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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
Few billing and coding decisions carry the same impact as whether to assign 99213 or 99214 for an established patient behavioral health visit. Code too
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
If you run a behavioral health or substance use treatment program, you’re already familiar with the ASAM criteria—the American Society of Addiction Medicine’s framework for
When a behavioral health claim comes back denied, the reason code on the explanation of benefits may seem like it should tell you exactly what
One of the most challenging experiences in behavioral health billing is receiving a claim denial on a service that was fully authorized. You dotted your
Claim denials are one of the most frustrating parts of running a behavioral health practice. You’ve done everything right—delivered the care, documented the session, and
As I evolve personally and professionally, I find myself seeking out opportunities to learn more about leadership. Working in Billing and Collections for behavioral health
My thoughts are constantly scattered. Having a broad range of work duties can make it difficult to keep track of responsibilities. At times, intense focus
As CEO of Integrity Billing, the greatest asset we have is our brand. After our first collaboration with a professional branding firm, designRoom, we were
HIPAA (Health Insurance Portability and Accountability Act) and HITECH act (Health Information Technology for Economic and Clinical Health) compliance are taken very seriously in the
Is your mouse uncomfortable to use, but you can’t switch to using your laptop’s trackpad instead because it’s even more cumbersome for you? Then it’s
Recently, adapting to changes in workflow from Covid-19 has become a primary concern for most businesses. This makes it easy to overlook other outside threats
