Protect Your Practice with the Right Spravato Billing Company

Providing SPRAVATO® (esketamine) treatment is a clinical innovation—but without specialized billing expertise, it can also be a financial and compliance risk. The unique requirements of this REMS-regulated treatment demand more than just routine medical billing. Practices need a partner who understands the clinical, financial, and regulatory nuances of SPRAVATO® billing—and that’s where Finnastra stands apart.

As a specialized Spravato Billing Company, we don’t just submit claims—we protect your practice. Our end-to-end Spravato Billing Services are built around precision, payer compliance, and audit-readiness, ensuring that your revenue is not only maximized but defensible.

The Risks of Using a Generic Billing Provider

Many providers offering SPRAVATO® unknowingly expose their practice to financial loss, denials, and compliance vulnerabilities by working with billing companies that lack specific expertise in SPRAVATO® protocols. Key risks include:

• Incorrect use of CPT and HCPCS codes (e.g., S0013, G2082, G2083, 99417)
• Improper documentation of treatment plans and PHQ-9 scores
• Missed or delayed prior authorization submissions
• Buy-and-bill reimbursement gaps due to incorrect unit tracking
• Non-compliance with REMS documentation and site-of-care requirements

These issues don’t just affect reimbursement—they can trigger audits, clawbacks, or regulatory scrutiny.

How Finnastra Mitigates Risk at Every Stage

At Finnastra, our role as a Spravato Billing Company is to act as your revenue cycle partner and compliance shield. Our specialized Spravato Billing Services include robust safeguards built into every phase of the billing lifecycle.

1. Comprehensive Prior Authorization Protocols

• Detailed documentation review to meet payer criteria
• Pre-filled authorization forms tailored to each plan
• Real-time tracking of approval timelines
• Proactive appeals in case of denials

Our structured process ensures timely authorizations with a 98%+ approval rate, reducing the risk of delays or denials.

2. Precision Coding and Claim Submission

• Accurate application of SPRAVATO®-specific CPT/HCPCS codes
• Diagnosis matching (e.g., F33.2 for TRD) to ensure medical necessity
• Claim scrubbing to prevent billing errors
• Payer-specific submission logic to avoid rejections

We align every claim with both payer policy and REMS regulations—maximizing approval and minimizing risk.

3. Buy-and-Bill Compliance and Reconciliation

Under the buy-and-bill model, managing product acquisition, administration, and reimbursement is complex. Finnastra:

• Tracks doses and units administered to prevent underbilling
• Ensures NDC-level accuracy for each treatment claim
• Coordinates billing around 56mg and 84mg dosing schedules
• Reconciles reimbursement against distributor invoices

This process protects your margins and supports accurate recordkeeping in case of audits.

4. Audit-Ready Documentation and Oversight

We proactively prepare your clinic for payer audits and CMS documentation reviews by:

• Organizing treatment logs, progress notes, and PHQ-9 scores
• Maintaining comprehensive billing histories linked to clinical data
• Identifying and resolving documentation gaps before claims are filed
• Supporting your team in the event of medical record requests

Our compliance infrastructure ensures that your billing is defensible at every level.

Why Financial Stability Starts with the Right Billing Partner

When you choose a specialized Spravato Billing Company like Finnastra, you aren’t just outsourcing billing—you’re investing in the financial health of your practice.

• Reduced Denials and Rework: Fewer billing errors, fewer delays
• Stronger Margins: Optimized reimbursement under the buy-and-bill model
• Predictable Cash Flow: Faster payments and less A/R aging
• Compliance Confidence: Audit-proof documentation and REMS alignment

Providers who work with Finnastra don’t just survive—they scale. Our clients routinely expand access to SPRAVATO® care with confidence, knowing that billing, compliance, and reimbursement are in expert hands.

Protect Your Growth with Finnastra’s Spravato Billing Services

If you are offering—or planning to offer—SPRAVATO® treatment, now is the time to ensure your billing operations are built to support and protect your practice long term. Finnastra offers the structure, expertise, and transparency you need to reduce risk and strengthen revenue.

We are not just a vendor—we are your compliance partner, reimbursement specialist, and strategic ally.

Partner with a Proven Spravato Billing Company

Ready to elevate your financial security and billing efficiency?

Explore our Spravato Billing Services
Contact Finnastra today to schedule a consultation and discover how we help providers protect and grow their SPRAVATO® programs.