detox billing services

Medical and residential detox programs face unique billing, authorization, documentation, and compliance challenges. From managing admissions and level-of-care determinations to navigating payer requirements and medical necessity reviews, successful reimbursement requires specialized behavioral health expertise.

Resolute Billing provides billing, credentialing, authorizations, compliance support, and revenue cycle management services for detox providers across the United States.

Whether you're operating a medical detox program, residential detox facility, or integrated continuum of care, our team helps streamline billing operations so you can focus on patient care and recovery.

• Medical Detox Programs
• Residential Detox Programs
• Substance Use Treatment Facilities
• Co-Occurring Treatment Programs
• Residential Treatment Centers with Detox Services
• Behavioral Health Facilities
• Multi-Location Treatment Organizations
• New and Growing Detox Programs

• Insurance Verification
• Prior Authorizations
• Initial and Concurrent Reviews
• Claim Submission
• Payment Posting
• Denial Management
• Credentialing
• Contract Negotiations
• Weekly & Monthly Reporting
• Revenue Cycle Management

Detox billing requires careful attention to medical necessity, provider qualifications, documentation requirements, and payer-specific guidelines.

Our team helps organizations navigate:

• Documentation and record reviews
• Medical necessity requirements
• Detox level-of-care reviews
• Mental Health vs. Substance Use billing requirements
• Medicaid and managed care organization requirements
• Provider credentialing and scope of practice considerations
• Supervision requirements for associates, interns, and trainees
• Determining which provider types may perform and bill specific services
• Authorization and utilization review requirements
• Clinical documentation compliance
• Payer audits and record requests

With extensive behavioral health experience, we help organizations identify potential compliance concerns before they become denials, recoupments, or audit findings.

• Authorization delays and denials
• Medical necessity reviews
• Detox level-of-care documentation concerns
• Medicaid billing requirements
• Concurrent review management
• Mental Health versus Substance Use billing questions
• Provider credentialing limitations
• Revenue cycle inefficiencies
• Payer audits and record requests
• Documentation deficiencies

• Behavioral health focused
• Experience with medical detox, residential detox, and substance use treatment programs
• Knowledge of payer authorization requirements
• Understanding of Medicaid and managed care requirements
• Documentation and compliance review experience
• Support with payer audits, record requests, and level-of-care reviews
• Commercial insurance, Medicaid, and Medicare experience
• Responsive communication
• Transparent reporting
• Small, personalized team