Verification of insurance benefits

Verification of Insurance Benefits

Verification of insurance benefits (VOB) is the first and most important step in the medical billing process.  The VOB process is no longer a simple eligibility check.  There is a difference between verification of benefits and verification of patient insurance coverage.  It requires an experienced staff who work with you and who understand payer benefit systems to eliminate the risk of inaccurate, incomplete, or out-of-date information.

VOB is a process in which insurance benefits are checked for potential clients.  This process entails making sure their health insurance is active, the payments are up to date, finding out the deductible and maximum out of pocket, as well as a variety of other questions. It is a way to ensure the services that you render will result in payment from the insurance company It is really the first step in ensuring payment from both the insurance company and the patient.  This process can be done by someone in-house or it is often done by the outside billing company.

Verifying benefits for a new patient’s insurance is crucial.  By checking all the information needed you are limiting any surprises when it comes to the patient’s insurance coverage, or what is not covered.  Just because verification of benefits shows a patient is active, you need to dive deeper and see that the patient is covered for certain services.  Also, how much is the insurance company willing to pay for this service.  Billing cycles are typically a week behind, if a verification of insurance benefits isn’t completed properly you run the risk of caring for an individual without valid benefits and won’t receive any financial compensation.

Completing a VOB successfully will put you on the right path for your revenue cycle.  Your coding, billing, utilization reviews and, if needed, insurance claim appeals will be made easier by starting with a strong verification of insurance benefits.

Verify insurance benfits submit claim get paid

Understanding insurance benifits keeps your revenue safe

It is important to be prepared.  Insurance companies can be challenging and each and every one has different stipulations for each and every policy.  So, you should be prepared with information and questions specific to each insurance company.  This will alert you with any red flags that could create a problem down the road. Each VOB needs to include the insurance representative’s name and reference number for the call if that isn’t noted it will be impossible to appeal a claim later on.  The verification of insurance benefits call is recorded to refer to if needed during claim follow up or the appeal process.

Once verification of the patient’s insurance coverage is complete it needs to be documented accurately.  The information collected while verifying insurance benefits is used to determine if the patient will fit your practice.  VOBs are often referred to throughout the billing process and if not documented properly it can affect every stage of your billing cycle.  Just as each patient is an individual so is their insurance. In order to keep a successful billing cycle and reduce insurance denials be sure that you are not only verifying insurance benefits, but you are also verifying patient insurance coverage.

Doctor Using Phone to Verify Benefits with instantvob

How Healthcare Providers are Using Instant Verification of Benefits to Streamline the Admissions Process

Instant Verification of Benefits: Improving the Admissions Process for Healthcare Providers

 

Patients not qualified for Medicaid and Medicare are on the back burner due to their inability to pay promptly. Remembering that they still require healthcare, hospital admissions staff juggled numerous bills before deciding who would receive treatment. Meanwhile, uninsured patients languished in waiting rooms, sometimes for hours. It was a dilemma: although they needed immediate care, hospitals could not know the patient’s ability to pay until the admission process was underway. Medical providers felt tied between a rock and a hard place — their hands tied. They couldn’t provide immediate service without knowing what the patient could afford, which is why many people found themselves without health insurance or any healthcare at all. The introduction of instant verification of benefits has alleviated the problem of medical under-insurance thus far by streamlining the admissions process for all parties involved.

Availity, Navinet, and instantvob™

Millions of people in the United States struggle with substance abuse and mental health issues. These disorders often go hand-in-hand, and they can have a devastating impact on individuals and their families. While many treatment options are available, not all of them are covered by insurance. This can make it very difficult for people to get their needed help. This is where Availity comes in. Availity is a healthcare technology company that offers instant verification of benefits. This means that healthcare providers can quickly and easily check to see if their patients’ insurance will cover the cost of treatment. This is a critical service for healthcare providers who treat substance abuse and mental health disorders. It can help patients get the treatment they need and start on the road to recovery. Healthcare providers are using a variety of software platforms to verify benefits and eligibility for their patients. These platforms include AvailityNaviNet, and instantvob™. 

Providers are Turning to Technology Solutions for Benefit Verification

Healthcare providers use platforms like Availity, NaviNet, and instantvob™ to verify benefits and eligibility for their patients. These platforms help providers verify coverage and benefits for patients with Substance Abuse, Mental Health, and Substance Use Disorder Treatment. Providers can use these platforms to verify benefits and eligibility for their patients in real time. This helps providers avoid billing mistakes and improve the accuracy of their claims. Using these platforms is becoming more common as providers look for ways to enhance the efficiency of their processes. In an effort to streamline the admissions process, many healthcare providers are now using instantvob™. This technology allows providers to instantly verify a patient’s coverage, reducing delays and improving the overall patient experience. instantvob™ is also beneficial for providers, as it can help reduce the administrative burden associated with the admissions process. By using instantvob™, providers can spend more time caring for patients and less on paperwork. Overall, instantvob™ is a helpful tool that makes the admissions process more efficient for patients and providers.

Learn More About Instant Verification of Benefits

Healthcare providers are using instant verification of benefits (VOB) to streamline the admissions process. VOBs provide real-time data on patient coverage and benefits, which helps admissions staff make more informed decisions. In addition, VOBs can help with revenue cycle management by providing information on insurance payments. Our web application is affordable, and we can get you up and running in one phone call. Reach out to us at 561-530-5755 or visit https://instantvob.com/contact-us/ to learn more!

verification of medical benefits is hadnled by instant VOB

 

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Drug Rehab Owners Deserve Kudos

Running a drug and alcohol addiction treatment center is difficult for drug rehab owners. Understanding the medical side can be just as important as understanding the business side. Marketing is also another critical element. Failure to understand these essential elements can be the difference between running a profitable drug and alcohol addiction treatment center and having to close the doors.

Drug Rehab Owners Must Be Knowledgeable

Billing and marketing are the two most significant areas a drug rehab owner needs to know. However, rehab owners must handle other factors on an ongoing basis. Here are just a few of the areas they must concentrate on.

  • Mortgage or Rent
  • Staff Payroll
  • Legal Fees
  • Medical Billing Company
  • Software to run the business (medical billing software, marketing software, and CRMs like Salesforce)
  • Marketing
  • Electric Bill
  • Food
  • Payer Trends
  • Licensure and Audit
  • Consulting
  • The addiction treatment center offers clinical treatment – including but not limited to alcohol detox, drug detox, residential inpatient, intensive outpatient, and outpatient care.

These are just a few budget items of concern for drug and alcohol addiction treatment center owners. They are required to make hundreds of decisions to make every day. They often must see something that will help in one or more of these areas before it resonates with them—the successful owners researching new and innovative ways to streamline their workflows and day-to-day operations.

Rehab Owners Are Unsung Heroes

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Many think drug rehab owners have easy jobs but even acquiring the capital to open a drug and alcohol addiction treatment center is difficult. There are many roadblocks to navigate before they can open their doors. Some of these may include the following:

  • City Inspections
  • Zoning
  • Payer Specific Requirements
  • Remodeling and Construction
  • State Licensure
  • Accreditations

These are just a few to get the door open, but keeping the doors open is no easy task. The new mission is to ensure they can cover the monthly expenses and still have some money left to turn a profit, unlike in 2014 when owners with minimal experience could profit quickly in the treatment industry. The competition is more significant, and there are new laws governing how you must operate and even how you can market your drug and alcohol addiction treatment center. The insurance companies are not paying like they were back then.

Many addiction treatment center owners have given out scholarships for care. They do this often; however, there must be a limit at some point. They would like to give everyone free treatment, but unfortunately, they need money to pay all the bills associated with running a center.

The Biggest Obstacles for Drug Rehab Owners

Operating a substance abuse rehabilitation center is expensive, and the dollars add up quickly. If the owners and operators ignore the billing and marketing, their business will fail. They need to know precisely how much policies are paying and how long it will take for the center to get paid. Eliminating the guesswork is paramount. instantvob™ has spoken with many drug rehab owners, and everyone has said, “We needed to decrease the amount of time it takes to run a VOB.” Allowing admissions teams to have this information upfront increases admission volume. Often, they need this information on nights and weekends when the insurance companies are closed. Even during the weekdays during business hours, you could spend one hour on the phone verifying benefits! Typically, the outreach coordinator must call the patient back when they finally get the information. Suppose the center had instant verification of benefits software. In that case, they could have put that person on hold for about 60 seconds to run the instant verification of benefits while the patient was still on the line.

What Do the Smart Drug Rehab Owners Know?

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Smart drug rehab owners understand to listen and research before deciding if the product or service will save them time. This includes decisions on the medical and business sides of operating a drug and alcohol addiction treatment center, a critical piece of advice.

One person cannot perform every job needed to operate a drug rehab. Take, for instance, medical billing. There are so many things to know that they would have had to work for a medical billing company. The more prominent centers rely on billing companies because of the qualified staff with experience in substance use disorder treatment billing.

Consider the difficulties of marketing. Here you must decide whether you want to pay Google to keep business coming in or pay a good drug rehab SEO agency to get your rehabilitation center ranked on page one. Either way, this takes a particular set of skills that many owners do not have. Owners often choose a “boots on the ground” strategy. While this may seem to work initially, it will not compare to using Google (AdWords or SEO). Remember, Google gets 40,000 searches every second. If you rank on page one, your phone is going to ring.

Smart drug rehab owners have a good handle on revenue cycle management. They know how much money they need to come in to sustain themselves at any given time. This is critical because the bills must get paid.

Keeping Those Admissions Coming In

Drug rehab owners, unfortunately, need to have new admissions every day. Once a center is up and running, they need to concentrate on the admissions volume. It is more than a numbers game because if the owners can pay all the bills, they are more likely to provide more scholarships for care. They cannot offer scholarships if they can’t keep their doors open.
This area requires much attention on outreach. Like any business here, you want as many different buckets going on at the same time as possible. Some of the areas may include the following areas.

  • Networking and Events
  • SEO (search engine optimization) Ranking on page one organically and in the “Google 3-pack”
  • Google AdWords
  • Facebook/LinkedIn (Paid Marketing)
  • Court System
  • Developing relationships with hospitals
  • EAP’s
  • Alumni Program

These are just a few areas to keep admissions coming in. Increasing admissions is the hardest part about running a drug and alcohol addiction treatment center, especially now that pay-per-click advertising requires Legit Script certification before running a campaign. This type of advertising involves much capital, with a dozen competitors spending $500,000 monthly in pay-per-click.

instantvob™ Increases Admissions for Drug Rehab Owners

instantVOB™ provides immediate and accurate information on the benefits of a potential client. Let us show you why we are the best instant verification of benefits company. We can provide benefits on nights and weekends, even when the insurance companies are closed. We assist many drug and alcohol addiction treatment centers in increasing their admissions with our intuitive app. Get your completed instant verification of benefits in less than 60 seconds!

  • acquire a patient’s active status
  • get the exact deductible
  • the amount of co-pay needed
  • co-insurance information

Outreach teams and admissions coordinators must be able to quickly advise on whether they will be able to admit them into your treatment center.

Increase Your Admissions Volume. Call Us Now!

verify TX is the prevention of not getting paid for medical billing.

Drug and alcohol detox centers, inpatient, intensive outpatient, and ambulatory facilities need tools to make more accurate admission decisions. instantvob™ has helped many substance abuse rehabilitation centers save countless dollars in unknown insurance reimbursements. Get the critical decision-making information your outreach staff needs.

Our web application is affordable, and we can get you up and running in one phone call. Having this information will not only increase admissions but will also help in the revenue cycle management process. You will have a clearer picture of what is coming in from the insurance company and when you should receive payments. Call us at 561-530-5755, and let us make your job easier. 

Owning a Drug Rehab: The Business Side

Owners are often not shown the appreciation they deserve for owning a drug rehab. These individuals are at the frontline of the opioid epidemic. They have dedicated their lives to saving lives and helping others achieve long-term sobriety. The general public does not realize how difficult it is to own and operate a drug and alcohol addiction treatment center.

Complex Process of Starting a Drug Rehab

Most substance abuse rehabilitation center owners and operators are in recovery themselves. They know firsthand how drug and alcohol addiction can destroy lives. Many strive to help as many people as possible, and this is not an easy task. As an owner of a substance abuse disorder treatment rehabilitation facility, many things must be taken care of daily and monthly to keep the doors open. There are very high costs associated with owning and operating a drug rehab. If these individuals cannot pay their monthly bills to keep the doors open, they cannot continue to help individuals into long-term recovery.

Starting an addiction treatment center is challenging, especially managing the licenses required by the state and local governing bodies such as the Department of Children and Families (DCF). Also, local zoning ordinances are necessary for the city’s approval. The cost of attorneys is required in every aspect of owning and operating a drug rehab.

Owning a Drug Rehab Requires Licensing and Accreditation

Many drug and alcohol addiction treatment centers are Joint Commission accredited, and this is a costly accreditation; however, it demonstrates that they adhere to the strictest standards. Therefore, many of the treatment centers get this certification. To receive this certification, many treatment centers hire outside consultants and spend large sums of money. Proper documentation and having a “policies and procedure manual” detailing all internal processes at a drug rehab facility is a requirement. These are typically lengthy manuals that require an educated and experienced individual to construct.

In addition, there is a business plan that business owners must put together which outlines all the requirements for a business to stay operational. In combination with this, individuals will need a Pro Forma which outlines all the costs associated with operating the business. On a monthly or yearly basis, a projection of earnings of up to five years is required.

To compile a Pro Forma, you must know how much the insurance companies pay for each care level. This information is generally available from a medical billing company based on an accumulation of data from a specific geographical area. The medical billing company will have information on how much the insurance companies are paying for all the different types of payers.

Drug Rehab Marketing

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Even with the medical component in place and the location up and approved, there is still the most challenging obstacle owners face daily. They need clients to be able to pay their bills and keep the doors open. This is one of the most challenging aspects of owning and operating a drug and alcohol addiction treatment center.

The competition is highly competitive. A handful of big players spend in excess of $500,000 a month in marketing to generate clients. This makes it extremely difficult for small and medium size substance abuse rehabilitation providers to survive. What are their options to generate clients?

The are only a few different ways for drug rehabs to generate clients. A thriving addiction treatment center will use a combination of these to sustain itself.

  • Google Ad Words and PPC
  • Drug rehab SEO (ranking organically on page one of Google for keywords)
  • Google Maps 3 pack – Ranking in the top 3 Google Maps (This is one of the best ways for small centers to beat the big ones.
  • “Boots on the Ground” – Referrals from other centers, private clinicians, the courts, hospitals, and more.

As you can see above, generating leads and new clients is difficult. Each one of the above requires financial investment and time. Even with all this in place and working correctly, there are still a few areas of concern left: admissions process and medical billing. We will cover both of these critical areas.

Admissions: Where Countless Dollars Are Lost Every Year – Get It Back with instantvob™

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Admissions are one of the areas that drug rehab owners must pay careful attention to every day. Drug rehabs allocate a tremendous amount of time, money, and energy to generate leads. A lead usually costs about $4,000, so rehab owners must capitalize on every phone call generated.

People are not looking for help only during business hours. A call for help can come, and usually does, on nights and weekends. Many drug and alcohol addiction treatment centers could not verify health insurance benefits then. The only thing they know for sure is the potential patient’s insurance.

We recommend the instantvob™ health insurance verification app for all drug and alcohol addiction treatment centers. This app will help save lives and help drug rehabs generate more admissions. The key factors needed to make the best decision possible by the admission staff have been outlined below. Learn more about why centers need to verify health insurance benefits here.

  • Insurance type
  • What is the deductible amount?
  • How much of the deductible is met?
  • What is the maximum out-of-pocket expense?
  • Is there any co-insurance?
  • Are there any co-pay factors?

These answers eliminate the risk of the addiction treatment center admitting this patient and also allow the admissions professionals to keep the individual seeking help on the line while they check this critical information. The process only takes about 10 seconds to get up-to-date and correct answers. If they find out they cannot help the patient due to financial concerns, they can advise them on other ways to obtain help with their current insurance benefit coverage. They could even have a conference call with the best potential addiction treatment center that offers coverage based on the patient’s insurance policy. This enables those with limited insurance benefit coverage to obtain their needed help.

Medical Billing Concerns – Providers Are Leaving over 20% on the Table!

Medical billing procedure improvements are one of the least scrutinized areas of operating a drug and alcohol addiction treatment center. Specifically smaller centers and some medium-sized facilities think they’re saving by doing their medical billing in-house, however, these facilities are losing and writing off more than 20% of their annual billing.

Hiring a well-staffed, experienced medical billing company in the substance abuse industry is a wise choice. They have the experience and human resources to negotiate with insurance companies. The insurance companies often stall and audit to delay payment long enough for the addiction treatment centers to write it off. Additionally, experienced medical billing company will also know the best ways to process claims and services, which is why we always recommend addiction treatment centers have a medical billing company audit their receivables every year. This evaluation could recoup countless dollars left on the table.

We Help Drug Rehab Owners Everyday

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If you are in the business of owning a drug rehab facility, we can help you in two key areas;  generate more admissions with our instantvob™ software and get advice on your revenue cycle management processes. On average, our clients get over 20% more reimbursements from overdue receivables and claims that untrained medical billers may have submitted incorrectly.

We appreciate drug and alcohol addiction treatment centers for what they do every day. They are saving lives and making a difference at this difficult time. The next time you think the owners of addiction treatment centers have an easy job, think about some of the things we covered in the article. There are many more reasons to admire substance use disorder treatment facility owners. We can only cover a little in a blog article.

We know running a drug and alcohol addiction treatment center is difficult. There are many different things owners must take care of every day. Call us at 561-530-5755, and let us help you save and generate more revenue.

 

 

 

instant VOB health insurance verification app

Why Drug Rehabs Lose Admissions

Drug rehabs need more help in running this much-needed service. Running a drug and alcohol addiction treatment center is no easy task. Generating new clients is one of the most challenging things to achieve. Marketing is one of the most significant investments for any substance abuse rehabilitation center. However, just generating the lead is not enough for drug rehab owners.

Why is Drug and Alcohol Addiction Treatment Needed at All?

The United States is in rough shape with drug and alcohol addiction. Estimates show that 20 – 21 million people suffer from drug and alcohol abuse. Combine this with the COVID-19 coronavirus pandemic, and the numbers have jumped dramatically. The number of suicides has also increased drastically over the past two years.

With so many people suffering from drug and alcohol addiction, you think all the addiction treatment centers would be at capacity. However, this is not the case. Just because someone is suffering from drug and alcohol addiction does not mean they’re reaching out for help. Our society has done a poor job of allowing these people to seek help without the shame associated with addiction.

Drug and alcohol addiction is present at all levels of our society. Each demographic, lower, upper, and middle class, have their problems with drug and alcohol addiction. Addiction is present in teens, individuals in their 20’s, women in their 30’s, men in their 40’s, and more. One thing for sure is that drug and alcohol addiction treatment centers need to educate the public and do their part to combat the stigma associated with seeking help. 

How Drug Rehabs Get Clients

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The drug and alcohol addiction treatment industry is big business. The industry generates about $35 billion per year. Drug rehabs have much competition to get new clients in an industry of this size. There are only a few different ways that treatment centers generate new clients. Below you will find several other marketing methods treatment centers use.

  • Drug Rehab SEO
  • Google Ads / PPC
  • Outreach/Networking
  • Facebook Paid Marketing
  • LinkedIn

A handful of players spend about $500,000 monthly on marketing and advertising. This considerable expense means the small to medium players cannot compete with Google Ads and PPC. Having a lower marketing budget leaves them with two alternatives: A “boots on the ground” outreach and networking approach or drug rehab SEO. No matter what path you take, getting new clients is an expensive venture. Estimates show that a treatment center will spend between $3,000 and $8,000 to obtain a single client.

The Admissions Process for Drug and Alcohol Addiction Treatment Centers

Treatment center owners must know about substance abuse billing when admitting clients. The outreach position in the drug and alcohol addiction or treatment industry is among the most difficult. There is extreme pressure on these individuals to enroll clients in their particular programs. Most of the outreach calls are addressed by these professionals. They’re required to assess what the individual needs for drug and alcohol addiction treatment based on the severity of the patient’s symptoms. This assessment could mean several different levels of care. Some of the treatment levels of care include the following.

  • Alcohol Detox
  • Opiate Drug Detox
  • Residential Inpatient
  • Partial Hospitalization Program (PHP)
  • Intensive Outpatient Program (IOP)
  • Outpatient Treatment (OP)

A psychological and social assessment is made to determine the level of substance abuse rehabilitation needed. Once an individual is assessed, the outreach person must look at their insurance. Obtaining correct insurance benefits is difficult for all drug and alcohol addiction treatment centers. However, it is necessary, and these centers cannot operate without being reimbursed by insurance companies.

Drug Rehab Owners Can’t Guess on Getting Paid by the Insurance Companies

Drug rehab owners must pay attention to their medical billing revenue cycle management. This is a critical fact for any rehabilitation center. Drug rehabs need operating cash to keep their doors open and to continue to help individuals struggling with addiction. It costs a lot every month to maintain a drug rehabilitation facility.

It will be detrimental when a drug rehab owner ignores their revenue cycle denial management. Once their outreach admits someone, they must be sure of several different things.

  • Does the drug and alcohol addiction treatment center accept the patient’s health insurance?
  • At what rate will the health insurance pay for that individual’s service?
  • When will the treatment center receive reimbursement from the health insurance?

These are fundamental business and financial questions, which is no time to guess. Insufficient operating capital is one of the biggest reasons substance abuse rehabilitation centers fail.

Drug Rehab Owners Stop Guessing about Getting Reimbursed by Insurance Companies

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The best way for drug rehabs to get the correct answers is through insurance benefits verification software. instantvob™ is the best way to verify health insurance benefits. instantvob™ can help verify all insurances like Blue Cross Blue Shield (BCBS), CIGNA, and United Healthcare.

This medical billing revenue cycle software helps in several critical ways for drug and alcohol addiction treatment centers. Here are some of the reasons your center needs real-time verification.

  • Increases admission approval speed
  • Reduce write-offs on patient’s bills that the insurance companies did not reimburse for or underpaid

Getting accurate substance abuse benefits information is critical for drug rehabs. You need access to this vital information on nights and weekends. When your outreach staff receives a call on nights and weekends, they cannot verify with the insurance companies. Our web app allows you to get this information anytime, 24 hours a day! instantvob™ gives you all the patient insurance information you need to make an informed decision.

  • Policy active status
  • Deductible
  • Co-pays
  • Co-insurance
  • Which levels of care are covered by their policy?

Being able to advise a potential client on a weekend call is critical. If they don’t get the answers from your center, they will call another. Give instantvob™ a call at 561-530-5755 and get your center up and running today with our real-time insurance benefits verification tool.

Maximize Drug Rehabs Leads by Verifying Health Insurance Benefits

As we said before, it costs a lot to generate leads for drug rehab. A lot of time and money is spent to keep your addiction treatment center doors open. Having the tools to eliminate the guessing of potential clients is incredibly valuable. It increases operating revenue and gives outreach professionals the correct information to help a likely patient.

Your outreach staff gets a call on Saturday at 10 pm. They run the potential client’s health insurance information through instantvob™. They find out in under 10 seconds that they cannot help that individual. Instead of saying, I’m sorry we cannot help you, they will be able to refer them to one of the center’s preferred partners.

The individual seeking help will be highly grateful. Finding treatment for substance abuse is a complicated and often an overwhelming task. If you make sure someone gets into the best hands to help them, it is a much better situation than just saying,” Sorry, I can’t help you.”, or “I’ll get back to you tomorrow.

Call instantvob™ and Start Verifying Benefits Instantly!

verification of medical benefits is hadnled by instant VOB

Drug rehab owners are always trying to find ways to increase revenue or recoup lost and earned income. Our insurance eligibility verification software does all of that and more. We’re not talking about a couple of thousand dollars in unpaid claims. The outstanding claims average more than 20% of a treatment center’s annual revenue.

Don’t wait another day and lose more money from poor admissions decisions. Give us a call at 561-530-5755 for a free demo.

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Instant Insurance Verification of Benefits – What You Don’t Know

Instant insurance verification of benefits is not a guarantee of payment. This phrase raises questions such as, “Why do insurance companies not pay a claim?” Why would the insurance company be so focused on this statement even after you verify the benefits of a particular policy that they would still include this disclaimer? It feels like they are already looking for a reason to avoid paying a claim, and you haven’t even admitted the patient. Isn’t the purpose of calling to verify the benefits to determine if the patient’s policy covers a particular level of care or ancillary service?

Instant Insurance Verification of Benefits Getting Lost in the Portal

Instant verification of Benefits with the specifics of each insurance company can be challenging. There are many different insurance companies. They all have self-service portals like Availity. Here are some others.

They all have their portals to provide self-service options. Doesn’t the word “verify” imply that the benefits are available to that patient? Well, it’s not that simple, and a plethora of information goes into the instant verification of benefits, billing, and collections.

It’s too familiar to revenue cycle managers when they see this complicated process. How can they differentiate what the patient’s benefits are? Do they also need to know how to bill the claim for the correct bill code? Many factors go into substance abuse building for a medical healthcare claim, from doctor’s notes to billing codes to even special regulations for specific insurance policies. When evaluating a medical claim based on the quoted insurance benefits, these all come into consideration.

The keyword is “guaranteed.” Even though you verify benefits, you could still make a mistake in any of these ways and more and not receive reimbursement. Instant verification of benefits is only the beginning step in submitting a claim to your insurance provider.

Why is Instant Verification of Benefits Complicated?

There is a lot that goes into the instant verification of benefits process. It is a complicated procedure. Here are some of the factors to be considered.

  • What is the deductible amount?
  • Are there out-of-pocket costs or co-pays?
  • What telephone number do I call if you need the information on nights and weekends?
  • Where do I go to find the self-service portal details online?
  • What if it’s after hours?

I have been on the phone with an insurance company, and the phone automatically disconnects right at closing time, despite waiting on hold for over two hours. I had never heard that wonderful phrase, “Verification of Benefits is not a guarantee of payment.”

What about finding that information accurately on nights and weekends in just one simple online portal; is that even available? What if a patient wanted to admit to your healthcare facility that was open on Saturdays? They show up with their particular insurance policy, and you have no way of verifying that policy over the phone. That’s where an online portal would be the next choice to see and verify that particular insurance benefit. As I have said, each insurance provider, such as Blue Cross Blue Shield, Aetna, and United Healthcare has different self-service portals for Benefits Verification. You have to log in to verify those benefits. And there is no guarantee that those portals will even be up and running.

instantvob™ Beats the Rest

Our instant insurance verification of benefits software does much more than the competition. instantvob™ demonstrates its efficacy with all insurance policies in one location. No more having to log in to multiple provider self-service portals on nights and weekends to verify insurance policy benefits. No more verification of benefits paper forms or letters. instantvob also gives you a “My VOBs” section to look at previous patients’ verifications, which can be convenient if a patient calls you on the phone and wants to set up a future appointment or for your substance abuse billing department to go back and look at the verification.

Why Drug Rehabs Need instantVOB™ 

Form for insurance verification of benefits

Built mobile-first, instant insurance verification of benefits has never been easier with instantvob. This tool can instantly verify hundreds of insurance policies in the palm of your hand. The verification of benefits form shows you everything from deductibles and out-of-pocket costs, even individual and family coverage levels. It also provides support for many different healthcare specialties. This tool has revolutionized how healthcare centers have verified benefits and increased revenue across the board to their customers. Most centers see a dramatic influx of patients due to the availability of providing accurate information to their patients promptly utilizing instantvob™. Avoid the need to tell patients, “I’ll call you back in an hour or two.” If you’ve ever worked as a front office manager of any healthcare facility, you know how much this frustrates the patient. Knowing that an estimated 90% of Americans are insurance dependent, whether private insurance, Medicare, or Medicaid, this information is paramount when verifying benefits.

Instant Insurance Verification of Benefits is Admissions Simplified

button for instantly verifying insuranve benefits

Our instant insurance verification of benefits supports many healthcare specialties, including substance use disorder treatment. We are helping drug rehab CEOs get more admissions with our program. The team at instantvob™ has worked tirelessly to create the most intuitive and consistent platform for delivering insurance benefit verification data. instantvob™’s goal is for drug rehabs to access the most accurate data with the least friction possible. However, this doesn’t mean it is limited to the substance abuse and mental health market. Anyone from any healthcare specialties, medical billing, and pharmacy owners can utilize this information to make informed decisions for the patient’s care and, even more importantly, avoid surprises for the patient.

Insurance verifications are not a guarantee of payment. However, when you have the information in your hand of over 300 million other reimbursements, you can use the past to predict the future. You are still taking all the different steps to ensure your patient gets the clinical care needed and bills correctly for the financial care they deserve. Call us at 561-530-5755; we will help you get more admissions.

Verification of benefits helping drug rehab owners

Drug Rehab CEOs – Stop Guessing With instantvob™

instantvob™ knows that owning and operating a drug rehab can be a difficult task. There are many aspects and moving parts to a drug and alcohol addiction treatment center. Some of these critical areas include business, clinical, and marketing. Sometimes they need comprehensive and utterly accurate information within seconds to help save lives. Although many own and operate a rehab to help genuinely, they need operating capital to keep their doors open.
They do this by obtaining new clients, which is a difficult task. In that process, their admissions and marketing teams need critical answers quickly to decide how to help an individual on the phone. Unfortunately, health insurance plays a significant role in this process. The drug and alcohol addiction treatment centers need to verify insurance information in real-time. They need these critical answers in seconds to get back to the individual seeking help on the phone. This can be done while on hold with instantvob™ services.

Seeking Addiction Treatment Help is a Critical Time

An estimated 20 million people in the US go without help for drug and alcohol addiction. There are many reasons for this; however, it is critical when someone reaches out that there are no obstacles for them to get the help they desperately need. In addition, we are now trying to deal with a record number of opiate overdose deaths in 2021. The Center for Disease Control and Prevention released record opiate overdose numbers for 2021 that recorded over 200 lives per day. This is a considerable increase of 150 before the Covid-19 pandemic. Many drug rehabs are turning to instantvob™ to help them approve or get individuals reaching out for help the individualized help they need.

When substance abuse rehabilitation centers get calls, they need the most up-to-date information possible to make a good decision on how to help this individual. If they do not accept their health insurance, they will be able to direct to a center that can; a critical responsibility. Leaving someone reaching out for help with no solutions could be life-threatening.

A good treatment center will hand deliver someone to another center when they cannot help. While this is not always possible, there are other ways to ensure they get in contact with the best solution. They can add a three-way with the right center that accepts that insurance.

Drug Rehab Owners Taking the Guessing Out of Admissions with Instant Verification of Benefits Tools

There are high costs associated with operating a drug rehab. The list is endless with many high price ticket items that must be done. Some of these may include the following items.

  • Mortgage, rent or lease
  • Joint Commission Accreditation
  • Monthly marketing and advertising
  • Monthly taxes, insurances, and licenses
  • Monthly payroll
  • Monthly attorney’s fees
  • Monthly utilities
  • Food

The list goes on and on. Operating cash is critical for addiction treatment center owners. Without operating cash, they would have to close their doors. They would be unable to provide much needed scholarships to help the many without resources to get help.

The substance abuse rehabilitation centers spend a lot of money in obtaining clients. In fact, it is estimated that it costs between $5,000 and $8,000 to obtain a new client. Combine that will all the other expenses and you can clearly see they need help.

instantvob™: Saving Addiction Treatment Center CEO’s Time and Money by Verifying Treatment Instantly

Addiction Treatment CEOs saving time and money with instant verification of benefits

Verifying treatment before admission is the only choice to answer questions regarding reimbursement. Instant verification of benefits is a critical tool for drug rehabs. When marketing or admissions get a potential client on the phone, they must provide immediate answers. They need to know what the insurance companies are paying for particular services in particular areas.

Our comprehensive and innovative web app assists many different departments of drug and alcohol addiction treatment centers. Some of the areas that will benefit include the following.

  • Marketing
  • Admissions
  • Revenue Cycle Management
  • Substance Abuse Billing

Our app is the most comprehensive and up-to-date in the industry. We leverage our in-depth knowledge of substance abuse billing and revenue cycle management from Integrity Billing. This knowledge allows us to provide your teams with the fastest response with the most accurate information on the market today. These insights allow your teams to make the best-educated decisions on admissions.

Not All Methods of Benefits Verification Are Available on Nights and Weekends

Nights and weekends play a critical role in obtaining clients for drug rehab owners. Instant verification of benefits answers essential questions for drug rehab CEOs. However, they are not all made the same. As an addiction treatment center owner, you need quick and easy answers when finding out about potential clients’ insurance policies. Often, centers have an outdated verification of benefits process, or the numbers are simply incorrect. Some critical areas where time and information play a role include the following:

  • Correct information allows centers to correctly forecast the reimbursements for detox, inpatient, and intensive outpatient programs
  • Our instantvob™ provides the most comprehensive and up-to-date information within 8 seconds!
  • Health insurance information without errors allowing drug rehabs to update insurance before admissions
  • 24/7, 7 days per week
  • All of your insurance verifications are securely saved in our portal for reference anytime

Help drug rehab marketing and admissions teams by getting a free instant verification of benefits demo today

Give instantvob™ a call now at 561-530-5755 or schedule a FREE instant VOB demo by clicking here. It’s time to take out the guessing of your patients insurance coverage status. We can get you up and running today!

 

Program for instant verification of benefits increasing admission rates for treatment centers

What does Verification of Benefits Mean To Patients?

Verification of benefits is one of the most crucial aspects of revenue cycle management. Its importance is undeniable when you consider the perspective of providing a luxury service to your patients. Moreover, you are removing a huge barrier between them and their crucial medical treatment. Since medical institutions want to provide the best service possible to their patients, they must include Verification of Benefits. However, it’s impossible to include VOB if you don’t know what it is. Therefore, we’ll explain what is VOB and its main benefits in this blog post. Keep reading to learn more.  

What Is Verification of Benefits? 

Why is it important to verify addiction treatment insurance coverage online

Verification of benefit (VOB) is a part of the healthcare billing service. It means your medical institution will get compensation from the insurance provider if the care is given to the patient. This step is crucial because if you start treating patients with VOB, you don’t know whether the patient’s medical insurance covers the services you provide. As a result, your revenue cycle is damaged, and you lose money instead of making it.  

There’s a list of documents that follow VOB, ensuring whether you’re in-network or out-network with the patient’s medical plan. Here are all the documents you need to conduct VOB.  

  • Patient’s date of birth 
  • Patient’s first name  
  • Patient’s last name  
  • A front and back copy of the patient’s insurance ID  

When you have this information, it’s best to save it on your electronic health records (EHR) for future reference. Next, you should call the number on the back of the insurance card to verify the benefits information. This ensures the insurance company won’t deny your claims. Most medical institutions record this conversation as proof. Moreover, it would be best to inquire about the expiration date of insurance for safety measures.  

How Does VOB Apply To The Patient 

Providing medical services on insurance is a risk for medical institutes. Some patients walk in with expired insurance, or their plan doesn’t cover the treatment they request. VOB has a significant impact on both the patient and the medical institution. Here is how it applies to the patient.  

One thing to note about VOB is that the patient’s responsibilities change depending on the services provided by the medical institution. For instance, some insurance companies cover routine visits while others don’t. In that case, you can’t simply fetch data from your computer and request the insurance company for payment at month-end. Instead, you’ll need to feed this information into the system to keep a reminder. Otherwise, you’ll often make this mistake and damage your billing cycle.  

Payment Terms Between Insurance Provider and Patient 

Verification of benefits applies to the patient’s financials and affects the revenue cycle of a medical institution. Inquiring benefit details from the insurance provider is one thing. However, verifying how much the patient will pay and how much is covered is also important.  

We have over 600 million dollars in historical data we can reference to estimate daily addiction treatments reimbursement rates.

This information will help you manage your books. The amount the patient must cover is provided immediately after discharge. The insurance company covers the rest of the payment, which takes weeks to months. Therefore, knowing how much you should charge the patient allows you to keep cash in your business and keep things running smoothly.  

What Health Insurance Plans Are Covered 

Sometimes, health insurance companies might not cover certain medical plans. In this situation, it’s important to find out what care you can provide to the patient. You can get this information by calling the insurance agency and clearly stating the services you will provide. For instance, if you provide mental health services, it’s important to mention that to the insurance agency representative. Afterward, you’ll receive a confirmation of the services that are covered.  

In some cases, patients try to avail their medical insurance at IV bars. While insurance providers cover medical IVs, skin booster IVs aren’t. Therefore, stating the services you’re going to provide will help streamline things and allow you to manage your billing cycle. If this information is unclear, you’ll be shooting arrows in the dark since you don’t know how much money you’ll get from the insurance provider.  

Outsource Medical Billing To Instant Verification of Benefits 

Instant verification of benefits is a quick and easy solution for managing patient benefit verification. We provide reimbursement forecasting and data-driven metrics. Moreover, we are HIPAA compliant and secure. If you are looking for an easy solution to revenue cycle management, instant verification of benefits can help.

Advantages of instant verification of benefits include:

  • take the guesswork out of insurance payments
  • instant verification allows verification on nights and weekends
  • catch termed policies without waiting on hold with insurance payors
  • quickly get updates on insurance deductibles
  • we are the most affordable instant insurance verification solution

If you think you can benefit from instant verification of benefits do not hesitate to call us now.  Dial 561-530-5755 or visit our website for more information.  We would love to set up a no obligation free demo to talk about increasing your admission rates. 

How Substance Abuse Billing Companies Are Helping Patients Seeking Treatment and Rehab Owners Alike

Substance abuse billing companies are playing a pivotal role in the addiction treatment industry helping those seeking drug and alcohol addiction treatment. Substance abuse billing companies are also helping drug rehab owners increase revenue with specialized knowledge in the drug and alcohol addiction treatment billing industry.

Substance Abuse Billing Companies Understand How the Insurance Companies Operate

An experienced Substance Abuse Billing company is an essential weapon in your arsenal when seeking reimbursement for claims for addiction treatment services. Are you submitting claims with incorrect modifiers, incorrect CPT codes or outdated HCPCS codes? Are you being reimbursed the maximum allowable amount on every claim? These are important questions you can confidently answer “yes” to when you’re working with an experienced Substance Abuse Billing company.

The prevalence of improper billing and inconsistent collection practices are increasingly common throughout the Substance Abuse Billing industry. Too often we see lost revenue because of unwillingness to investigate denials and/or rectify improper pricing because of a third-party administrator or insurance company error. Knowing exactly who to call and how to fix these errors is the difference between and experienced and inexperienced Substance Abuse Biller.

What the guarantor can expect financially when a loved one is receiving treatment for a Substance Abuse Disorder or Mental Illness

As a guarantor responsible for the financial end of Substance Abuse or Mental Health treatment, there can sometimes be a cash bill left over after insurance pays their portion. This is commonly referred to as the “Patient Responsibility”.  The worst-case scenario would be assuming the liability for unpaid claims resulting from Substance Abuse Billing and/or Collections errors. While the practice of balance billing patients may be unlawful under the No Surprises Act in states like Texas, other states may not offer these protections to patients seeking Substance Abuse Disorder or Mental Health Treatment. As a patient, it is very important for you to know your rights when receiving treatment to avoid unnecessary financial liability.

The Application of Experienced Substance Abuse Treatment Billing and Collections

The struggle to find a Substance Abuse Disorder or Mental Health Treatment facility can be exhausting for patients and their families. Both the clinical and medical capacity of the facility to properly treat the patient’s Substance Abuse and/or Mental Health should always be the paramount concern. Unfortunately, limitations dictated by the insurance plan’s coverage can play a role in finding a Substance Abuse Disorder or Mental Health Treatment facility if private funds are unavailable for treatment.

The Verification of Benefits performed at the request a Substance Abuse Disorder or Mental Health Treatment facility is the key indicator of insurance coverage limitations as well as a patient’s financial responsibility. Typically, Insurance Companies will recommend an In-Network Provider to ease both the financial burden for the patient as well as the Insurance Company. Inexperienced Substance Abuse Billing companies can fall victim to a misquote of benefits, potentially leaving a patient with a large financial responsibility if the patient’s plan lacks proper coverage.

Finding the Right Solution for the Patient

Once a patient finds the appropriate provider or facility to render Substance Abuse Disorder or Mental Health Treatment, an Intake Assessment is performed to address the underlying reasons for coming to treatment. This information is provided to a Utilization Review team that is responsible for advocating the patient’s medical necessity for treatment to the insurance company. This process, also known as Prior Authorization, is essential for the services to be pre-approved for reimbursement by the insurance company. This process also determines the length of stay, which is also affected based on the patient’s progress in treatment. In some cases, daily assessments can even be required to authorize further coverage.

An experienced Substance Abuse Billing company thoroughly understands this process and, in most cases, develops a professional relationship with Utilization Review teams at most major Insurance Companies. Advocating for a patient’s treatment services requires a strong understanding of each insurance company’s criteria for Medical Necessity, which in some cases can be more onerous than even state regulations for Substance Abuse and/or Mental Health treatment! While the patient’s treatment plan is dictated by the attending provider at the Substance Abuse Disorder or Mental Health Treatment facility, a claim denial may arise if claims lacking Prior Authorization are denied by the insurance company. When this happens, it is essential that an experienced Substance Abuse Billing company understands the intricate process of appealing a denied claim. Understanding the appeals process can be the difference between a patient assuming financial liability for unpaid claims or being covered by their insurance carrier.