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Behavioral Health Billing Services That Protect Revenue
Most billing companies skip the hard part. Behavioral health billing services covering carve-out routing, concurrent review, and denial management.
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Latest articles
SHOWING 19 OF 20
CFO GuidesAug 29Questions to Ask Before Hiring a Biller: What to Listen For
Questions to ask before hiring a biller, including the ones we'd least like to be asked, plus what a strong answer sounds like and what an evasive one does.
CPT CodesAug 28Family Therapy Billing: 90847 vs 90846 and Who Pays
Attendance picks 90846 or 90847, it doesn't make the family session covered. The 26-minute floor, the identified patient, couples work, and why claims deny.
Behavioral HealthAug 27Cigna Evernorth Behavioral Billing: Two Names, One Claim
Cigna Evernorth behavioral billing: payer ID 62308, EAP on 99404, and why CignaforHCP will not show your claims or remittances.
Behavioral HealthAug 26Mental Health Billing Guide: Where Claims Actually Fail
Mental health billing, stage by stage: what fails at enrollment, benefit routing, coding, claim transmission and payment, and the evidence that proves it.
Behavioral HealthAug 25Behavioral health carve-outs: catch them before denial
Behavioral health carve-outs split network, authorization and claims across companies. Map all seven functions at verification, before the first session.
Behavioral HealthAug 24Telehealth Mental Health Billing: What Actually Pays
Telehealth mental health billing: POS decides your rate, not the modifier. What's permanent, what expires in 2027, and where claims quietly underpay.
CPT CodesAug 23CPT 90791 Billing: Whose Rules Apply to Your Claim
CPT 90791 billing isn't one rule. Scope, plan frequency, same-day edits, the note, and the contract each decide whether that intake claim pays.
CFO GuidesAug 22Hospital Revenue Cycle Management: A CFO's Control Map
A clean claim is not a correct payment. Hospital revenue cycle management mapped across both claim streams, every rule cited to CMS and HFMA.
Behavioral HealthAug 21Aetna Mental Health Billing: Find the Right Payer First
Aetna mental health billing: no single payer ID, no universal filing limit, and fourteen Medicaid programs. What to verify before you submit or appeal.
Behavioral HealthAug 20Optum Behavioral Health Billing: Why 87726 Isn't Enough
In Optum behavioral health billing, 87726 is only the default: NYCE routes to 26992, Surest to 25463. Confirm who adjudicates the benefit before you bill.
CPT CodesAug 19CPT 90834 vs 90837: 52/53-Minute Rule, Pay & Audit Risk
90834 runs 38–52 minutes; 90837 starts at 53, not 60. What counts as session time, what your note must show, and which audit thresholds have no source.
RCM StrategyAug 18IOP Billing Guide: When the Right Code Isn't Enough
S9480 is a per diem to one payer, an hourly unit to another, and wrong for Medicare. An IOP billing guide covering every setting, payer and denial path.
CFO GuidesAug 17In-House vs Outsourced Medical Billing: The Honest Test
Compare in-house vs outsourced medical billing on the same scope, cash base, and assumptions - with a sourced break-even and when in-house wins.
DenialsAug 4Why Mental Health Claims Get Denied (And How to Stop It)
About 67% of denied mental health claims are administrative, not clinical. Here's how to read each denial code back to the front-end mistake that caused it.
CPT CodesJul 28How to Bill 90837: The 53-Minute Rule and Your Notes
The OIG found $580M in improper psychotherapy payments. How to bill 90837 correctly: 53-minute threshold, audit-ready notes, add-on codes, and denial defense.
Behavioral HealthJul 21Insurance Credentialing for Therapists: The Real Process
Insurance credentialing for therapists spans three payer stages. Most stalls and billing denials come from contracting or enrollment, not credentialing.
CFO GuidesJul 14Medical Billing Services Cost: What Practices Actually Pay
A 5% billing quote can cost more than a 7% quote if the denominator is wrong. What medical billing services cost, what drives the rate, and what to watch for.
CFO GuidesJul 7How to Switch Medical Billing Companies Without Losing Money
How to switch medical billing companies without a cash-flow emergency: build the A/R inventory, protect timely-filing deadlines, and keep payer routing intact.
RCM StrategyJun 30Tebra Billing Services: In-House vs Outsourced
Tebra billing performance isn't a platform problem. It's a people problem. Compare in-house vs outsourced with a cost model and 10-question scorecard.