Spravato Billing Company Spotlight: How Finnastra Achieves a 98% Pass Rate

When it comes to Spravato Billing Services, accuracy is everything.
Just one billing error can lead to costly denials, delayed reimbursements, or even put your buy-and-bill model at risk. At Finnastra, we’ve built a system of precision, payer expertise, and clinical alignment that allows us to consistently deliver a 98% claim pass rate for our SPRAVATO® clients.

The Finnastra Advantage: Precision Meets Performance

As a leading Spravato Billing Company, we specialize in one thing: helping mental health providers succeed with SPRAVATO® therapy by ensuring billing never becomes a bottleneck.

While general billing companies often struggle to navigate the complexity of SPRAVATO® coding, prior authorizations, and REMS compliance, Finnastra has developed a purpose-built solution tailored to the unique needs of this treatment model.

What Does a 98% Pass Rate Mean?

A 98% pass rate means that 98 out of every 100 claims we submit on behalf of our clients are approved on the first attempt—without rework, resubmission, or appeals.

This is only possible because we:

• Pre-validate all documentation to meet payer requirements
• Use accurate and payer-specific codes like S0013, G2082, G2083, 99417, and G2212
• Implement tailored workflows for both buy-and-bill and direct pharmacy models
• Stay ahead of ever-changing Medicaid, Medicare, and commercial payer rules
• Monitor REMS compliance and documentation gaps in real time

Real Results: Finnastra in Action

Case Study 1: New York Practice, 5+ Patients Weekly
Before partnering with Finnastra, this practice had a 65% claim acceptance rate, resulting in tens of thousands of dollars in pending reimbursements.

Within 90 days of transitioning to Finnastra:

• Pass rate increased to 98.4%
• Prior auth approval time dropped from 14 days to 4 days
• Recovered over $36,000 in underpaid claims through audit correction

Case Study 2: Delaware Clinic Using Buy-and-Bill
This clinic faced challenges with distributor coordination and risk of out-of-pocket costs for SPRAVATO®. After Finnastra’s intervention:

• All payer buy-and-bill agreements were established within 3 weeks
• No claim denials since onboarding
• Realized a profit margin of $500+ per treatment after clean billing

Why Specialization Matters in Spravato Billing Services

SPRAVATO® is not a one-size-fits-all treatment—and your billing approach shouldn’t be either. Unlike general behavioral health services, SPRAVATO® requires:

• Time-based documentation
• Drug administration coding
• REMS protocol awareness
• Clinical and procedural alignment
• Prior authorization strategy
• Buy-and-bill financing structure

Finnastra is the only Spravato Billing Company that integrates all of these components into a seamless billing strategy designed to protect your revenue and simplify your operations. 

Your Compliance, Our Priority

We’ve helped dozens of SPRAVATO® providers pass audits, respond to record requests, and prevent clawbacks through thorough documentation support and payer communication. Our billing workflows are audit-ready by design—so you’re protected, even when payers come calling.

Join the Providers Who Trust Finnastra

Whether you’re just launching SPRAVATO® services or scaling an existing clinic, Finnastra’s Spravato Billing Services give you the clarity, control, and confidence to grow.

We’re more than just a billing vendor—we’re a strategic partner focused on your clinical and financial success.

Ready to see how your practice could benefit from a 98% pass rate?

Explore Finnastra’s Spravato Billing Services
Or schedule a free consultation with our billing experts today.