1247Chemical Dependancy Treatment Centers
- Jul 1, 2004Got an inquiry today from a Chemical Dependancy Treatment Center -
outpatient center. Anyone on here bill for this type of specailty?
They have about 400 patients (teens). They're seen anywhere from
daily to weekly to monthly. He said 60%-70% of them are seen daily
or weekly. There's 10 counselors on staff - they're credentialed as
LADC's (licensed alcohol & drug counselors).
They're non-par w/ the carriers - but trying to become PAR with some
of them. (So if you're EXPERIENCED in credentialing - let me know -
they're looking for a couple referrals for that). The only one they
ARE PAR w/ so far is w/ the county funding programs (ie: medicaid).
It's a new start-up clinic and they hope to open by the end of the
year - they're pricing out weather it's cheaper to outsrouce vs hire
a FT biller.
The average they get paid is anywhere from $10.30 - $14.50/day X
30.4 day/month. So they're getting anywhere from $313.12 to $440.80
per month PER patient. If I do a (TON) of math - 6.5% or
$3.50/claim (a claim being 1 week of service) = about the same
amount. Do you all think those fees would be fair for this type of
provider / specialty?
I assume this type of billing wouldn't be all that difficult? Would
it be similar to other types of mental health billing? Any helpful
advice or links anyone has re: this specialty?
Input welcome...Randi, CMRS :)