Alcohol Rehabs: Are You Ready To Outsource Your Medical Billing?

By Lonnie Greenfield


Many alcohol rehabs today are pulling their hair out of their heads. They are asking themselves how they can make more profits. Most treatments centers today are not highly profitable. Most are barely making a profit. The reason for this is that there are too many mistakes happening today with medical coding. Most coders are not trained in ICD-10. They are still stuck in the past on ICD-9. It is shocking to see how many coders are not trained for the codes that were released on October 1, 2015.

Some medical billers are certified in ICD-10. Others have master's degrees in the field. It is important to hire someone that knows how to use the new coding software. Many people don't know how to code properly. When the industry changed from ICD-9 to ICD-10, it caused a change. Medical billers today must learn some 69,000 different codes. You must know about treatment. Learning about drug and alcohol treatment is the best way for someone to work well for you. The more a person knows about what you do, the better.

If you own a drug and alcohol treatment center, you are busy. It is clear that you have little time to worry about the bills. Many insurance companies today are auditing treatment centers for various reasons. They often want to know why you are sending them requests for payment. Did the client really need to stay at your facility for 45 days? Why didn't they leave after 30? Why did they require 2 blood tests a week instead of 1? These are questions that insurance companies want to know. Under ICD-10, insurance companies have gotten smarter. They are less likely to write you a check without a good explanation of why they should be paying you in the first place.

Medical billing companies are not hard to find these days. If you search in Google, there are over 30,000,000 searches that come up. That is a lot of information and so few people know which one to choose. If you are not having any luck with you in house biller, it is important to outsource the work. Most coders are not prepared for ICD-10. It is mainly because nobody really knew that the changes would be so significant. Many coders now are asking themselves if they should go back to school or get certified. It is coming to a point where everyone is going to have to get certified eventually. Those certifications mean that you know what you are doing.

Medical billing companies often have a full staff of employees working for them. It is not uncommon to hear of everyone being certified at the location. Yes, they pay these people lots of money to work hard for you. The choice that you make will either break your treatment center to take it to a new level of success. A lot of billing companies today are based on their reputation.




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