Your Revenue Is at Risk Without the Right Spravato Billing Company

Running a Spravato® clinic is not for the faint of heart. Between REMS compliance, medication management, and patient monitoring, your focus should be on care — not on chasing reimbursements or fighting denials. Yet many practices lose thousands each month because their billing partner doesn’t understand the complexities of Spravato.

No one talks about how easily small billing errors can snowball into massive revenue losses. But when it comes to Spravato, the stakes are higher than ever — because the cost of the medication, time, and staff involved are all front-loaded.

If your billing partner isn’t specialized in Spravato Billing Services, you’re likely already leaving money on the table.

Why Spravato Billing Is Unlike Anything Else

Spravato billing isn’t standard behavioural health billing. It’s a high-stakes, compliance-heavy process where a single missing modifier or incorrect CPT pairing can lead to denials that take weeks — even months — to resolve.

Each Spravato treatment involves:

• Medication cost (S0013)
• Administration and monitoring (G2082 or G2083)
• Time-based prolonged services (99417, G2212)
• Strict documentation of provider presence and patient monitoring per REMS requirements

Most billing companies don’t realize that these codes must align with REMS documentation and payer-specific policies. That’s where revenue starts slipping.

Still stuck? This is why:
A generic billing company will treat Spravato like a routine behavioural code — missing prolonged monitoring time, misclassifying drug cost, or bundling incorrectly.
Over time, that translates into 10–25% lost reimbursement per session.

The Real Cost of Wrong Billing

Let’s put numbers to it.

A clinic treating 8 patients per week at an average reimbursement potential of $1,400 per session should earn around $44,800 per month.
With coding or documentation errors, even a 15% revenue loss equals $6,720 every month — or $80,000+ annually.

That’s the financial impact of not having a dedicated Spravato billing partner who understands:

• Buy & Bill cash flow timelines
• Drug acquisition cost management
• Time-based reimbursement codes
• Documentation standards for audits

When you work with a dedicated Spravato Billing Company like Finnastra, you get more than claim submissions — you get revenue protection, audit readiness, and full reimbursement support.

Why Buy & Bill Demands Billing Expertise

Under the Buy & Bill model, your clinic purchases Spravato upfront, then bills insurance for reimbursement after administration. This means:

• Delayed payments if claims are denied or underpaid.
• Financial exposure on every vial purchased.
• Margin risk if distributors charge more than you’re reimbursed.

As a leading Spravato Billing Company, Finnastra ensures your margins are protected by:

• Securing better drug pricing through all four distributors.
• Monitoring reimbursement rates across payers to detect margin compression.
• Implementing real-time AR tracking for each patient encounter.

When every dose represents hundreds of dollars in potential loss, accuracy and speed aren’t optional — they’re survival.

Common Mistakes That Drain Your Revenue

If you’re noticing slower reimbursements or rising denials, check if any of this sound familiar:

1. Using psychotherapy codes during Spravato administration
   → Double billing alert. Payers will reject or claw back claims.
2. Incorrect pairing of prolonged service codes
   → Missing out on 99417 or G2212 can cost $200–$300 per session.
3. Under-documenting staff and provider time
   → Without time logs, you can’t bill for observation periods.
4. Failure to match S0013 units to invoice
   → Common reason for payer audits and partial reimbursements.
5. Missing REMS compliance evidence
   → Can trigger prepayment reviews or claim holds.

This one thing changes your entire reimbursement pattern:
Switching to a specialized Spravato billing partner who understands these nuances — and has the workflows to fix them.

How Finnastra Protects Your Practice’s Revenue Stream

At Finnastra, we built our Spravato Billing Services from the ground up — not as a generic psychiatry billing add-on, but as a dedicated, REMS-compliant billing infrastructure designed for Spravato, Ketamine, and TMS clinics.

Here’s how we protect your revenue:

• Proactive Prior Authorizations – Prevent denials before they occur with complete documentation and criteria-based approvals.
• Precision Coding for Every Session – Capture every minute, milligram, and monitoring code accurately.
• Automated Margin Tracking – Real-time dashboards to monitor Buy & Bill profitability.
• Audit-Ready Documentation – Ensure payer and REMS compliance for peace of mind.
• Faster AR Recovery – 30–40% faster collection rates than general billing vendors.

Our Spravato Billing Company is designed to simplify the complex — giving you financial clarity and control, while you focus on what matters: patient care.

Case Study: How Finnastra Increased Profitability by 22%

A Delaware-based Spravato clinic was losing over $12,000/month due to incomplete coding and delayed prior authorizations. Within 45 days of transitioning to Finnastra:

• All PA workflows were streamlined using payer-specific templates.
• Code sequencing errors were corrected (G2083 + 99417 + S0013).
• Revenue cycle time dropped from 46 days to 27 days.
• Net collections improved by 22%, adding $144,000 annually.

This isn’t theory — it’s execution.

Ask Yourself:

• Is your billing company familiar with Spravato REMS documentation?
• Do they track reimbursement trends for your buy-and-bill claims?
• Can they prove they’ve increased collections for another Spravato clinic?

If not, your revenue — and your sanity — may already be at risk.

Why Clinics Choose Finnastra

Finnastra isn’t just a billing company — we’re a strategic growth partner for Spravato, TMS, and Ketamine practices nationwide.
We help clinics move from surviving to scaling with:

• Comprehensive revenue protection
• PM/EHR integration
• Credentialing & Contract Negotiation
• Complete Buy & Bill guidance

When your goal is to grow, not just get by, you need a billing partner that understands the financial anatomy of Spravato.

As a leading Spravato Billing Company, Finnastra ensures every code, claim, and compliance measure translates into real revenue — not risk.

Take the First Step to Protect Your Revenue

Every denied claim, every delayed payment, every missed minute of billable time costs you money. Don’t let it keep happening.

Schedule a consultation today to discover how Finnastra can recover lost income, eliminate billing stress, and future-proof your practice’s revenue stream.

Visit us: https://finnastra.com/spravato-billing/