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How Underpayments Differ from Denials – and Why Your Team May Be Missing Both

Every organization knows the frustration of a claim denial. It shows up on the remittance, a member of your team has to review it, and

How Much Revenue Are Behavioral Health Facilities Leaving on the Table?

Ask most behavioral health facility owners how much revenue they are leaving on the table, and you’ll likely be met with a shrug. That’s not

Behavioral Health Billing Codes: A Plain-Language CPT and HCPCS Reference Guide

Behavioral health billing is one of the most confusing topics for billers, and it’s no surprise, given that time-based therapy codes, add-ons, state-specific HCPCS codes,

Signs Your Behavioral Health Billing Is Underperforming

Most behavioral health facilities don’t realize their billing is underperforming until the problem has already become costly. Money feels tighter than it should. The team

What Is a Healthy Denial Rate for a Behavioral Health Facility?

If you own or manage a behavioral health facility, you know all too well the feeling of disappointment when receiving an influx of claims that

The 30-Day Refund Rule: Florida’s New Requirements for Patient Overpayments

Earlier this year, Florida providers began operating under a much stricter clock for refunding patient overpayments. On January 1, 2026, the state’s new law (CS/CS/SB

What Does a Behavioral Health Billing Company Actually Do?

“We’ve got your billing” should sound simple. But behind those three words lives a complex world most organizations have no idea exists until they’re evaluating

Claims Processing in Behavioral Health: What Happens Between Submission and Payment

Submitting your behavioral health claim might seem like the finish line, but it’s really just the beginning of a long process. From the moment a

Billing for Mental Health Services: A Straightforward Guide for Providers

Mental health billing isn’t known for its simplicity, and frankly, it has earned that reputation. There is an array of time-based codes, telehealth place-of-service issues,

Private Practice Billing Services: What Solo and Group Practices Need Differently

How billing works differently for private practices compared to treatment centers - payer mix, credentialing, and claim patterns counseling and outpatient groups should understand.

Substance Abuse Billing 101: How SUD Billing Is Different

Billing for substance use disorder (SUD) is often combined with broader behavioral health billing, and while there is definitely overlap, assuming SUD billing is the

99214 Time vs MDM: Which Billing Method Is Right?

In behavioral health billing, 99214 is arguably the most widely submitted established patient E/M code—and also one of the most challenged. Many providers are sure