How We Bill 1,000 Spravato® Treatments Monthly with a 98% Claim Pass Rate

Spravato® (esketamine) is transforming the treatment landscape for patients struggling with treatment-resistant depression. But while the clinical benefits are clear, the billing side often becomes a barrier for practices trying to scale. Complex prior authorizations, strict REMS requirements, and payer-specific coding rules make Spravato® billing one of the most challenging areas in behavioral health.

At Finnastra, we’ve mastered this complexity. Today, our team successfully bills over 1,000 Spravato® treatments every month with a 98% claim pass rate—a benchmark that exceeds industry averages and delivers predictable revenue for growing practices.

As a leading Spravato Billing Company, we know that practices need more than just claims processing—they need a partner that can guarantee accuracy, reduce administrative stress, and enable patient access to life-changing care.

Why Spravato® Billing Is Different (and Difficult)

Spravato® is not billed like traditional office visits. Practices must navigate:

• Buy-and-Bill Challenges – Practices front the cost of Spravato® and rely on timely reimbursement to remain financially stable.
• Prior Authorization Complexity – Approvals require detailed documentation, strict diagnosis coding, and adherence to payer-specific requirements.
• REMS Program Regulations – Each claim must reflect compliance with REMS protocols, creating additional reporting layers.
• Bundled vs. Separate Billing – Some payers reimburse under bundled codes, while others require separate medication and monitoring submissions.

Without expert billing management, practices risk denials, delayed payments, and compliance audits that can put financial stability at risk.

Our Proven Results: Scale Without Compromising Accuracy

At Finnastra, our Spravato Billing Services are designed to simplify every step of the process. Here’s how we consistently achieve a 98% claim pass rate while billing 1,000+ treatments per month:

✅ Specialized Billing Teams – Our coders and billers focus exclusively on Spravato®, TMS, and Ketamine billing. This specialization ensures we catch payer-specific nuances before claims are submitted.

✅ Data-Driven Denial Prevention – According to MGMA, the average denial rate across behavioral health is 8–10%. At Finnastra, we cut that down to under 2% through pre-submission audits and robust verification.

✅ Streamlined Prior Authorizations – We manage the end-to-end PA process, reducing administrative time for providers by up to 70% and speeding up patient access to care.

✅ Buy-and-Bill Expertise – With experience across Medicare, Medicaid, and commercial payers, we help practices protect margins and avoid costly reimbursement delays.

✅ Revenue Predictability – Practices working with us see improved cash flow, with reimbursements often arriving 30–40% faster compared to industry norms.

Real-World Impact: What This Means for Growing Practices

When you work with a dedicated Spravato® Billing Company like Finnastra, the benefits extend beyond financial performance. Practices that outsource to us report:

• Fewer Billing Headaches – Physicians and NPs focus on patient care, not claim follow-ups.
• Faster Practice Growth – With billing bottlenecks removed, providers can scale their Spravato® program confidently.
• Expanded Patient Access – Reduced PA delays and fewer denials mean more patients receive timely treatment.

“As a leading Spravato® Billing Company, Finnastra ensures practices don’t just get reimbursed—they get reimbursed on time, every time.”

Why Finnastra is the Partner of Choice

Whether you’re a new clinic just starting Spravato® services or an established practice scaling to treat dozens of patients per week, our results speak for themselves:

• 1,000+ monthly treatments billed
• 98% claim pass rate
• <2% denial rate vs. 8–10% industry average
• 30–40% faster reimbursements than typical benchmarks

Our track record proves that Spravato® billing doesn’t have to be a barrier to growth—it can be a driver of financial stability and patient success.

Ready to Scale Your Spravato® Program?

Don’t let complex billing slow down your practice or limit patient access. Partner with Finnastra—the Spravato® Billing Company trusted by providers nationwide to deliver accuracy, speed, and compliance at scale.

Learn more about our Spravato® Billing Services