As the use of SPRAVATO® (esketamine) grows in the treatment of treatment-resistant depression, many providers are discovering an uncomfortable truth: standard billing companies simply aren’t equipped to handle the complexities of Spravato reimbursement.

At Finnastra, we’ve seen the consequences of generic billing firsthand—and more importantly, we’ve built specialized Spravato Billing Services to solve those challenges.

The Risks of Using a General Billing Company

Most billing vendors treat Spravato like any other medication or behavioral health service. The result?

  • Claim denials due to documentation errors
  • Incorrect use of codes like S0013, G2083, or G2212
  • Delayed or missed reimbursements that strain your practice cash flow
  • Non-compliance with REMS requirements, leading to audit exposure

These issues don’t just affect your bottom line—they affect your patients. When prior authorizations are denied or reimbursement is stalled, access to critical treatment is put at risk.

What Makes Spravato Billing Different?

Billing for SPRAVATO® requires a deep understanding of:

  • Buy-and-bill model nuances
  • REMS program compliance
  • Time-based billing codes for observation and monitoring
  • State-by-state Medicaid and Medicare payer rules
  • Proper documentation for prior authorizations and audits

This is not a plug-and-play scenario. You need a team that understands the full scope of Spravato Billing Services, not just behavioral health billing in general.

What to Look for in a Spravato Billing Company

When evaluating your billing partner, ask:

  1. Do they have proven experience specifically with Spravato?
    Experience with therapy or psychiatry billing doesn’t cut it.
  2. Can they manage both the clinical and financial requirements of buy-and-bill?
  3. Do they know the difference between G2083 and 99417—and when to use each?
  4. Have they helped other clinics successfully navigate payer audits?

At Finnastra, we’ve helped clinics reduce denials by over 80%, accelerated claim turnaround times, and built workflows that align with REMS, payer requirements, and real-world clinic needs.

Protect Your Practice with Specialized Spravato Billing Services

Don’t let generic billing jeopardize your clinic’s revenue—or your patients’ access to life-changing treatment.

As a leading Spravato Billing Company, Finnastra brings specialized knowledge, white-glove support, and proven outcomes to your side. Whether you’re just starting with SPRAVATO® or scaling your program, we’re built to help you succeed.

Let’s Talk:
Reach out to explore how Finnastra’s Spravato Billing Services can protect your revenue, streamline your workflows, and empower your care.

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