For many behavioral health practices, Spravato (esketamine) has transformed clinical outcomes, but not always their bottom line. Despite consistent patient volume, many providers discover they’re being underpaid or inconsistently reimbursed for Spravato treatments due to payer discrepancies, outdated contracts, or coding oversights.
If your reimbursement doesn’t reflect your actual costs, or worse, your buy-and-bill margins are shrinking, it’s time to rethink your payer contracts and billing strategy.
At Finnastra, we help mental health practices reclaim lost revenue through data-driven renegotiation, precise coding, and proactive payer engagement. As a leading Spravato Billing Services Company, Finnastra ensures your billing reflects the true value of the care you deliver.
Spravato billing is uniquely complex. Between REMS requirements, buy-and-bill procedures, and variable payer policies, the risk of underpayment is high.
According to a 2024 MGMA survey, 46% of behavioral health providers report receiving less than expected reimbursement for Spravato, primarily due to:
Even small discrepancies in CPT code usage, such as misapplying S0013, G2083, or 99417, can cause cumulative underpayments that erode annual profitability by tens of thousands of dollars.
Our approach isn’t just about billing; it’s about strategic payer management. Finnastra leverages deep industry insight, advanced analytics, and payer trend intelligence to renegotiate and recover lost revenue opportunities for Spravato, TMS, and Ketamine clinics.
We conduct a comprehensive audit of your historical claims to identify underpayments, bundling errors, and coding mismatches. This forms the foundation for payer negotiation.
Our analysts benchmark your current reimbursement rates against regional and national data, ensuring you’re not being shortchanged compared to similar practices.
Finnastra’s coding team ensures every aspect of Spravato treatment, from induction visits to monitoring, is captured using the most accurate and up-to-date codes for maximum reimbursement.
We represent your clinic in discussions with commercial insurers and government payers, using data-backed arguments and documentation to secure higher reimbursement rates.
Once new rates are secured, we continuously monitor payer adherence, ensuring no future discrepancies go unnoticed.
One of our partner clinics in Delaware was unknowingly losing $400 per treatment due to payer contract misalignment and outdated coding. Within 90 days of working with Finnastra, we renegotiated two payer agreements and corrected CPT sequencing, boosting their reimbursement by 18% and restoring positive margins on Spravato sessions.
This isn’t a rare case. Across our Spravato portfolio, we’ve seen clinics recover 8–22% in additional reimbursement after contract and code optimization.
Too many clinics accept low reimbursement as “just how it is.” But payer contracts are not set in stone, especially when supported by clean data, solid documentation, and compliant billing workflows.
When you work with a dedicated Spravato Billing Services Company like Finnastra, you gain a strategic partner that knows how to speak the payer’s language, leveraging compliance, volume, and coding accuracy to renegotiate your position.
If you’re still experiencing:
…it’s likely not your clinical performance, it’s your billing and payer management strategy.
As a leading Spravato Billing Services Company, Finnastra ensures your reimbursement reflects both your compliance and your care quality. We don’t just submit claims; we fight for what your practice deserves.
At Finnastra, we combine coding mastery with payer negotiation expertise to help mental health practices thrive financially. From Spravato Billing Services and Prior Authorization for Spravato, to TMS Billing and Buy & Bill Optimization, we’re redefining how practices capture revenue in a high-stakes reimbursement environment.
Our mission is simple: to make sure every minute, milligram, and monitoring code gets paid, accurately and on time.
If you’re ready to renegotiate your Spravato reimbursement rates or uncover hidden underpayments, reach out today.
Visit https://finnastra.com/spravato-billing/ to learn how Finnastra can help you take back control of your revenue cycle.
