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Authorizations

Authorizations

There is an article on Linked written by Beth Kutscher, Editor at Large at LinkedIn News that we'd like to review. Kutscher also has a group called Path to Recovery. Our COO Denise Corbisiero read the article “Doctors hate prior authorization. Some payers may be starting to soften.” Below is a summary/response of the article regarding authorizations for healthcare in general. Denise's response is directed towards Substance Use Disorder (SUD) and Mental Health (MH). Although MH Parity is law, it seldom crosses the bridge from medical to SUD and MH with the best interest of the patient in mind.

November 2, 2023

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Understanding Accounts Receivable (AR) Follow-Up and Collections in Behavioral Health Providers

Understanding Accounts Receivable (AR) Follow-Up and Collections in Behavioral Health Providers

As a behavioral health provider, you focus on providing high-quality care and support to your patients. However, it's equally important to ensure that your practice's financial health is in order. One crucial aspect of financial management is effectively managing Accounts Receivable (AR) follow-up and collections. In this blog post, we'll define AR follow-up and collections and explore why they are crucial for behavioral health providers.

October 24, 2023

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The Impact of Billing and Coding on Behavioral Health Providers' Practice

The Impact of Billing and Coding on Behavioral Health Providers' Practice

Complexity & Impact of Billing & Coding

September 22, 2023

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The Behavioral Health Check: Why Verification of Benefits is Key

The Behavioral Health Check: Why Verification of Benefits is Key

RCM Starts with Verification of Benefits

August 28, 2023

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The Realities of Credentialing in Healthcare Providers vs. Commercial Plans for Network Approval

The Realities of Credentialing in Healthcare Providers vs. Commercial Plans for Network Approval

Yesterday, my association's message board was buzzing with an intriguing conundrum presented by a colleague. This owner of a revenue cycle management company is entangled in the labyrinth of Blue Cross' credentialing process. The timelines offered are absurd. And sadly, real.

August 11, 2023

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When To Use Code 99214

When To Use Code 99214

Use Code 99214 for patients with moderate complexity of treatment. The visit is completed within 30-39 minutes according to AMA (American Medical Association). Furthermore, use this code during a visit with an established patient that has a progressing illness or acute injury requiring medical management or potential surgical treatment. Integrity reviews your practice's coding to ensure that your data accurately reflects current clinical practice and any innovation in medicine.

July 28, 2023

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Accreditations and Affiliations