Substance Abuse Billing Services
Treatment programs, drug testing and level-of-care authorizations billed in line with payer policies. Agile Nexus Solutions provides substance abuse medical billing, coding and revenue cycle management for practices across all 50 states, so your team can focus on patients instead of paperwork.
Common Substance Abuse billing challenges
- Level-of-care authorizations for residential, PHP and IOP programs
- Drug testing medical necessity
- Confidentiality rules for substance use records
How we help substance abuse practices
- Obtain and track level-of-care authorizations
- Bill drug testing according to payer policies
- Follow confidentiality requirements for treatment records
Every claim is checked before submission, sent within 24–48 hours, and followed until it is paid. You get monthly reports on collections, A/R and denials, and a dedicated account manager who knows your specialty.
What is included
- Eligibility and benefits verification
- Certified medical coding (ICD-10, CPT and HCPCS)
- Claim submission and rejection fixes
- Payment posting and reconciliation
- Denial management, appeals and A/R follow-up
- Credentialing and payer enrollment
Frequently asked questions
Do you bill IOP and PHP programs?
Yes. We bill intensive outpatient and partial hospitalization programs with the revenue and HCPCS codes payers require.
How do you handle drug testing claims?
We bill presumptive and definitive tests with documentation of medical necessity and payer frequency limits.
Request a practice audit or book a call to see how much more your substance abuse practice could collect.