Avea Solutions Blog

Negotiating Reimbursement Rates with Payers: Part 1 of 2

 

Are you thinking about your reimbursement rates for addiction treatment in 2020? If not, you should be.

During the summer lull, many providers turn their attention to back-office improvement initiatives, and unfortunately, most of us in the addiction treatment industry have felt the pressure of declining reimbursement rates over the past 18 months. Now, more than ever it is crucial to understand how to negotiate more effectively with payers for higher reimbursement rates if facilities want to survive the revenue revolution upon us. For most, this is unchartered territory with little knowledge of where to begin. To help bridge this gap, we interviewed Kevin Isaacs, founder and President at PANLR - a leading provider of outsourced payer contracting services.

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7 Tips to Improve Your Billing

 

The addiction treatment industry is on the precipice of enormous change. Ongoing lawsuits—brought on by unethical behavior and business practices—will affect the way insurance providers reimburse addiction treatment facilities going forward. The challenge has been sounded: treatment providers must reevaluate and improve their manner of conduct if they wish to succeed under increased scrutiny.

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Top Portland Business Journal's 2019 Small Business Innovation Award

 

Avea Solutions is a proud recipient of The Portland Business Journal Small Business Innovation Award. The award was created to honor Portland’s most impressive and innovative companies with fewer than 100 employees that provide a compelling and innovative product or service. Winners were announced and honored at a private banquet hosted by the Portland Business Journal on April 23.

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What Is Behavioral Health Carve-Out...And How Does It Affect You?

What are behavioral health carve-outs and how does it affect you?

Behavioral health and physical health traditionally have been treated differently by U.S. payers and providers. As a result, behavioral health services may face different billing situations, such as behavioral health carve-outs.

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Can Telehealth Be Utilized Successfully In Addiction Recovery?

 

Every day in the United States, over 130 people die of an opioid overdose. Prescription drug abuse and addiction has become a severe national crisis with devastating consequences that not only affect public health, but social and economic welfare as well. Politicians and healthcare professionals are striving to spread awareness and have put various initiatives in place to tackle the crisis. The healthcare industry has implemented a number of recovery methods for substance abuse treatment and continues to search for innovative ways to tackle the nationwide epidemic.

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Here's Why Medical Necessity is Essential

 

In 2019 and beyond, treatment centers of excellence must do everything they can to ensure patients are receiving the care they need, while also verifying that it can be obtained properly and legally. And the best way to do that if the appropriate units of care are being denied? By appealing. 

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How Telemedicine Is Disrupting The Mental Health Industry

 

“Too many Americans are suffering, and far too many are not receiving the treatment they need to live healthy and productive lives,” said Paul Gionfriddo, Mental Health America president and CEO.  One in five American adults is diagnosed with a mental health disorder, and over half of the U.S. adults with a mental health condition do not receive proper treatment.  

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You're Only As Smart As Your Reporting

 

Reporting has never been more important in behavioral health than it is right now. The ability to understand and forecast your collections and reimbursements is paramount to a healthy behavioral health practice and even healthier patients.  

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Three Benefits That Come From Escaping Excel Hell

 

 

Let me tell you about one of the scariest places in the world. A place from which it feels there is no escape…where you feel as if you're stuck in quicksand...a place that was once so promising, but that now leaves you feeling confused and defeated.

Welcome to Excel Hell.

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A Better Way For Behavioral Health Billing

 

Behavioral healthcare billing is a complicated but integral process for recovery centers. Getting paid in a timely manner is essential for most providers, but it can be one of the most difficult things to make happen in practice. 

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