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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
Growth is often a good thing, but it can also create stress, especially for a behavioral health facility that’s scaling. From the outside, growth looks
If you’ve recently outsourced your behavioral health billing, or you’re considering it, one of the first questions on your mind is probably: how long before
In behavioral health billing, most people focus on the back-end of the revenue cycle, which includes claim submission, denial management, appeals, and collections. It’s understandable
Most mental health practice owners understand their revenue cycle in broad strokes. Patients come in, claims go out, and payments arrive. Pretty straightforward, right? Not
Most behavioral health practice owners have a solid understanding of the big-picture revenue cycle: claims go out, payments come in, and denials get worked. But
Mental health practices are in the business of healing, but they still need to operate like a business to keep their doors open. That depends
Deciding to hand your billing over to professionals is not always easy. It’s natural to want full visibility into your billing practices, but managing everything
Billing for outpatient therapy is complex enough on its own, but adding higher levels of care creates an entirely new level of revenue cycle complexity.
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,
How billing works differently for private practices compared to treatment centers – payer mix, credentialing, and claim patterns counseling and outpatient groups should understand.
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
