Revenue leakage in Spravato programs rarely looks dramatic. There is no single failure point, no obvious breakdown. Instead, it shows up slowly. Payments take longer than expected. Reimbursements arrive lower than projected. A/R grows heavier each month without a clear explanation. Clinics often assume this is the cost of offering a complex therapy. In reality, most of these losses are avoidable. They stem from small process gaps that compound over time, which is exactly why disciplined Spravato billing services matter.
By the time a Spravato claim reaches a payer, much of the outcome is already decided. Eligibility may have been checked superficially. Authorization details may exist but are not being actively managed. Clinical documentation may meet care standards but fall short of reimbursement standards.
At Finnastra, we see this pattern repeatedly. Effective Spravato billing services start well before the first dose is administered. They begin with understanding how each payer defines coverage, what they expect to see in the chart, and how those requirements evolve throughout treatment. When that foundation is weak, revenue leaks quietly from the start.
Spravato authorizations are rarely simple. Session limits differ between induction and maintenance phases. Some payers require progress documentation at specific intervals. Others change criteria mid-course without much warning. When authorizations are treated as a static approval, clinics end up billing sessions that technically fall outside payer parameters.
This is one of the most common sources of revenue leakage we encounter. Finnastra’s Spravato billing services track authorization details against actual treatment delivery, session by session. That alignment prevents claims from stalling later, when recovery is far more difficult.
Spravato documentation has to do more than describe what happened clinically. It has to demonstrate REMS compliance, supervision, observation time, and medical necessity in a way that satisfies payer reviewers. When those elements are implied rather than explicit, claims may be delayed, partially paid, or quietly downgraded.
A strong Spravato billing services partner understands this distinction. At Finnastra, documentation is reviewed with reimbursement in mind, not just clinical completeness. This reduces unnecessary payer questions and protects revenue that might otherwise erode through prolonged review cycles.
Not all revenue leakage shows up as a rejected claim. Some of the most damaging losses come from underpayments caused by subtle coding issues. Time-based elements may be missed. Observation periods may not be fully captured. Sequencing errors may trigger reduced reimbursement without a clear denial.
Finnastra’s Spravato billing services are built around how payers actually process these claims. We look beyond whether a claim was paid and ask whether it was paid correctly. That level of scrutiny is often the difference between stable margins and chronic underperformance.
Appealing individual denials can recover revenue, but it does not stop leakage. The same issues resurface unless workflows change. Patterns matter more than one-off fixes.
As part of our Spravato billing services, Finnastra analyzes denial trends across payers and patients. When we see repeated issues, we adjust documentation habits, authorization tracking, or submission logic at the system level. Over time, this closes gaps that quietly drain revenue.
When clinics can’t see what happens after claims are submitted, revenue leakage is more likely to happen. If there isn’t clear reporting, claims that are late or underpaid become lost in the background until cash flow gets tighter than it should.
Finnastra provides reporting that shows where claims sit, why payments are delayed, and where adjustments are occurring. Effective Spravato billing services do not just execute. They make everything clear.
Maintaining a stable Spravato billing process relies on a number of elements beyond acquiring clean claims. Accurate enrolment, alignment with the appropriate payer, and monitoring of prior authorization also impact each of these items. As such, Finnastra has taken steps to ensure that all billing workflows integrate with their prior authorization service so approvals can be tracked, verified, and implemented accurately at every step of treatment.
Revenue leakage might be hampering the profitability of your Spravato program and making it seem like your program is busier than expected. Partner with Finnastra now to streamline your reimbursement process into an organized and accountable fashion. Call us for more information on how our Spravato billing services protect clinics’ finances by reducing costs, protecting revenue, and providing clinics with the means to create financial viability as they expand their programs.
