue cycle management?
Our real-time dashboard keeps track of clean claim submission rates, accounts receivable (AR) aging, denial management trends, and collections by payer. This puts the administrators back in the driving seat. Monthly analytics identify patterns causing revenue leakage so your revenue cycle management for rehab centers continuously improves.
