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NewBecker's 2026 Top RCM · Inc. 5000 · Dallas 100
A behavioral health platform grew collections by $2.4M / year with Plutus Health →
SOC 2 Type 2 · HIPAA · BHCOE · CASP

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SUD Billing Services Across the Full Continuum of Care

Our SUD billing specialists help treatment centers submit compliant claims, navigate complex reimbursement rules, and strengthen their revenue cycle.

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99.2%
Coding Quality
SCP Health, 2018
<1%
Coding Errors
SCP Health, 2018
95%+
First-Pass Resolution
SCP Health, 2018
<5%
Denial Rate
SCP Health, 2018
48 Hours
Average Turnaround Time
SCP Health, 2018

Where SUD Billing Gets Complicated

Continuum-of-care billing requires precision
Continuum-of-care billing requires precision

Every transition from detox to residential, PHP, IOP, outpatient, or MAT follows different authorization, documentation, and coding requirements. Missing a single step creates downstream reimbursement issues.

Behavioral health parity protects reimbursement
Behavioral health parity protects reimbursement

Commercial payers often apply stricter utilization management to behavioral health than to medical services. We identify parity opportunities and build stronger appeals in accordance with MHPAEA guidelines.

MAT billing goes beyond procedure codes
MAT billing goes beyond procedure codes

Medication-assisted treatment requires accurate documentation of HCPCS, CPT, and NDC administration and counseling. Even small coding errors can delay payment.

Why Providers Choose Our SUD Billing Services

Certified behavioral health billing specialists

Our AAPC and AHIMA-certified coders specialize in substance use disorder billing, behavioral health coding, and payer-specific reimbursement policies across commercial, Medicare, and Medicaid plans.

AI-powered revenue cycle management

OlympusAI continuously validates documentation, coding, authorizations, and payer edits before claims are submitted, improving billing accuracy and operational visibility.

End-to-end revenue cycle support

From insurance verification through denial management and AR recovery, our SUD billing services support every stage of your revenue cycle without adding administrative burden.

Operational Challenges We Solve

Benefits are verified before treatment begins

Insurance eligibility, behavioral health carve-outs, authorization requirements, and covered services are validated before the first encounter.

Documentation supports cleaner claims

Our billing specialists identify missing documentation and coding inconsistencies before claims leave your organization, reducing payer requests and rework.

Every claim is reviewed before submission

Claims are scrubbed against payer edits, coding guidelines, authorization status, and documentation requirements before reaching the clearinghouse.

How Our SUD Billing Process Works

Eligibility and authorization
Eligibility and authorization

We verify benefits, obtain or monitor prior authorizations, and document payer-specific treatment requirements before services begin.

Coding and claim submission
Coding and claim submission

Certified coders apply accurate ICD-10-CM, CPT, HCPCS, modifiers, and MAT coding while maintaining compliance with current billing guidelines.

AR and denial management
AR and denial management

Our specialists manage underpayments, appeals, aging accounts receivable, and payer follow-up to improve cash flow and financial performance.

SUD Billing and Code Coverage

Our substance use disorder billing specialists support reimbursement for

Detox services
Residential treatment programs
Partial Hospitalization Programs (PHP)
Intensive Outpatient Programs (IOP)
Outpatient addiction treatment
Medication-Assisted Treatment (MAT)
Individual, group, and family therapy
Behavioral health assessments
Case management services
Commercial, Medicare, and Medicaid billing

Plutus Health: The Best Substance Use Billing Company You Can Trust

Our certified billers and coders specialize in substance use and behavioral health billing, optimizing your entire revenue cycle management. We offer:

Thorough pre-billing audits to reduce denials
Monitor payments versus contracted amounts to avoid underpayments
Prioritize AR handling within the payer’s usual payment cycle
In-depth knowledge of industry regulations and tailored strategies
HIPAA-compliant systems and processes
Advanced software integration with existing systems
Flexible pricing models for practices of all sizes
Transparent updates on claim status and billing performance
Ensuring you receive full reimbursement for services rendered
Regular analytics and insights into your practice's financial health

Get Your Free SUD Billing RCM Assessment

Questions Frequently Asked

What is substance use disorder (SUD) billing?
What are unique SUD billing challenges?
What SUD service codes does Plutus Health use?
How does Plutus Health optimize SUD program billing?
What revenue metrics do SUD programs achieve?
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