Your SPRAVATO

®

 Billing

Made Easy

So you can do what you do best

We Maximize Your SPRAVATO

®

 

Reimbursements

Your trusted partner for revenue cycle management

End-To-End
Billing Solution

Your one stop solution for all your billing needs

WELCOME TO

SPRAVATO BILLING CO.


Spravato Billing Co. is your one stop solution for solving the complexities of billing and collecting for SPRAVATO®. No longer do you have to worry about the time consuming necessities of benefits eligibility and pre-authorizations; or the complexities of coding and claims follow – up. We do it all for you. Let Spravato Billing Co. cut through the administrative hassles so you can do what you do best: PROVIDE YOUR PATIENTS WITH THE VERY BEST OF CARE.

*a division of Practolytics, Inc.

Billing 1000 treatments per month with 98% Pass Rate


Renegotiating contracts with Insurance Payers to achieve increased rates for SPRAVATO® specific codes: S0013, G2083, 99417, and G2212.


Negotiating with all four SPRAVATO® Specialty Distributors on behalf of Buy & Bill Program clients for preferred drug pricing


Working with multiple SPRAVATO® Treatment Centers including the largest in the United States, Virginia, Georgia, Kentucky and Delawares


Taking responsibility for Benefits Eligibility and Authorizations; the two most critical determinative events in the SPRAVATO® Revenue Cycle.


Billing 1000 treatments per month with 98% Pass Rate

Renegotiating contracts with Insurance Payers to achieve increased rates for SPRAVATO® specific codes: S0013, G2083, 99417, and G2212.

Negotiating with all four SPRAVATO® Specialty Distributors on behalf of Buy & Bill Program clients for preferred drug pricing

Working with multiple SPRAVATO® Treatment Centers including the largest in the United States, Virginia, Georgia, Kentucky and Delawares

Taking responsibility for Benefits Eligibility and Authorizations; the two most critical determinative events in the SPRAVATO® Revenue Cycle.

END–TO–END SOLUTION FOR A PROFITABLE SPRAVATO® BUSINESS

OUR SERVICES


SOFTWARE SOLUTION


We offer you a complete software solution for the billing and collecting of SPRAVATO®. Our strategic relationships with both AdvancedMD and Osmind give you the state – of – the – art in practice management and EHR technology. Not only can you pick and choose which aspects of each you desire to run your practice; we absorb the costs! And with a thriving and busy practice like yours, included in our software solution is support, training and the customization to meet your specific needs. We are not going to drop the software in your lap and make you fend for yourself. We are going to be with you every step of the way as you implement these systems into the fabric of your practice to make it work best for you. We offer at no cost:

  • Osmind Electronic Health Record
  • Osmind Outcomes And Engagement Platform
  • Advanced MD Practice Management System
  • AdvancedMD Electronic Health Record
  • AdvancedMD and Osmind Online Scheduler, Electronic Intake Forms, and Patient Reminders
  • Osmind’s Patient Mobile App Allowing For Measured Based Care Capability
  • AdvancedMD and Osmind’s DEA Compliant Controlled Substance Prescribing
  • AdvancedMD and Osmind’s Template Builder

BILLING AND COLLECTION SOLUTION


BILLING AND COLLECTION SOLUTION


Our goal is to make your back office a profit center and not a cost; and to do so with total transparency. You have 100% visibility in everything we do in the billing and collection of your claims. Proactivity is our hallmark to getting your claims out the door quickly and cleanly and collectable in the first instance. Our promise to you includes the following benchmarks

  • Eligibility and benefits determination two days in advance of claims submission
  • Preauthorization of treatment within five days of prescribing
  • Daily submission of claims and tracking of your scheduling module to ensure all claims are billed in a timely manner
  • Quick notice of exclusions and clearing house rejections in order to correct claims for rebill
  • Weekly reporting of denials with coordinated follow – up and attorney oversight of appeals
  • 30+ AR reporting to identify, analyze and correct aging receivables for rebill
  • Accurate and timely payment posting to ensure cash flow projections
  • Balance after insurance and deductible billing and collections with regular patient invoices and follow up (at a cost of $0.75 per statement)
  • Patient toll free access to centralized contact center for billing questions and concerns
  • Additional customized reporting as needed to reflect your specific needs

SPRAVATO® - SPECIFIC CONSULTING


We are experienced in the Business of SPRAVATO® – that means getting paid for the valuable services you render. To ensure you maximize reimbursement in your SPRAVATO® practice, we will work with you to develop clinical protocols that merge with payer requirements for reimbursable Prolonged E/M Services. We understand that reimbursement for the two-hour observation period is the difference between profit and loss in a SPRAVATO® practice. We will review denials, coordinate follow-up, and author appeals to put payers on notice of practice compliance with published criteria. We will also keep abreast of the shifting sands of accurate CPT code usage for Prolonged E/M Service billing. And we will advise you on when it is strategically beneficial to avail yourself of the Janssen Buy & Bill program to maximize your revenue potential.

DEPRESSION BY THE NUMBERS


1 in 4

people worldwide experience a mental health issue each year

21%

of Americans will be clinically depressed at some point in their life

1/3

depressed patients are treatment resistant or treatment refractory

#1

Depression is the #1 cause of disability worldwide. The World Health Organization found that depression will have the highest global disease burden by 2030 (this was found even before the COVID-19 pandemic)

72%

of patients with depression fail to reach remission after 5 months of treatment

800,000

Close to 800,000 people die from suicide every year. Suicide is the second leading cause of death in 15-29 year olds

40 seconds

One person dies by suicide every 40 seconds. For each death, there are >20 attempts

$1 trillion

Depression and anxiety disorders cost the global economy $1 trillion in lost productivity each year

$238 billion

In an analysis completed before the COVID-19 pandemic, experts found that the United States would spend $238bn on direct mental health care in 2020

MEET OUR TEAM


Spearheaded by a robust team of industry experts with relevant experience in SPRAVATO® billing, rest be assured that you are bound to maximize your revenue

Manik Chawla

Partner

Manik Chawla has 16+ years of experience in the complex and competitive healthcare industry. In his role, he has partnered with healthcare practices to provide end-to-end solutions including medical billing, healthcare consulting and practice analytics, thus allowing practice to eliminate revenue cycle management inefficiencies. His diverse background in every aspect of healthcare helps the company to maximize revenue and consistently deliver optimum results.

As a CEO, he has conceptualized new business segment growth strategies, commissioned plans, KPI benchmarks and progress dashboards, which revved the business.


Aaron Weinstein

Partner

Aaron Weinstein has over 25 years of legal experience focused in healthcare reimbursement. He has represented many of the largest healthcare institutions in the country overturning wrongfully denied insurance accounts and recovering tens of millions of dollars from such payers as Anthem Blue Cross, Cigna, Aetna and United Healthcare. At Spravato Billing Co.,

Aaron Weinstein is responsible for ensuring client clinical protocols, meet payer requirements and fighting insurance companies on behalf of clients to make sure they receive the money the rightly have earned.

ABOUT US


We are one stop solution for SPRAVATO® reimbursements. We provide comprehensive solution to ensure that you get paid for each SPRAVATO® treatment done. We believe in dealing with utmost professionalism and also with transparency at every step to ensure maximum profitability for our clients.

OUR ADDRESS


Suite # 222, One Harbison Way,
Brookside Park, Columbia, SC - 29212.
(803) 932-9624
(803) 629-0770
spravatospecialists@practolytics.com
www.spravatobilling.com

CONNECT WITH US


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