The Business of Owning a Drug Rehab

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

Difficult 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 destroys lives. Many strive to help as many people as they possibly can.

This is a difficult task. To own a drug rehab there are many things that have must be taken care of on a daily and monthly basis 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 an extremely difficult task. There are licenses that are required from local governing bodies like the Department of Children and Families (DCF) and their licensure is needed. in addition, there are local zoning ordinances in dealing with the city for approval. There was the cost of attorneys that are very much needed in every aspect of owning and operating a drug rehab.

Many drug and alcohol addiction treatment centers are Joint Commission Accreditation. This is a costly Accreditation; however, it says that they provide the highest level of care. Therefore, many of the treatment centers get this certification. However, to get this certification, there are many steps that are that need to be taken. Documenting and having a procedural process in place for all medical needs that could arise at a drug rehab are needed. This is a lengthy manual that takes an educated and experienced individual to put together.

In addition, there is a business plan that must be put together. This outlines all the steps and starting a drug rehab. In combination with this, individuals will need a Pro Forma which outlines all the costs. On a monthly, or yearly basis and a projection of earnings of up to five years.

To compile a Pro Forma, you must know how much the insurance companies are paying for each level of care. This information is generally from a medical billing company and it is geographical area. The medical billing company will have information on how much the insurance companies are paying for all the different types of health insurance that there are in all the different insurance providers.

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 difficult obstacle owners face every day. They need clients to be able to pay their bills and keep the doors open. This is one of the most difficult aspects of owning and operating a drug and alcohol addiction treatment center.

The competition is extremely competitive. There are a handful of big players spending in excess of $500,000 a month in marketing to generate clients. This makes it extremely difficult for the 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 successful addiction treatment center will use a combination of these to sustain themselves.

  • 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.
  • Buy treatment calls – Purchase calls from a lead generation company

As you can see above it is difficult to generate leads and new clients. Each one of the above require an investment and time. Even with all this in place and working there still is a couple of areas of concern left. This is the admissions process and medical billing. We will cover both of these critical areas.

Admissions Where $100,000 Are Lost Every Year – Get It Back with InstantVOB™

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Admissions is one of the areas that drug rehabs Owners must pay careful attention to every day. Drug rehabs are allocating 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 cannot verify health insurance benefits at that time. The only thing they know for sure is the potential client’s insurance.

This is why we are recommending 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 clients that they get paid for by the insurance companies. The key factors that are needed to make the best decision possible by the admission staff are 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 max out of pocket expense?
  • Is their co-insurance?
  • Are there any co-pay factors?

Having these answers eliminates the risk of the addiction treatment center to take this client. It will also allow the admissions professionals to keep the individual seeking help on the line while they check this important information. The process only takes about 10 seconds to get up to date and correct answers. If they find out they cannot help the individual than they can put then into the best hands if they have this information. They could even three way the best potential addiction treatment center that can help. This reduces the chance of them giving up on seeking help.

Medical Billing Where Centers Are Leaving over 20% on the Table

Medical billing is one of the most under looked areas of operating a drug and alcohol addiction treatment center. The smaller centers and some of the medium sized facilities think they are saving by doing their medical billing in house. However, these are the facilities that are losing and writing off more than 20% of their earned billing every year.

Hiring a well-staffed and experienced medical billing company in the substance abuse industry is a wise choice. They have the experience and manpower to negotiate with the insurance companies. Many times, the insurance companies will stall and audit to delay payment long enough for the addiction treatment centers to just write it off.

An experience medical billing company will also know the best ways to process claims and services. This is why we always recommend for addiction treatment centers to have a medical billing company look at their receivables every year. This evaluation could recoup $100,000’s.

We Help Drug Rehab Owners Everyday

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If you are a drug rehab owner, we can help you in two key areas today. We can help you generate more clients that the insurance company will pay for their services with our InstantVOB™ software. We can also help with your medical billing. Most of our clients get over 20% more reimbursements from overdue receivables and claims that were 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 it made, think about some of things we covered in the article. There are so many more reasons to admire substance abuse rehabilitation owners. We can only cover a little in a blog article.

We know running a drug and alcohol addiction treatment center is a difficult process. There are many different things owners must take care every day. Give us a call at 561-530-5777 and let us help you save and generate more revenue.

 

 

 

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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. Sometimes I wonder. This raises a couple of questions like, “Why do insurance companies not pay a claim?” Furthermore, 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 an out and you haven’t even admitted the patient. Isn’t the purpose of calling to verify the benefits to know what they will pay?

Instant Insurance Verification of Benefits Getting Lost in the Portal

Instant verification of Benefits with each insurance company is its’ own journey. There are many different insurance companies. They all have their own portals like Blue Cross Blue Shield insurance verification of benefits. Here are some others.

  • United healthcare
  • Cigna
  • Ambetter
  • Aetna

They all have their own portals to log in to. Doesn’t the word verify even make you assume that the benefits are available to that particular patient? Well, it’s not that simple and there is a bunch of information that not only goes into the instant verification of benefits but the billing and collections as well.

It’s all too familiar to revenue cycle managers when they see this complicated process. How can they differentiate what the benefits actually are? They also need to know, how to bill the claim for the correct bill code? There are many factors that go into substance abuse building for a medical healthcare claim. Everything from doctors’ notes to build codes to even special regulations for specific insurance policies. These all come into consideration when evaluating a medical claim on insurance benefits.

Obviously, the keyword is guaranteed. Even though you verify benefits you could still mess up in any of these ways and more and not be paid. Instant verification of benefits is only the beginning step in submitting a claim to your insurance provider.

Why Instant Verification of Benefits is Complicated?

There is a lot that goes into the instant verification of benefits process. It really is a complicated animal. Here are some of things that must be considered.

  • What are the deductibles?
  • Are there out of pockets, co-pays?
  • What number do I call if you need the information fast?
  • Where do I go to find the information online?
  • What if it’s after hours?

I have been on the phone with an insurance company and the phone automatically disconnects right at 5 o’clock. Now mind you, I’ve been waiting on hold for two hours. I never got to hear that wonderful phrase “Verification of Benefits is not a guarantee of payment”.

What about finding out that information in an accurate way 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 before, each insurance like Blue Cross Blue Shield, Aetna, and United healthcare, all have different portals for Benefits Verification. You have to login to verify those benefits. And there is no guarantee that those portals will even be up and running.

instantVOB™ Program Beats the Rest

Our instant insurance verification of benefits patented program does much more that the competition. In fact, our compilations of all the insurance companies are more accurate. This is where instantVOB™ shines with all insurance policies in one location. No more having to log in to multiple Insurance portals on nights and weekends to verify insurance policy benefits.  No more verification of benefits forms or letters. Not only that, but it gives you a “my VOB” selection that allows you to look at previous patients’ verifications if necessary. This is 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™  

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Instant insurance verification of benefits has never been easier with instantVOB™. It was built mobile-first. This online portal can verify hundreds of insurance policies instantly in the palm of your hand. The verification of benefits form displayed shows you everything from deductibles out-of-pocket both individual and family. It also contains many different healthcare-related specialties and prescription drug benefits. This tool has revolutionized the way healthcare centers have verified benefits and increased revenue across the board to its customers. Most centers see a dramatic influx of patients due to the availability of providing accurate information to their patients in a timely manner utilizing instantvob™. No one likes to hear that when they’re trying to get clinical services.

“I’ll call you back in an hour 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 90% of Americans are insurance dependent, whether be from private insurance, Medicare, or Medicaid this information is paramount when verifying benefits.

Not only does instantvob™ provide instant insurance verification of benefits on nights and weekends, but also offers a daily reimbursement estimator that’s specific to the substance abuse and mental health treatment industries. Instant VOB offers this estimate for all levels of care including the following.

  • Inpatient drug detox centers
  • Outpatient drug and alcohol detox centers
  • Residential drug rehabs
  • PHP drug rehabs
  • Intensive outpatient programs or IOP drug rehabs

Get the Most Up To Date Rates the Insurance Companies Will Pay

This truly is instant insurance verification of benefits. Our sophisticated program uses daily reimbursement rates from tens of thousands of claims based on billed state, insurance type, plan type, group number and prefix. There is a proprietary algorithm that calculates this particular estimate and releases it in a very digestible format. The daily reimbursement estimator helps drug rehab admissions teams and revenue cycle managers with their admissions decisions in real-time.

The data for that calculation is accumulated daily and the algorithm continuously looks for changes and trends and insurance reimbursements. This way your facility can always have accurate instant insurance verification of benefits and revenue cycle management software in the palm of their hands. Now obviously this does not replace verbal verification, which is still highly recommended. However, Instant VOB’s accuracy is paramount. It is what you call a clearinghouse. This communicates directly with the insurance carrier servers so that you can get accurate information on the patient’s benefits.

Instant Insurance Verification of Benefits is Admissions Simplified

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Our instant insurance verification of benefits is for substance abuse and mental health. We are helping drug rehab CEO’s get more admissions with our program. Everyone at instantvob™ has worked tirelessly to put together the most complex and current data-driven proprietary algorithm. This is because they want the drug rehabs to have access to the most accurate data. However, this doesn’t mean that it is limited to the substance abuse and mental health market. Anyone from most healthcare specialties, medical billing and pharmacies can utilize this information to make informed decisions for the patients care and even more importantly no surprises for the patient.

This leads me back to this point: 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. Being you still are taking all the other steps to ensure your patient not only gets the clinical care needed but also bills correctly for the financial care they deserve. Give us a call 561-530-5755, we will help you get more admits.

How to verify insurance eligibility using instantvob

What Insurance Verification Programs Means for your Addiction Treatment Clinic

Insurance verification programs are critical considering 78% of potential clients admit to the first person who approves admission. Providing a process to eliminate barriers to patients’ care, such as insurance verification software, clinics not only help the patient through the complexities of health insurance but also improve their revenue cycle management.

Online Insurance Verification is Critical to Your Substance Abuse Clinic

To offer services to patients, clinics need to understand VOB and the benefits of the revenue cycle. Verifying benefits ensures the services you offer patients result in payments from insurance firms. It is one of the initial steps to acquire payments from the patient and the insurance company.

If you fail to verify a patient’s plan’s activation, you won’t receive payment for your services. On the other hand, it is also a way to know whether your patient has active coverage and is currently on premiums through Medicaid, Medicare, or any insurance policy. You will also verify whether your clinic is out or in-network with the patient’s plan.

Failure to verify the benefits process before admitting a patient to your clinic or offering services may result in certain disadvantages like claim rejections. You should verify eligibility benefits and coverage for hospital administrations, new patients, patients with a change in their scope, and high dollar procedures.

Insurance verification programs are needed for most non-emergency medical services and procedures. Stuck between patient care and administration, most clinic owners find it hard to complete the process quickly. Instant Verification of Benefits comes in handy in this. With their services, they make it easy for you and your staff to attend to other services and free up waiting on hold time from insurance companies.

Why you should choose Instantvob

Insurance verification programs help establish relationships and trust with patients. When it comes to instantvob, patients come first. Treatments are costly, and supporting patients with accurate and transparent benefits gives them a long life. The company contacts an insurance verification for substance abuse clinics with no surprise, upfront approach, thus enhancing the patient experience. Transparency helps establish your clinic and build trust and relationships with the patients.

Online insurance Verification has superior Functionality. You don’t have to wait to admit clients. Clinics get a significant percentage of potential clients after admission approval of their first-person. Instantvob is mobile optimized for any device usage. With all around the year access to its web application, you can obtain verifications of insurance benefits. With instant verification functionality, you can acquire:

  • Forecast of all care levels’ daily allowable amounts
  • Resubmit eligibility requests with new information to receive benefits any time
  • Offer your patient’s comprehensive benefits with a concise and clear three-page benefit summary
  • Fair and Most Convenient Pricing
  • All verified information about insurance benefits in less than eight seconds

Bottom Line
Insurance verification for substance abuse clinics is essential. It can save you time and the pain of insurance loss. Instant verification of benefits comes in handy in helping you with the process and ensuring you get paid for services you offer with no contracts and commitments. Contact instantvob to learn more about how we can help your clinic!