Collaborative Care & Behavioral Health Integration Billing: The ROI Guide
For decades, the healthcare industry treated physical and mental health as two separate worlds. A patient would visit their primary care provider (PCP) for a physical ailment, only to be handed a list of names for a separate behavioral health specialist. This “referral-and-hope” model often failed the patient and created a massive administrative burden for […]
Read More →Behavioral Health Claim Denials: Why They Happen and How to Fix Them
You submitted the claim with the correct CPT codes. The patient had active insurance. The treatment was medically necessary. Yet, the denial letter still arrived. Behavioral health claim denials often occur at higher rates than other medical specialties. The frustrating part is that these rejections often have nothing to do with the quality of your […]
Read More →Telehealth Billing for Mental Health: How to Get Your Claims Paid
Most behavioral health providers had to learn telehealth billing overnight. While the technology became second nature quickly, the rules for getting paid stayed messy. We see claims denied due to a minor modifier error or rejected because the place-of-service code did not match the payer’s expectations. It is frustrating because these errors have nothing to […]
Read More →Why Your Behavioral Health CPT Codes Are Getting Denied
We see it every week in our work with treatment centers. You provide vital care, your team documents the sessions, and you submit a claim you believe is perfect. Then, weeks later, the denial arrives. It cites “medical necessity” or “coding errors,” and the money you earned is stuck in a cycle of appeals. In […]
Read More →Understanding CPT Codes 90791 and 90834 for Mental Health Evaluations and Therapy
Mental health billing doesn’t have to feel like a guessing game. When CPT codes like 90791 and 90834 appear on your claims, knowing exactly how and when to use them makes a real difference. These codes sit at the center of mental health evaluations and therapy sessions, yet small mistakes can lead to payment delays […]
Read More →Navigating Health Insurance in 2025: Therapy Coverage and Top Insurance Providers
In 2025, therapy covered by insurance is shaping how you care for patients and manage your practice. The demand for mental health services continues to grow, and both public and private insurers are expanding their coverage to keep pace. Even so, payer rules, benefit limits, and billing requirements continue to change. Staying current can take […]
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