Power Up Your Rehab Center with Expert Substance Abuse Billing

Missing on timelines for claims submission? Aging AR? Or worried about constantly changing payer policies? These are common frustrations for rehab centers. However, we are here to provide you with exceptional substance abuse billing services that keep you informed and ahead of ever-changing CMS and private payer policies. 

Our AAPC-certified coders and billers consistently achieve higher reimbursement rates, even under a heavy workload, thanks to our robust AI-driven solutions.

Our Compliances & Certifications for SUD Billing

Results That Tell The Story of Dedication

We focus on KPIs that reflect your revenue success.

Collection Ratio
93 %+
Reduction in AR
40 %
First Pass Clean Claims Rate
95 %+
Revenue Increase
Up to 20 %
Denial Rate
4 %
Turnaround Time
7- 14 Days

Smarter Billing Choices for Unstoppable Success

Every year, healthcare providers lose over

$125 billion

in revenue is lost due to minute billing mistakes that in-house billers often fail to understand.

But Dastify Has You Covered!

One Umbrella. Every Service. Complete Coverage

Our addiction-treatment medical billing services encompass every aspect of revenue cycle management, from administrative tasks to complex medical billing; we handle it all.

Robust ICD-10 Coding

We have experts who handle all complexities of SUD-specific coding and focus on ensuring clean submissions. Also, apply OP/PHP per-diem G206X HCPCS codes correctly.

On-time Eligibility Verification

We verify patients’ insurance before the procedure to know about their covered benefits. This helps them to be aware of co-pays & deductibles to avoid sudden confusion and surprises in their bills.

Instant Claims Submission

Our goal is to provide you with maximum reimbursements in the first submission. We ensure a first-pass acceptance rate of over 95% to minimize resubmissions and nuances of aging claims.

Rigorous Denial Follow-Up

We offer denial & A/R cleanup for residential detox and IOP/PHP programs. Our experts work on your previously denied claims and identify the root cause.

100% Compliance Support

Our addiction-treatment medical billing is 100% HIPAA and CMS compliant. We keep updated with the ins & outs of both private and public payers to avoid penalties & denials.

A/R Management

Working with us means zero revenue leakage— we revive your stagnant, aging accounts receivable and expedite payment to payers with speed and precision.

Accurate Coding & CDI Support
Our certified experts accurately apply ICD-10, CPT, HCPCS codes, and modifiers backed by CDI for maximum compliance in claims.
Charge Entry
We accurately record and document all billable services with precision to maximize reimbursement opportunities, ensuring timely processing without delays or rejections.
Claim Form Preparation & Filing
Our claim submission experts prepare claims using the standard professional form (CMS-1500, UB-04, or ADA) tailored to payer requirements.
AI-Powered Claim Scrubbing
Running powerful scrubbers helps ensure your claims are error-free. Our AI scrubbers detect and fix errors before submission.
Electronic Claim Submission (EDI X12 837)
We send claims electronically for faster, more secure processing. This enables them to submit claims in bulk to various payers.
Compliance & Data Security
Compliance is never compromised at our end. We ensure compliance with HIPAA, CMS, and payer regulations at every step.
Claim Acceptance Tracking
To maintain a high acceptance rate, we monitor claims in real-time. If there’s an issue, we try to resolve it immediately within the timeline.
Denial Prevention & Management

Our experts analyze denial trends, correct issues, and resubmit clean claims quickly within 24 hours without any disruptions in your cash flow.

EHR & Practice Management Integration

Switching between systems wastes time. We integrate directly with your EHR and practice management software, creating a seamless workflow.

Remittance Processing (ERA / EOB Posting)

We handle ERAs and EOBs with accuracy, posting payments against claims and reconciling discrepancies. No payment goes unnoticed at our end.

Determination of Patient Responsibility
Patients deserve financial clarity. We calculate co-pays, deductibles, and coinsurance so patients know their responsibilities upfront.
Follow-Up on Claims & Collections
Unattended claims = lost revenue. Our team follows up with payers and patients diligently until every balance is cleared.

Technology Blended Rehab Medical Billing Services

Our substance use disorder (SUD) revenue cycle management solution combines advanced technology with in-depth industry expertise to ensure speed, accuracy, and compliance. We utilize AI scrubbers for claim submissions to detect errors, and use RPA to automate and consolidate your repetitive operations.

Updating new codes within the system for accuracy.

RPA automation to cut workload and minimize manual effort.

Powerful AI scrubbers to detect possible coding errors.

AI-enabled dashboards for RCM and denial predictions.

RPA 276/277 bots to check the status of claims.

Common SUD Frustrations and How We Help

Complex Coding:

An inexperienced billing team can leave you overwhelmed with denied claims, endless resubmissions, and even costly rejections.

Solution:

Our experienced rehab medical billers and coders are well-versed in handling diagnostic and procedural codes. They accurately apply primary and secondary diagnosis codes and modifiers, including:

  • G0323 (Audio-only telehealth services
  • G2086–G2088 (Office-based SUD treatment episode codes)
  • ASAM Levels 3.1–3.7 (rev-codes 089x)
  • Rev-codes 0126/0136
  • Daily CPT H0010–H0015

Multiple Payers Billing:

Patients often carry multiple insurance plans, which adds layers of complexity to rehabilitation billing compared to other specialties.

Solution:

Our OTP and MAT bundle billing experts know exactly which services should be billed to primary and which to secondary payers.

Delays in Verification:

Delays in benefits verification can result in claim denials and postponed treatments, which can negatively impact the reputation of your rehabilitation organization.

Solution:

We have an automated verification process to confirm coverage details in real-time, ensuring timely billing and uninterrupted patient care.

Incomplete Documentation:

Many therapy center claims are denied due to incomplete documentation, such as missing details on the duration of the therapy session.

Solution:

Our SUD billing experts ensure that your documents are complete, with the correct patient information and necessary verifications, and include proper provider orders to meet medical necessity requirements.

Missed Modifiers

Missing modifiers in addiction-treatment medical billing simply means not getting paid for rendered services. It’s a crucial part of billing to show under what circumstances a service was provided.

Solution:

Our Rehab Center RCM outsourcing services leave no chance of underpayment for you; we make sure to apply all necessary modifiers, including:

  • H0, H1, H2, H3, H4, H5, H6, H7, H8
  • GP, GO, GN, KX, or GA
  • 95/93

Prior-auth lapse

Missing or expired prior authorizations can lead to claim rejections, delayed payments, and disruptions in patient care.

Solution:

Our team of AAPC-certified coders proactively tracks, secures, and renews prior authorizations before services are delivered, preventing costly lapses and ensuring smooth reimbursement.

Slow Collections (DSO Above 40)

When Days Sales Outstanding (DSO) rises above 40, payment cycles become excessively long, which delays revenue and affects cash flow.

Solution:

Our analytics dashboards provide real-time visibility, allowing us to take targeted actions that consistently keep DSO under 40.

Don’t Miss the Chance!

Stay Paid, Stay Compliant — 2025 Payer-Approved Billing

Do new CMS updates cause chaos in your billing? Billing isn’t supposed to be your job — but without professional substance-use-disorder (SUD) revenue cycle management experts, it quickly becomes an overwhelming, full-time burden for you. But we cover that part of stress for you.


We have hired industry-leading billers to ensure that the complex coding in your drug rehabilitation center is handled with absolute perfection. To stay current with the latest coding and payer-specific guidelines, we provide ongoing training and encourage our team to pursue certifications that further sharpen their skills.

Our substance abuse billing services are fully compliant and cover every essential aspect of the revenue cycle.

HIPAA Compliance

OIG Compliance Program Guidelines

ICD-10 codes

CMS Guidelines & Payer-Specific Rules

DEA & MAT Regulations (for SUD)

ASAM & SAMHSA (CCBHC) Standards for SUD Services

MHPAEA-compliant (NQTL analyses)

Billing under 2025 updated Per-Diem rates

2025 SUD Support Built on Compliance with Dastify Solutions

Dastify Solutions is built to keep your focus on lives, not ledgers — delivering expert billing, coding accuracy, and compliance with the latest 2025 payer regulations and new G-codes like G0546–G0551 and expanded telehealth codes for virtual care.

 

Our rehab medical billing services don’t end with billing; we also help you present cutting-edge revenue strategies for unmatched growth. Our goal is to provide you with the best billing experience, one that not only adds value to your practice but also sets the standard for your patients.

Our SUD patient billing services are highly focused on specific benchmarks, including:

Your Industry, Our Expertise

Who do we serve? We don’t care about the size of the business; our ethics and excellence are the same for practices of all sizes.

Our Satisfied Clients

Discover how physician groups thrive with us.

Frequently Asked Questions

What makes substance abuse billing complex from regular medical billing?
Substance abuse billing is more complex because it involves multiple treatment settings (residential, IOP/PHP, detox, and MAT), payer-specific documentation requirements, and strict compliance with regulations such as the MHPAEA, CMS guidelines, and Medicaid IMD rules. Missing even one detail—such as therapy duration or treatment notes—can lead to costly denials.

In substance-use-disorder (SUD) revenue cycle management, the most used—and often misapplied—codes include:

 

CPT/HCPCS codes: H0001–H2037 (alcohol & drug services), 90791/90792 (psych evaluations), 90832–90837 (therapy sessions), G2067–G2075 (opioid treatment program bundles).

ICD-10 codes: F10–F19 series for substance-related disorders, with extensions for severity (mild, moderate, severe) and remission status.

 

Misuse happens when codes don’t match the documentation or payer-specific rules. Our rehab medical billing experts keep your coding fully compliant with CMS, Medicaid IMD rules, and commercial payer guidelines.

  1. Do you have proven experience with addiction-treatment medical billing and rehab center RCM outsourcing?
  2. Are you familiar with payer-specific rules for OTP & MAT bundle billing, IOP/PHP per diem rates, and Medicaid IMD exclusions?
  3. Do you offer denial prevention and A/R recovery strategies specifically for SUD programs?
  4. How do you handle compliance with MHPAEA, SAMHSA CCBHC requirements, and CMS updates?
At Dastify Solutions, we check all these boxes—delivering full-spectrum rehab billing services, from eligibility verification to denial appeals, so that you can focus on patient care instead of paperwork.

Take a Step for the Success of Your Practice.

Easier payment. More Reimbursements. Happier Patients