Tag: Medical Collections

Panacea Healthcare Services – A Trusted Solution

The behavioral healthcare industry has changed. From facilities and individual providers to investors and operators… many are finding it difficult to survive and provide quality care while struggling with limited reimbursement rates and aggressive payer practices. Panacea Healthcare Services was founded on the principal that an end to end solution for all the challenges of […]

National Substance use and addiction statistics 2024

Drug and substance abuse continues to be a major problem across the United States, with 1 in 4 Americans over the age of 12 admitting that they used illicit drugs in 2022. While alcohol, tobacco and marijuana represent the most popular drugs among Americans, many struggle with more illicit drugs, including cocaine, methamphetamines and heroin, according […]

HOW TO SURVIVE DEDUCTIBLE SEASON

It is that time of year once again and, while the New Year may bring new opportunities to save lives for healthcare providers , it comes with a caveat: Deductible Season. If your treatment program does not already have a strong system in place for collecting Place-of-Service (POS) payments, you may have noticed an increase […]

Avoid These Common Revenue Pitfalls

We are in an era of complex healthcare billing that can cost providers lost revenue due to lack of knowledge and proper training. Without these much needed tools, providers are faced with significant loss of revenue for their company. The good news is many of these mistakes are avoidable with proper checks and balances in […]

Understanding Cobra Plans

What is a COBRA plan?   A COBRA plan is a private insurance option that gives people who may have just lost their job, time to find a new job, new insurance, and remain covered. COBRA is typically for when a patient is terminated from their job or they have to leave their job, and […]

Single Case Agreements 101

Single case agreements are contracts between an insurance company and an out-of-network health care provider for specific patients for billing in particular cases. They allow out-network patients to benefits. from in-network billing benefits. There are two ways for billing after the approval of SCA. First, the insurance company provides the allowed amount, finalized as per […]

Mental Health vs. Substance Abuse

There are all sorts of therapies and rehab programs to treat substance abuse these days. However, recent studies and observations indicate substance abuse not always being a standalone problem. This information also implies that, for decades, it’s not just substance abuse that has been a problem, but also the way patients undergo treatment.  Providing proper […]

Ancillary Services 101

Ancillary services are additional services, which are important to run an organization (not to be confused with ancillary services – electrical). They are set up to provide full service to the customers and also help increase revenues an organization’s revenue. In hospitals, ancillary services are the ones other than room, nursing, medical, and board services. […]

Utilization Review Technology Improves Outcomes for Behavior Healthcare Providers

If you’ve worked in the behavioral healthcare realm for more than a few months, you already know treatment services aren’t always utilized the way they should be. This is more often due to billing problems than treatment issues. Because of this, the utilization review process has disintegrated over time, and now providers need multiple full-time employees to deal with insurance companies, handle medical billing, process insurance claims, and pursue medical collections.

Current Trend in the Behavioral Healthcare Industry of Going In-Network

Currently, many behavioral healthcare providers are turning toward the option of going in-network rather than away from it. For those who don’t know, the term in- network refers to the option of connecting with certain health programs and/or insurance companies at a negotiated rate in order to provide care to individuals who are covered by […]