Am I getting the right number of authorizations?
Successful billers in the substance abuse and mental health sectors can get you a two metrics really quickly:
1) Average reimbursement rate by level of care depending on the insurance company; and
2) Average number of days authorized by insurance company.
Those two numbers drive your revenue and profitability and allow you to provide more and better care for your patients. We focus so hard on these numbers and our teams are incentivized to keep these numbers up. We provide reports that allow our clients to view their number of days authorized and reimbursement rates compared to benchmarks within our portfolio of clients. This lets our clients compare themselves to the benchmarks and work on improving in areas where they might be weaker than others.