Spravato billing tends to look manageable right up until it isn’t. A few months in, denials start showing up without clear explanations. Payments slow. A/R stretches longer than expected. None of this means the treatment isn’t working. It usually means the billing structure underneath it isn’t built for the realities of esketamine reimbursement. Before you hand this responsibility to an outside partner, there are specific questions worth asking, questions that reveal whether you are dealing with surface-level familiarity or true specialization in a Spravato billing company.
This question matters more than most clinics realize. Spravato is not something a billing team can handle “occasionally” and still do well. The codes, observation requirements, drug reimbursement rules, and payer expectations are too specific for that.
A capable Spravato billing company should be fluent in the day-to-day realities of Spravato billing, not referencing cheat sheets or treating it like an extension of general psychiatry claims. At Finnastra, Spravato billing is a defined specialty with its own workflows, checks, and payer logic. That focus shows up quickly in cleaner claims and faster payment cycles.
Spravato reimbursement lives and dies on documentation. Payers expect proof of REMS adherence, supervision, and observation time, and they are not forgiving when those details are vague or inconsistent. Even small documentation gaps can delay or derail payment weeks after treatment has already been delivered.
Ask how documentation is reviewed before claims are submitted. A serious Spravato billing company does not wait for denials to identify problems. Finnastra works in step with clinical teams to ensure documentation supports reimbursement from the start, reducing the risk of preventable delays.
Authorization problems are one of the fastest ways to inflate A/R in Spravato programs. Approvals may differ between induction and maintenance phases, and session limits are often closely monitored by payers. One misalignment between authorization and scheduling can stall multiple claims.
A specialized Spravato billing company treats authorization as an active process. Finnastra tracks approvals against actual treatment delivery, so sessions billed align with what payers have approved. This level of coordination keeps claims moving instead of sitting in review queues.
Every Spravato program will see denials. The question is what happens next. Some billing vendors resubmit claims repeatedly without addressing the underlying cause. That approach costs time and quietly extends A/R.
An experienced Spravato billing company looks for patterns. Finnastra analyzes why denials occur, adjusts workflows, and prevents the same issues from repeating. That kind of corrective work stabilizes revenue instead of constantly chasing it.
Billing issues rarely announce themselves clearly. More often, they surface as gradual payment delays that go unnoticed until cash flow is affected. Without clear reporting, clinics are left guessing.
A reliable Spravato billing company should provide practical visibility into claim status, denial reasons, and payment timelines. Finnastra offers reporting that makes it easier to see where revenue is flowing smoothly and where attention is needed, before problems grow.
Spravato billing depends on accurate scheduling, clean documentation, and consistent charge capture. If a billing partner cannot integrate with your existing systems, errors creep in quickly.
Finnastra coordinates billing workflows alongside PM and EHR software services, reducing manual handoffs and the small data gaps that often lead to delays. That integration matters more than most clinics expect.
Selecting a Spravato billing partner is not a routine outsourcing decision. It directly affects cash flow, compliance, and the long-term viability of your treatment program. If you are evaluating options, look for depth, not promises.
Finnastra works with clinics that want clarity, consistency, and control over their Spravato revenue cycle. Reach out today to see how partnering with an experienced Spravato billing company can reduce friction, shorten A/R cycles, and support sustainable growth.
