Missing claim-submission deadlines, managing aging accounts receivable, or keeping up with changing payer requirements? Dastify Solutions provides billing support for substance use disorder treatment programs, including eligibility verification, authorization tracking, coding review, claim submission, payment posting, and denial follow-up.
Our AAPC-certified team combines billing technology with human review to identify claim errors, documentation gaps, and payer-specific requirements before submission.
98%
from
85%
Clean Claim Rate
↑ +13 pts
15%
from
35%
Denial Rate
↓ −57.14%
96%
from
84%
Net Collection Rate
↑+14.29%
28 Days
from
52 Days
AR Days
↓ -46.15% Reduced
Source: Vital Behavioral Care LLC case study — results from Feb 2026 to Apr 2026 (last 3 months of performance data). Read the full case study →
Small coding, authorization, documentation, and follow-up errors can accumulate into significant revenue loss for treatment programs.
But Dastify Has You Covered!
Our addiction-treatment medical billing services encompass every aspect of revenue cycle management, from administrative tasks to complex medical billing; we handle it all.
We review diagnosis, procedure, revenue, and place-of-service reporting according to the treatment setting and payer requirements. For Medicare-enrolled opioid treatment programs, this includes applicable weekly bundled-payment and add-on HCPCS codes.
We verify eligibility and available benefit information before admission or treatment when possible, including deductible, copayment, coinsurance, network, and authorization details. Final coverage and payment remain subject to the payer’s claim determination.
We review claims before submission to improve first-pass acceptance and reduce avoidable rejections, corrections, and delays.
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.
Our workflows incorporate applicable HIPAA, CMS, payer, and SUD-record confidentiality requirements. We monitor billing-rule changes and update claim workflows when requirements change.
We review aging accounts receivable, prioritize recoverable balances, follow up with payers, and identify recurring causes of delayed or lost revenue.
Our experts analyze denial trends, correct issues, and resubmit clean claims quickly within 24 hours without any disruptions in your cash flow.
Switching between systems wastes time. We integrate directly with your EHR and practice management software, creating a seamless workflow.
We handle ERAs and EOBs with accuracy, posting payments against claims and reconciling discrepancies. No payment goes unnoticed at our end.
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.
An inexperienced billing team can leave you overwhelmed with denied claims, endless resubmissions, and even costly rejections.
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: Medicare OTP bundled-payment codes, office-based SUD treatment codes, behavioral-health procedure codes, and payer-specific HCPCS and revenue-code combinations. The appropriate code set depends on the provider type, level of care, payer contract, state program, and documented service.
Patients often carry multiple insurance plans, which adds layers of complexity to rehabilitation billing compared to other specialties.
Our OTP and MAT bundle billing experts know exactly which services should be billed to primary and which to secondary payers.
Delays in benefits verification can result in claim denials and postponed treatments, which can negatively impact the reputation of your rehabilitation organization.
We have an automated verification process to confirm coverage details in real-time, ensuring timely billing and uninterrupted patient care.
Many therapy center claims are denied due to incomplete documentation, such as missing details on the duration of the therapy session.
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.
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.
We apply modifiers only when supported by the documented service and the payer’s reporting instructions. Examples may include telehealth, therapy-discipline, medical-necessity, and liability modifiers when applicable.
Missing or expired prior authorizations can lead to claim rejections, delayed payments, and disruptions in patient care.
Our team tracks authorization requirements, approved dates, service levels, and authorized units. We coordinate submissions and renewal requests using documentation supplied by the treatment program, while final authorization decisions remain with the payer.
When Days Sales Outstanding (DSO) rises above 40, payment cycles become excessively long, which delays revenue and affects cash flow.
Our reporting tracks days in accounts receivable, payer response times, aging balances, and denial trends so the team can prioritize claims requiring follow-up.
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.
HIPAA and 42 CFR Part 2 safeguards applicable to the records we handle
OIG Compliance Program Guidelines
Current ICD-10-CM, CPT, HCPCS, and payer reporting requirements
CMS and state Medicaid billing rules when applicable
DEA & MAT Regulations (for SUD)
OTP, CCBHC, ASAM level-of-care, and payer requirements relevant to the client’s program
MHPAEA-compliant (NQTL analyses)
Administrative support for documentation used in authorization or parity-related disputes
— Choose Your Plan
Transparent Pricing With No Hidden Fees
Starter
For Solo & Small Practices
*Based on collections
Most Popular
Growth
For Group Practices & Clinics
*Based on collections
Enterprise
Hospitals & Large Systems
Volume-based pricing
— Proven Expertise in
50+ EHR/EMR/PMS
We monitor annual and quarterly coding updates and review their applicability by provider type, treatment setting, payer, and date of service.
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.
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-CM codes in the F10–F19 categories may describe substance-related disorders, including the substance involved, clinical condition, and remission status. Code selection must match the clinician’s documentation and current coding instructions.
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.
Easier payment. More Reimbursements. Happier Patients
