Substance abuse treatment is a critical service in Maryland—but navigating the billing process can often be more challenging than delivering care. From detox and MAT programs to outpatient and intensive outpatient (IOP) services, every level of care comes with its own set of billing codes, payer requirements, and documentation challenges.
At Taylor Prime Solutions, we offer Maryland substance abuse billing services tailored specifically for providers like you. Whether you run a residential treatment facility, outpatient clinic, or a telehealth-based program, we handle the complexities of billing so your team can focus on helping patients recover.
Why Substance Abuse Billing is Complex in Maryland
Maryland SUD providers face a wide range of billing challenges:
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Constantly changing Medicaid and commercial payer policies
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Required documentation for treatment plans, authorizations, and level of care
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Distinct billing requirements for different services like detox, counseling, and IOP
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High denial rates when billing codes are mismatched with documentation
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EMR integration and payer-specific electronic submission standards
Our Maryland substance abuse billing services are designed to help you avoid these pitfalls by applying best practices and payer-specific expertise.
Common Codes for Maryland Substance Abuse Billing Services
Some of the most frequently used CPT and HCPCS codes in substance use billing across Maryland:
Code | Description |
---|---|
H0001 | Alcohol and/or drug assessment |
H0004 | Individual counseling session |
H0005 | Group counseling session |
H0015 | Intensive Outpatient Program (IOP) services |
H0032 | Mental health service plan development |
H2036 | Therapeutic behavioral services, per diem |
G0396 | Alcohol/substance abuse screening (15–30 min) |
G0397 | Alcohol/substance abuse screening (>30 min) |
Ensuring these codes are used correctly, with all required modifiers, service details, and documentation to avoid unnecessary denials or delays.
Our Maryland Substance Abuse Billing Services Include:
At Taylor Prime Solutions, our services are built specifically for the needs of addiction treatment centers and behavioral health clinics across Maryland.
✅ Claims Submission & Payer Follow-Up
We submit accurate, timely claims with complete documentation to commercial payers, Medicare, and Maryland Medicaid. We also follow up on claims that are pending, under review, or denied.
✅ Insurance Verification & Pre-Authorization
SUD treatment often requires prior authorization, especially for IOP or MAT programs. We handle insurance verifications and auth submissions to ensure services are approved before they’re rendered.
✅ Denial Management
We investigate and resolve denied claims quickly. Our team identifies root causes and appeals claims with the proper corrections, helping you avoid future errors and increase your revenue.
✅ Payment Posting & Accounts Receivable Recovery
We post payments in real-time, track outstanding balances, and manage aging AR to help you get paid faster. Our priority is maximizing your collections with full financial transparency.
✅ Customized Financial Reporting
You’ll receive monthly financial reports and claim analytics tailored to your goals, payer mix, and services—so you always know where your revenue stands.
✅ Credentialing & Compliance Support
We can assist with credentialing new providers, updating contracts, and ensuring compliance with Maryland Medicaid and commercial plans. We also guide you through payer audits if they occur.
EMR Integration for SUD Clinics
We work seamlessly with EMRs and practice management systems commonly used in SUD treatment:
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Kipu
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AZZLY Rize
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BestNotes
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EchoVantage
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TheraNest
Whether you’re operating with multiple payers or using one platform to handle it all, our team adapts to your system to keep billing smooth and streamlined.
Support for All Levels of SUD Care in Maryland
Our Maryland substance abuse billing services are built to support all treatment levels and program types:
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🏥 Detox & Residential Programs
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🏢 Outpatient & Intensive Outpatient (IOP) Services
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💊 Medication-Assisted Treatment (MAT)
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📞 Telehealth-Based Counseling
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🧠 Co-occurring Mental Health & SUD Services
We understand the documentation, supervision, and billing nuances that go into each level of care—and we make sure your billing reflects that.
Local Expertise with Nationwide Compliance
While many billing companies offer generic support, we’re based right here in Maryland. That means we understand:
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Local MCO requirements
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State-specific billing regulations for SUD services
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Licensing and credentialing nuances in Maryland
But we also ensure compliance with national standards, including HIPAA, CMS regulations, and payer-specific coding guidelines.
Why Choose Taylor Prime for Maryland Substance Abuse Billing Services?
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✅ We specialize in behavioral health and substance use billing—it’s not just one of many things we do.
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✅ We’re based in Maryland and work with local providers, payers, and policies daily.
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✅ Our team is certified and trained in the latest coding and compliance practices.
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✅ We offer real results, including faster payments, lower denial rates, and simplified reporting.
Let’s Simplify Your Substance Abuse Billing
You deserve a billing partner who understands addiction treatment—not someone who’s guessing at the codes. With Taylor Prime Solutions, you’ll never have to worry about missing authorizations, denied claims, or unpaid sessions again.
📞 Call us at 844-TAYLOR-9 📩 Schedule a Free Consultation
Let’s talk about how our Maryland substance abuse billing services can help your treatment center stay financially strong while staying focused on patient care.