SPRAVATO® is a transformative treatment for those battling treatment-resistant depression—but for many providers, the administrative side of offering SPRAVATO® becomes a bigger challenge than the clinical side.
From denied claims to underpayment and audit risk, we’ve seen how billing mistakes can disrupt care delivery and threaten a clinic’s sustainability.
At Finnastra, we specialize in Spravato Billing Services that prevent these pitfalls—helping practices stay compliant, profitable, and patient-focused.
SPRAVATO® is billed with codes like S0013, G2082, G2083, 99417, and G2212—but choosing the wrong code (or missing a required one) can result in underbilling or outright denial.
How Finnastra Helps:
We apply precise time-based coding and use payer-specific code combinations to maximize reimbursement while maintaining compliance.
Many prior auths are rejected because they lack the required detail: failed treatments, duration of depression, documented severity (e.g., F33.2 or F32.2), or supporting notes.
How Finnastra Helps:
We handle prior auths end-to-end, using payer-specific language and documentation that improves approval rates dramatically.
Some practices administer SPRAVATO® without confirming payer reimbursement timelines or ensuring buy-and-bill agreements are in place, leading to thousands in unreimbursed medication costs.
How Finnastra Helps:
We walk you through distributor coordination, payer enrollment, and reimbursement planning—before your first dose is ordered.
Billing psychotherapy during a monitored Spravato session is considered double billing and is not allowed by most payers. This can lead to denials or payer clawbacks during audits.
How Finnastra Helps:
We guide your documentation to ensure proper segmentation of services, and we educate staff on REMS and billing compliance.
Spravato billing isn’t standard behavioral health billing. Most general billing companies miss the nuances—costing you revenue, time, and peace of mind.
How Finnastra Helps:
As a specialized Spravato Billing Company, we live and breathe the process—from eligibility checks to audit readiness. This is our lane—and we help you own it.
Let Finnastra Be Your Billing Safeguard
SPRAVATO® has the potential to change lives—your billing shouldn’t get in the way.
Finnastra’s Spravato Billing Services are built to remove complexity, protect your margins, and ensure every claim reflects the high-quality care you deliver.
Want help avoiding costly mistakes?
Visit finnastra.com/spravato-billing
Or book a free consultation with our Spravato billing experts.
