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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
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,
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
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
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
“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
