Negotiating Better Payer Contracts for Spravato Providers: The Finnastra Advantage

When it comes to delivering SPRAVATO® (esketamine) therapy, clinical success is only half the equation. The other half? Getting paid fairly and consistently by insurance payers.

Unfortunately, many mental health practices enter payer relationships at a disadvantage—agreeing to underwhelming rates, unclear terms, or reimbursement models that make SPRAVATO® unsustainable.

That’s where Finnastra, the trusted Spravato Billing Company, comes in.

The Hidden Challenge: Payer Contracting for SPRAVATO®

Negotiating payer contracts is complicated even for standard services—but SPRAVATO® requires a whole new level of precision:

• Time-based reimbursement (for in-office monitoring)
• Bundled vs unbundled codes (e.g., G2083 vs S0013)
• Drug cost reimbursement under Buy-and-Bill
• Denial risk from lack of contract language
• Delays caused by out-of-network arrangements

Most general billing companies simply don’t address payer contract optimization. At Finnastra, we make it central to our Spravato Billing Services.

How Finnastra Optimizes Payer Contracts for SPRAVATO® Providers

As a specialized Spravato Billing Company, Finnastra goes far beyond claims management. We actively support your payer contract strategy with tools, data, and negotiation support designed to strengthen your financial footing.

1. Payer-Specific Rate Benchmarking

We compare your current rates with national and regional benchmarks, then identify opportunities for improved reimbursement based on volume and clinical value.

2. Strategic Fee Schedule Negotiation

Our experts help negotiate contracts that appropriately value SPRAVATO® services, including CPT codes like S0013, G2082/G2083, and extended time add-ons like 99417 and G2212.

3. Buy-and-Bill Contract Setup

We ensure your contracts include drug cost reimbursement and protect your margins under the buy-and-bill model, with optimal payment timelines and reduced upfront risk.

4. Medicaid & Medicare Optimization

We understand state-specific nuances and federal guidelines, helping you maximize reimbursements from government payers—often the most challenging part of the revenue mix.

5. Out-of-Network Avoidance Strategy

We guide you in avoiding out-of-network arrangements that could lead to denials or patient financial strain, and help you get credentialed with the right payer panels faster.

Case Example: Better Payer Rates, Better Revenue

Practice Type: SPRAVATO® Clinic, Washington State
Problem: Reimbursed only $950 per high-dose (84mg) session under existing payer contracts
Finnastra Solution: Conducted a contract review and renegotiated with two commercial payers
Result:

• Reimbursement increased to $1,425 per session
• Annual projected revenue gain: $120,000+
• Zero billing denials after contract update

The Finnastra Advantage: Strategic + Specialized

Unlike generalists, Finnastra is a Spravato Billing Company that builds every part of your revenue cycle around SPRAVATO® success—including:

• Full-service billing and collections
• Audit-ready documentation guidance
• Prior authorization management
• Contract review and negotiation support
• Buy-and-Bill distributor integration
• Revenue and profitability reporting

You’re not just outsourcing billing—you’re gaining a strategic partner invested in your financial success.

Maximize SPRAVATO® Revenue. Minimize Contract Risk.

Finnastra ’s Spravato Billing Services are designed for mental health providers who want to grow with confidence, knowing their payer relationships are rock solid and built for scale.

Ready to Negotiate Smarter?

Let’s review your payer contracts, identify missed opportunities, and elevate your SPRAVATO® revenue.
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