Thursday, February 25, 2016

Can You Afford To Keep Your Treatment Center Open Anymore?

By Jimmy Carmels


Many drug and alcohol treatment centers today see 2016 as being a tough year. A lot of treatment centers got audited in 2015 by insurance companies. A few news reports came out that stated many treatment centers in Florida around the USA were using fraudulent business practices. It is necessary to be 100% honest when dealing with any kind of medical billing or drug treatment.

The crackdown was good in my opinion. For starters, there was a lot of insurance fraud in 2015 and before that year as well. Many blood labs were taking advantage of the billing system. Many insurance companies were seeing the same patients having multiple blood test in one week that were not medically necessary. The insurance companies fought back and now things seem to be a bit more structured.

For starters, you are going to need a person that understands and is certified in ICD-10. Most people today are not ICD-10 certified and have no prior education in this coding. The new codes were released on October 1 of 2015. It is important to understand that you must get your books straight. If not, you will find yourself closing your business down.

Today, marketing is king when it comes to getting good clients. Your treatment center must have a good reputation. Many people will come to your treatment center because of someone else that had gone to your facility. If you want to be successful, everyone in the industry must respect you as well. Before dumping lots of money into a fancy 5 star facility, make sure that you have enough money to market your business. It is estimated that a pay per click campaign can cost as much as $150,000 a month for a 30 bed facility. You will spend roughly $5,000 to recruit just one client with good enough insurance to come to your facility. If you want to run television ads, it will cost even more. You also need to pay field marketers that work in the streets knocking on doors for you. It is important to have an entire team working for your success.

One important step for every treatment center to take is to do your own in house audits. Don't wait for an audit from the insurance companies. Business owners need to be more on top of what their medical billers are doing. If you are the owner of the treatment center, do you have your own in house people doing audits each month? In this way, you can see whether or not everyone is doing their job properly. Hiring a medical billing consultant is also a wise idea. Let them come into your practice in order to show you what you may or may not be doing wrong.

Most medical billers today depend on their marketers to get them good clients. Marketers today have to be in the field constantly working with mental health providers and drug and alcohol counselors. It is important to go to a lot of meet and greets with detox facilities as well. You need to become a referral source for people that need treatment. It is now necessary to have your treatment center known to multiple people in the business.




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