About us

ZenPractice is a boutique billing and consulting firm specializing in substance abuse treatment. Our innovative approach empowers our clients with an in-depth education about insurance billing and utilization review that promotes revenue growth and improvements in compliance and clinical practice.

Our extensive knowledge of substance abuse treatment informs our pragmatic approach to both billing and consultative services. Our service is transparent and comprehensive. From benefit verification to utilization review and claims submission, we will communicate everything to you and let you dictate the terms of your billing.

We specialize in substance abuse treatment billing for

  • Medical and Sub-Acute Detoxification
  • Residential Treatment
  • Partial-hospitalization and Day Treatment
  • Intensive Outpatient Treatment
  • Outpatient Treatment
  • Group Therapy
  • Individual Therapy
  • Psychiatry
  • Urinalysis and toxicology
Verification

Verification of your client’s benefits is one of the most vital steps in determining their eligibility for treatment. Our experienced benefit verification team will work with you to develop a benefit check tailored to your program offerings and billing practices, to ensure comprehensive and accurate eligibility verification.

We understand the urgency of patients seeking treatment, and complete all verifications in a timely manner, enabling your prospective patients fast, covered access to treatment.

Authorization

We understand the importance of getting your patients the care they need. Our expert team of licensed clinicians will advocate for each of them to maximize their length of stay in your program. Successful authorization comes from within your program, from your clinicians and their documentation of the services they provide.

At ZenPractice we go above and beyond obtaining authorization. Our utilization review team will perform an in-depth scan and analysis of your EHR and clinical documentation to streamline your administrative processes. We educate your clinical staff to document to the medical necessity guidelines of each payor, to ensure that each of your patients is receiving the maximum authorization for the highest level of care.

Our goal is to educate your team to work within the boundaries set by the insurance payors to foster a self-sustaining system that will consistently result in longer authorizations and higher likelihood of successful appeals.

Submission

Our highly-experienced billing department will handle and submit your claims with diligent accuracy using an efficient electronic submission platform, expediting reimbursement and decreasing denial. We believe in fighting for our client’s reimbursements and pursue all denials and underpaid claims aggressively. We know how to make an appeals case, and exhaust every avenue to ensure your program is being fairly reimbursed.

Reporting

Understanding your revenue stream is critical in making business decisions. We generate regular and comprehensive reporting to ensure you have a grasp on the pulse of reimbursement. We will work closely with your team to determine your unique data needs, and tailor reporting to improve analytics and projections.

We believe that optimal billing practices are achieved by infrastructural changes to your clinical and administrative processes. To aid your agency in this process, we provide comprehensive quarterly reporting that includes valuable metrics for marketing and compliance. We provide data on payor mix, average authorized days at each level of care, reimbursement rates, staff performance as it relates to billing and utilization review, and areas of improvement that will help you manage your team and optimize revenue and compliance.

Contracting

If joining payor networks is a goal for your agency, we will work with you and the payors to negotiate contracts that will guarantee reimbursement rates and increase the volume of your admissions. Our expert billing and utilization review teams have built relationships with payors and are effective at negotiating rates that will allow you to serve clients with HMO and EPO policies, allowing more people access to your treatment program.

Consultation

If you are seeking to run your billing or utilization review internally, we will provide a comprehensiveand ongoing training to your team enabling you to control all aspects of your business. Our expert team will analyze your systems and workflow, empowering you to optimize the authorization and billing process right from your own office.

Verification

Verification of your client’s benefits is one of the most vital steps in determining their eligibility for treatment. Our experienced benefit verification team will work with you to develop a benefit check tailored to your program offerings and billing practices, to ensure comprehensive and accurate
eligibility verification.

We understand the urgency of patients seeking treatment, and complete all verifications in a timely manner, enabling your prospective patients fast, covered access to treatment.

Authorization

We understand the importance of getting your patients the care they need. Our expert team of licensed clinicians will advocate for each of them to maximize their length of stay in your program. Successful authorization comes from within your program, from your clinicians and their documentation of the services they provide.

At ZenPractice we go above and beyond obtaining authorization. Our utilization review team will perform an in-depth scan and analysis of your EHR and clinical documentation to streamline your administrative processes. We educate your clinical staff to document to the medical necessity guidelines of each payor, to ensure that each of your patients is receiving the maximum authorization for the highest level of care.

Our goal is to educate your team to work within the boundaries set by the insurance payors to foster a self-sustaining system that will consistently result in longer authorizations and higher likelihood of successful appeals.

Submission

Our highly-experienced billing department will handle and submit your claims with diligent accuracy using an efficient electronic submission platform, expediting reimbursement and decreasing denial. We believe in fighting for our client’s reimbursements and pursue all denials and underpaid claims aggressively. We know how to make an appeals case, and exhaust every avenue to ensure your program is being fairly reimbursed.

Reporting

Understanding your revenue stream is critical in making business decisions. We generate regular and comprehensive reporting to ensure you have a grasp on the pulse of reimbursement. We will work closely with your team to determine your unique data needs, and tailor reporting to improve analytics and projections.

We believe that optimal billing practices are achieved by infrastructural changes to your clinical and administrative processes. To aid your agency in this process, we provide comprehensive quarterly reporting that includes valuable metrics for marketing and compliance. We provide data on payor mix, average authorized days at each level of care, reimbursement rates, staff performance as it relates to billing and utilization review, and areas of improvement that will help you manage your team and optimize revenue and compliance.

Contracting

If joining payor networks is a goal for your agency, we offer a comprehensive contracting consultation. We will guide you through application, credentialing, service bundling, and rate negotiation. Obtaining in-network status with insurance companies will allow you to serve clients with HMO and EPO policies, allowing more people access to your treatment program.

Consultation

If you are seeking to run your billing or utilization review internally, we will provide a comprehensiveand ongoing training to your team enabling you to control all aspects of your business. Our expert team will analyze your systems and workflow, empowering you to optimize the authorization and billing process right from your own office.

OUR PHILOSOPHY

Why Zen?

We started ZenPractice to empower treatment providers to be able to provide services on their terms. Too often patients are ineligible for treatment because of lacking utilization review and billing practices, which are completely out of their control. We know that with the right education and application, your program can increase its availability to those in need and improve your bottom line.

We work with our treatment providers to improve systems from the inside out, creating lasting, sustainable change that optimizes authorization and reimbursement. The result is extended length of stay for patients, so they can get the help they need, worry free.

Successful billing for addiction treatment starts with your program and clinical team. ZenPractice strives to empower you to take control of your business and extend your reach so you can benefit more people in need.

Getting Started

Our comprehensive and effective process will increase your authorizations and optimize your revenue stream, giving you more freedom to treat people in need.

We would Love to get to know you !

Please fill out the form below for a free billing and utilization review consult. One of our team members will be in touch with you as soon as possible.