Case Study #4
How Billing Geeks helped a detox center escape rough waters and sail smoothly into a profitable port.
A new detox center set its sights on success but got caught in a financial undertow.
What do you get when you combine a brand-new detox center with the tricky landscape of insurance utilization reviews and regulatory requirements? A financial riptide.
A Florida detox center discovered this the hard way when their utilization review and prior authorization processes resulted in minimal approved days by the insurance companies they worked with. The center had lots of empty beds and was on its way to having empty pockets – it was sinking faster than the Titanic.
Billing Geeks saved the detox center staff from drowning – and getting a sunburn.
The detox center was in luck because there’s nothing the Billing Geeks team loves more than a little Baywatch moment. They donned their best red swimsuits, jogged gracefully up the beach, and tossed a life preserver to the detox center.
After a quick hair flip and a little time encouraging everyone to do a sunscreen touch-up (hey, it’s Florida), the Billing Geeks got to work. They helped the detox center get a pharmacy license, prep for a Florida Department of Children and Families (DCF) audit, and create standard operating procedures. The Billing Geeks skilled nursing staff also trained the detox center’s staff better utilization review and prior authorization processes, as well as clinical modeling.
The detox center stopped floundering and is on its way to a whale-sized profit margin.
Armed with all the knowledge Billing Geeks had shared and a few bottles of sunscreen, the detox center received accreditation from DCF and the Joint Commission on Accreditation of Healthcare Organizations (JCAHO).
Even cooler than being able to put official-sounding strings of letters after its name, the detox center is now acing the prior authorization and utilization review processes and has an 80% occupancy rate. The beds aren’t empty and neither is anyone’s wallet. It’s all smooth sailing from here on out.
There ain’t no shame in calling Billing Geeks when your business is about to capsize.
Navigating out of troubled financial waters is easier than you think. Billing Geeks uses in-house billing, coding, compliance, and skilled nursing experts to turn the tide. They may even throw in a little free sunscreen. Ray-Bans are extra, though.