Payer Contracting

Learn Spravato Coding & Reimbursement Now!

Learn Spravato Coding & Reimbursement Now! Navigating the coverage and reimbursement landscape for SPRAVATO® (esketamine) nasal spray requires careful consideration to ensure compliance and optimize reimbursement. The assignment of a Healthcare Common Procedure Coding System (HCPCS) code and a payment rate does not guarantee coverage by Medicare, Medicaid, or private payers. Each payer determines whether […]

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Why Ensuring Payer Contracting for Buy-and-Bill Is Essential Before Implementing Spravato® in Your Practice

Why Ensuring Payer Contracting for Buy-and-Bill Is Essential Before Implementing Spravato® in Your Practice Before adopting the buy-and-bill model for Spravato® (esketamine) nasal spray in your practice, it’s crucial to confirm that the payers in your network are contracted to support this billing method. This step ensures financial sustainability, smooth reimbursement, and optimal patient care.

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Focal Point Virtual Group

Focal Point is a business-to-business that was founded to help medical practices increase access to care while maintaining autonomy. We pair you with tools to help boost your practice, whether it be a virtual assistant, billing and credentialing services, or other roles such as a ketamine/TMS intake coordinator. 

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