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Earlier this year, Blue Cross Blue Shield (BCBS) reached a landmark $2.8 billion settlement resolving long-standing antitrust allegations. The suit, filed in 2012, accused BCBS plans of
The next time you stop into a gas station or convenience store, look closely at the counter; you may spot small blue bottles labeled Feel
You’ve probably heard about the One Big Beautiful Bill Act (OBBBA), which has been all over the news since it was signed into law on
Fall is a season that naturally inspires reflection. Beyond its beauty, autumn offers the perfect opportunity to embrace one of the most powerful (and often
Few things are more frustrating for behavioral health providers than delivering care in good faith, only to face a recoupment (or insurer takeback) months later due
A few years back, we wrote about how difficult it can be to keep track of responsibilities and how maintaining a neat work journal can be helpful.
If you’ve ever dealt with a commercial insurance payer, chances are you’ve experienced the frustration of what feels like an endless waiting game. From dragging
Substance use and mental health challenges are deeply personal and complex, which is why there’s no one-size-fits-all solution to healing. Every individual’s story is unique, and
When behavioral health providers think about cutting costs, outsourcing billing may not be the first thing that comes to mind. After all, doing billing in-house
In substance use disorder (SUD) treatment, the primary focus is delivering compassionate, evidence-based care that helps clients heal and thrive. But behind the scenes, there’s
Accurate billing isn’t just about submitting claims. It starts long before services are ever provided. One of the most crucial steps in the revenue cycle
Cigna just rolled out six new AI-powered tools on their myCigna portal to make healthcare—especially behavioral health billing—a whole lot smoother. These tools are designed to
Not every patient who needs care will have an insurance plan that fits neatly into your existing contracts. A prospective client may have out-of-network benefits,
Every behavioral health practice generates data. Patient visits, claims submitted, payments posted, authorizations requested, denials received — the numbers are always there. But data without
If you’ve spent time in healthcare billing, you’ve likely seen the terms preauthorization and precertification used in similar ways. Some payers use them interchangeably, while
Ask most behavioral health providers what they got into the field for and you’ll hear a version of the same answer: they wanted to help
Clinical documentation and financial performance may seem like two separate worlds, with one belonging to clinicians and the other to the billing team. In reality,
The behavioral health sector has seen a significant wave of investment activity in recent years. Private equity firms, health systems, and strategic acquirers have taken
