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Ketamine Clinics Revenue Operations

Ketamine Clinic Billing Services

Revenue operations built for infusion schedules that mix cash-pay, Spravato, and off-label coverage.

Ketamine revenue breaks at the coverage line: Spravato may be covered while infusions are off-label, every payer draws that line differently, and cash-pay and insurance visits share one schedule. We make the split visible — and verify the answer before the chair is booked.

SOC 2 CertifiedCertified Specialty Coders100% Client Retention
Daily monitoring
Live dashboards
Measured Impact
99%
Clean Claim Rate
company-wide operating number
The Problem

Why Ketamine Clinic Billing Is Uniquely Hard

A ketamine practice runs two revenue models at once — and most billing vendors can only see one of them:

Coverage is a patchwork: Spravato may be covered while generic infusions are off-label — and every payer draws the line differently
Cash-pay and insurance revenue mix in one schedule, with no clean view of either
Documentation and prior-auth requirements shift payer by payer, and a miss erases a high-dollar visit
A denied infusion claim costs more than a day of consults — and denials repeat silently across treatment series
Two revenue models, one schedule.
Services

What We Run for Ketamine Clinics

These are the services that apply to ketamine clinics.

Revenue Cycle Management

End-to-end: intake, coverage verification, infusion billing, claims, and AR — with the cash-pay ledger visible beside the insurance one.

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Medical Coding

Infusion, administration, and Spravato coding held consistent across treatment series, so high-dollar visits don’t get downcoded.

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Prior Authorization

Spravato and covered-indication auths secured and tracked across the full treatment series — verified again before each visit.

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Platform & Products

Powered by Wurklist

The Platform
Wurklist

Our AI-native RCM platform — the Revenue Command Center. People + Process + AI, fully transparent. No black boxes.

Platform Tagline
Your Front Desk Has More Important Things to Do.
Inside Wurklist
Real-time eligibility, powered by Wurklist
Navi

Coverage, benefits, and auth status verified before the chair is booked — the cash-pay vs. insurance call made before the visit, not after.

Standalone product
A product
Data Analytics

Deep RCM analytics — revenue visibility, denial and payer-trend insights, and performance dashboards.

Integrations

Built for eClinicalWorks

We work inside the system your front desk already uses. Your team keeps their workflow; we run the revenue behind it.

Connected
eClinicalWorks
Ketamine clinic EHR / PM
Coming soon
athenahealth
Coming soon
AdvancedMD

More systems slot in as we expand — same revenue operation behind each.

Proof

The Operating Numbers We Hold Ourselves To

These are EMPClaims operating numbers across every client we serve — the same dashboards we run your revenue from are the ones we report from. A specialty-specific case study is in progress; until it clears sign-off, we publish company-wide figures, not projections.

Ketamine Clinics · Run in the open
Verified before the visit
99%
Clean Claim Rate
across every specialty we run
98%+
Coding Accuracy
certified coders, audited
100%
Client Retention
nobody leaves a cycle they can see
TBD
Infusion Denial Rate
Pending sign-off
Unpublished figures stay TBD until they clear sign-off — we don't project.See our infusion billing case study
Outcomes

What Changes When We Run Ketamine Clinic Billing

Coverage and auth answered before the patient is scheduled
A clean cash-pay vs. insurance split you can actually see
Consistent infusion and administration coding across series
Denials surfaced and worked before they compound
Predictable revenue across a growing schedule

No Claim Left Behind.

Get full visibility and control over your ketamine clinic revenue.