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.