Aug 26, 2023

The Benefits of Outsourcing Residential Treatment Billing: Specialization at Its Best


In the realm of healthcare, specialization holds the key to excellence. Just as a surgeon wouldn’t perform neurosurgery without specialized knowledge, billing processes also demand a specialized touch. The phrase “Jack of all trades, master of none” has never rung truer than in the domain of residential treatment billing. At Nextus, we’re not juggling an array of medical specialties; we’re masters of one – the behavioral health sector. This single-minded focus translates into benefits that can significantly elevate the financial health of your residential treatment center.

Focused Expertise

In a world of ever-evolving insurance regulations, intricate coding systems, and legislative shifts, maintaining a strong grasp on billing intricacies is no small feat. Your dedicated staff, committed to providing quality care to your clients, might not have the bandwidth to stay abreast of these dynamic changes. Here’s where our focused expertise shines. At Nextus, we’ve channeled our efforts solely into the behavioral health sector. This specialization has allowed us to become true experts. We stay well-versed in the complexities of billing specific to your field so you can focus on your patients.

Precision in Billing

Billing errors are all too common in the healthcare landscape. Studies reveal that approximately 30% to 40% of medical bills contain inaccuracies. These inaccuracies can range from clerical errors, such as duplicate entries, to more complex issues like incorrect insurance information. In the behavioral health sector, where ethical considerations and client well-being are paramount, billing accuracy takes on an even more critical role.

Consider this: inaccurate bills often lead to denied reimbursements from insurance carriers. As a result, your revenue cycle experiences delays, and your center’s financial health takes a hit. Furthermore, billing errors can directly affect your clients. Imagine a scenario where a billing mistake forces a client to pay more out of pocket than necessary. Such situations erode trust and can hinder the overall treatment experience.

Minimizing Rejections

The U.S. Department of Labor estimates that approximately 14% of insurance claims are initially denied. While billing inaccuracies contribute to these rejections, they are not the sole culprits. Legitimate reasons for denials exist, and insurance companies have been known to unjustly reject valid claims. While the industry might consider a 14% denial rate as par for the course, we at Nextus hold ourselves to a higher standard.

With a first-pass claim acceptance rate of 99%, we approach billing with a “measure twice, cut once” philosophy. This approach ensures that claims are meticulously reviewed before submission, reducing the chances of rejections. Our experts conduct comprehensive utilization reviews, guaranteeing accuracy and efficiency from the outset. Investing a little extra time on the front end translates into substantial dividends on the back end.

Custom Solutions for Your Center

By remaining committed to the behavioral health sector, we’ve harnessed a level of agility that benefits our clients. Our state-of-the-art proprietary software is designed with intuitive functionality.  It enhances communication and ease of use. If the term “proprietary software” conjures images of complex systems, rest assured – our platform is user-friendly, designed to streamline processes rather than complicate them.

We understand that personal connections matter. Your account has an account manager dedicated to it. They are readily available to answer your calls, ensuring that you’re never left in the dark. Our claims specialists go above and beyond to advocate for your claims, relentlessly pursuing timely and accurate reimbursements. Our commitment to your success extends beyond revenue – it’s about nurturing the relationship that underpins our partnership.

Empowering Your Residential Treatment Center

The benefits of outsourcing your residential treatment billing to Nextus are crystal clear. Our specialization in the behavioral health sector, coupled with a focus on precision, minimization of rejections, and unwavering agility, positions us as your ideal billing partner. Your center’s success is our driving force, and we’re eager to demonstrate how our tailored solutions can propel your program to new heights. Let’s have a conversation and explore how Nextus Billing Solutions can be the catalyst for your center’s growth.