Revenue Cycle Management
RCM for Substance Abuse Treatment Centers
Addiction treatment billing is uniquely complex. Between authorization requirements, 42 CFR Part 2 compliance, and high denial rates, your billing team needs specialized support.
The Challenge
Why addiction treatment billing breaks generic RCM
Authorization complexity
Residential stays require frequent continued stay reviews. Miss one, and you lose days of revenue.
42 CFR Part 2
Federal law restricts how substance use disorder records are shared. Your RCM partner needs to know these rules inside and out.
Level-of-care transitions
Patients move from detox to residential to PHP to IOP. Each transition triggers new authorizations and different billing codes.
Medicaid variability
State Medicaid programs have wildly different rules for addiction treatment coverage. What works in Florida fails in California.
How Ease handles addiction treatment billing
SUD-specialist billing team
Onshore billers trained exclusively in substance abuse treatment billing. They know the CPT codes, ASAM levels, and payer policies specific to addiction treatment.
42 CFR Part 2 built in
Our platform and team handle Part 2 consent tracking, disclosure restrictions, and compliant record sharing from day one.
Authorization management
We manage initial auths, continued stay reviews, peer-to-peer calls, and appeals across detox, residential, PHP, IOP, and outpatient levels of care.
Denial prevention AI
Our AI analyzes patterns across millions of behavioral health claims to flag risks before submission, reducing denials at the source.
Revenue transparency
Live dashboards show claims status, denial rates, days in AR, and collection trends by level of care and payer.
Proven Results
$2.5B+
claims processed
99.2%
clean claim rate
98%
net collection rate
50
states
Specialization
Billing expertise across every level of care
Detoxification
Residential Treatment
Partial Hospitalization (PHP)
Intensive Outpatient (IOP)
Outpatient
Medication-Assisted Treatment (MAT)
Sober Living/Recovery Housing
Dual Diagnosis
Aftercare/Continuing Care
FAQ
Do you handle 42 CFR Part 2 compliance?
Yes. Part 2 governs how substance use disorder records are shared. Our platform, processes, and team are trained to handle Part 2 requirements, including consent tracking and disclosure restrictions.
How do you handle continued stay reviews?
Our utilization review team manages the full cycle: initial authorization, concurrent reviews, peer-to-peer calls with medical directors, and appeals when needed.
What EHR systems do you integrate with?
We integrate with all major behavioral health EHRs including our own Ease EHR, plus athenahealth, Qualifacts, Netsmart, NextGen, AdvancedMD, and more.
Can you clean up aged AR from our current billing?
Yes. We can take over aged AR cleanup alongside new claims during onboarding, helping you recover revenue that may have been left behind.