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Nothing makes a behavioral health provider’s stomach drop quite like the phrase “Cigna audit”. This formal review process can feel intimidating and overwhelming, like a
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
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
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 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,
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
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
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
