Pennsylvania Medicaid EVS: Verify Eligibility and the BH-MCO in PROMISe
Pennsylvania EVS for behavioral health: PROMISe web checks, the phone line, 270/271 batch, and reading the BH-MCO segment.
Read more →Resources
Behavioral health operations, decoded.
Practical guides on the front desk, patient communication, claim denials, coding, and payer rules, written for behavioral health practices that want to book more patients and get paid faster.
H0020 Code Description: Methadone Administration (OTP) Billing
H0020 methadone administration: daily and take-home modifiers in Ohio and Texas, limits, and common OTP denials.
Read more →H0039 and H0040 Code Descriptions: Assertive Community Treatment (ACT)
Assertive community treatment codes H0039 and H0040: units, Ohio's per diem by team member, prior authorization, and Ambetter 2027.
Read more →H2012 Code Description: Behavioral Health Day Treatment Billing
H2012 behavioral health day treatment per hour: Ohio's 2-hour cap and H2020 split, Texas's acute day program, and Ambetter 2027.
Read more →H2036 Code Description: SUD Treatment Program Per Diem (Residential)
H2036 SUD treatment program per diem: Ohio's ASAM 3.3 and 3.5 residential billing and the 30-day authorization window.
Read more →H0006 Code Description: Alcohol and Drug Case Management
H0006 SUD case management: Ohio's 15-minute units and license modifiers, and Ambetter coverage from January 2027.
Read more →Community Care Behavioral Health (PA): Provider Line 1-888-251-2224, Claims and ePortal
Community Care (PA HealthChoices): provider line, ePortal authorizations, Provider OnLine claims, and where claims go wrong.
Read more →Magellan Behavioral Health of PA: Availity, Payer ID 01260, Provider Lines
Magellan of Pennsylvania: Availity Essentials, payer ID 01260, county provider lines, and Blair County joining January 1, 2027.
Read more →PerformCare PA: Payer ID 65391, 60-Day Timely Filing, Claims Line
PerformCare (PA HealthChoices): payer ID 65391, 60-day timely filing, Availity routing, paper address, and claims line.
Read more →Carelon Behavioral Health of PA: Provider Line 877-615-8503 and Counties
Carelon of Pennsylvania, formerly Beacon: 11 western PA counties, provider line, EDI help line, and PaySpan.
Read more →CBH Philadelphia: Open Network for Group Practices, Claims and Provider Relations
CBH Philadelphia: the December 2025 open network for practitioners and groups, who qualifies, claims, and contacts.
Read more →Ambetter H Codes Not Covered January 1, 2027: The 48-Code List
Ambetter stops covering 48 H codes on January 1, 2027, and adds H0006: the full list, the state notices, and a prep checklist.
Read more →HO Modifier Description: Master's Degree Level in Behavioral Health
HO is master's degree level. Which clinicians states put under HO, where they use something else, and why claims deny.
Read more →HN Modifier Description: Bachelor's Degree Level in Behavioral Health
HN is bachelor's degree level: which case management, social work, ABA, and ACT roles states bill under it.
Read more →HP Modifier: Doctoral Level, and Ohio's Supervision Meaning
HP is doctoral level in most code sets, and a supervision modifier in Ohio. How to tell which your claim needs.
Read more →HM Modifier: Less Than Bachelor's Degree Level in Behavioral Health
HM is less than a bachelor's degree: behavioral technicians, CADCs, peers, and Ohio's PSR rule on H2017.
Read more →HL Modifier: Intern, and Michigan's October 2026 Change
HL is the intern modifier: Michigan's new SFY 2027 use, Ohio's trainee modifiers instead, and Texas intern billing.
Read more →AH Modifier Description: Clinical Psychologist
AH identifies a clinical psychologist: how Michigan applies it, AH versus HP, and Texas psychology billing.
Read more →AJ Modifier Description: Clinical Social Worker
AJ identifies a clinical social worker: where payers use it, and the states that bill social workers differently.
Read more →HQ Modifier: Group Setting in Behavioral Health Billing
HQ marks a group setting: Ohio's group rule, Texas's 12-person cap on group peer support, and Michigan's group-size modifiers.
Read more →HK Modifier: Specialized Programs for High-Risk Populations
HK marks specialized programs for high-risk populations; Ohio uses it for licensed practitioners in group, IOP, and PHP services.
Read more →HH Modifier: Integrated Mental Health and Substance Use Program
HH identifies integrated treatment for co-occurring mental health and substance use disorders, and how Michigan reports it.
Read more →HA Modifier Description: Child/Adolescent Program
HA identifies a child and adolescent program: what it means and how states like Michigan replaced it with their own modifiers.
Read more →HT Modifier: Multi-Disciplinary Team, and How States Redefine It
HT means multi-disciplinary team, mobile crisis in Michigan, and licensed-supervisor pricing in Ohio.
Read more →Healthy Blue NC Provider Services (844-594-5072): BH Billing and Prior Auth
Healthy Blue NC Medicaid for behavioral health: Availity authorizations, the revenue codes that always need PA, and provider services.
Read more →WellCare of NC Provider Services (866-799-5318): Behavioral Health Billing
WellCare of NC Medicaid for behavioral health: authorization requirements activated October 2025, the provider portal, and provider services.
Read more →AmeriHealth Caritas NC Provider Services (888-738-0004): BH Billing
AmeriHealth Caritas NC for behavioral health: 2025 prior authorization reductions, NaviNet, and what still needs review.
Read more →UnitedHealthcare NC Medicaid Behavioral Health: Optum Auths (800-638-3302)
UnitedHealthcare Community Plan of NC for behavioral health: Optum manages it, how to request authorizations, and the 2025 pause.
Read more →Carolina Complete Health NC Medicaid: Behavioral Health Billing Guide
Carolina Complete Health for behavioral health: the Pre-Auth Check Tool, Secure Provider Portal, and what Standard Plans don't cover.
Read more →Alliance Health Provider Services (800-510-9132): Tailored Plan Billing
Alliance Health Tailored Plan for behavioral health: authorizations, the Alliance Claims System, portal access, and provider services.
Read more →Partners Health Management Tailored Plan: Behavioral Health Billing
Partners Health Management Tailored Plan for behavioral health: ProviderCONNECT authorizations and claims, the manual fallback, and service area.
Read more →Trillium iTransact and Payer ID 43072: Tailored Plan Claims (Oct 2026)
Trillium Tailored Plan billing after October 1, 2026: unified claims, the iTransact portal, payer ID 43072, and prior authorization.
Read more →Vaya Health Provider Support (866-990-9712): Tailored Plan Billing
Vaya Health Tailored Plan for behavioral health: service authorization requests, the Provider Portal, and provider support.
Read more →NCTracks Eligibility Inquiry: Verify NC Medicaid for Behavioral Health
NCTracks eligibility for behavioral health: which door the member is in, which plan, and what to check before booking.
Read more →Georgia Medicaid Eligibility Verification for Behavioral Health
GAMMIS eligibility for behavioral health: CMO vs fee-for-service routing, the Georgia Families plan transition, and what to check at booking.
Read more →MEVS and ePACES: New York Medicaid Eligibility Verification
MEVS and ePACES for behavioral health: what the response includes, managed care and HARP routing, and what to check at booking.
Read more →Ohio Medicaid Eligibility Verification for Behavioral Health
PNM and 270/271 eligibility for behavioral health: Next Generation plan and OhioRISE routing, and why rendering-clinician enrollment matters.
Read more →Illinois Medicaid Eligibility Verification (MEDI) for Behavioral Health
MEDI eligibility for behavioral health: which HealthChoice Illinois plan, CountyCare and YouthCare, and what to check at booking.
Read more →H0001 and H0002: SUD Assessment and Admission Screening Codes
H0001 alcohol and/or drug assessment vs H0002 admission screening: what each covers, who bills them, and SUD intake denials.
Read more →H0004 and H0005: Behavioral Health Counseling Codes, Individual and Group
H0004 individual counseling in 15-minute units and H0005 SUD group counseling: unit rules, modifiers, and a 2027 payer change.
Read more →H0015 Code Description: Substance Use Intensive Outpatient (IOP)
SUD intensive outpatient under H0015: the 3-hour, 3-day definition, per-diem billing, authorization, and common denials.
Read more →H0031 and H0032 Code Descriptions: MH Assessment and Service Plan
H0031 assessment and H0032 service plan development by non-physicians: when Medicaid uses them over 90791, and why they deny.
Read more →H0036 and H2015: Community Psychiatric Support Billing
H0036 community psychiatric supportive treatment and H2015 community support in 15-minute units: what they cover and why they deny.
Read more →H0038: Peer Support Services Billing Guidelines
H0038 peer support in 15-minute units: certification, supervision, plan requirements, and the denials programs see most.
Read more →H2011: Crisis Intervention Service Billing
H2011 crisis intervention in 15-minute units: what counts as crisis, documentation, same-day rules, and a 2027 payer change.
Read more →H2014 and H2017 Code Descriptions: Skills Training and Psychosocial Rehab
H2014 skills training and H2017 psychosocial rehab in 15-minute units: how they differ, plan requirements, and common denials.
Read more →H2019 and H2020 Code Descriptions: Therapeutic Behavioral Services
H2019 per 15 minutes vs H2020 per diem for therapeutic behavioral services: when each applies and why they deny.
Read more →HO, HN, HP, HA, HH, AH & AJ Modifiers: Behavioral Health Descriptions
Licensure-level (HO, HN, HP), program (HA to HK), setting (HQ, HR, HS), and funding modifiers, plus AH and AJ: what each means and when it's required.
Read more →Fax Referrals in Behavioral Health: From eFax to Booked Appointment
Who still sends referrals by fax, the five manual steps where they get lost, and how to go from eFax to booked the same day.
Read more →Referral Phone Tag: Why Referred Patients Never Book
Why referred patients get lost in phone tag, what each round trip costs, and how to book them in the first exchange.
Read more →Referral Management for Behavioral Health Group Practices
The four metrics that matter, why spreadsheets fail, closing the loop with referrers, and handling referrals you cannot take.
Read more →Can Associate-Licensed Therapists Bill Insurance?
The three ways associate-level therapists' services get billed, how Medicaid, Medicare, and commercial plans differ, and the denials that follow.
Read more →NC Medicaid Billing for Associate-Level Clinicians: LCSWA, LCMHCA, LMFTA
Credentialing LCSWAs, LCMHCAs, and LMFTAs across Standard Plans, Tailored Plans, and Medicaid Direct, and the denials NC practices see.
Read more →HIPAA-Compliant AI for Small Therapy Practices: What You Can Use
Why the BAA is the line, why general-purpose AI plans rarely fit small practices, safe uses without patient data, and six vendor questions.
Read more →Patients Are Finding Therapists Through ChatGPT. Is Your Practice Ready?
AI assistants now recommend therapists and hand out phone numbers. How to be accurately described, and why the phone is what most practices miss.
Read more →Insurance Verification for Behavioral Health: How It Works and Why It Fails
What to check beyond active coverage, why it fails for mental health and SUD, and how to verify inside the booking conversation.
Read more →Verification of Benefits (VOB) for Addiction Treatment and Behavioral Health
A complete VOB, why turnaround time decides admissions, and how to answer the coverage question in the first call.
Read more →Behavioral Health Intake Forms: What to Collect Before the First Session
The administrative and clinical set, 42 CFR Part 2 consent, and how to get forms finished before the first session.
Read more →The Behavioral Health Intake Coordinator: What the Role Does and What to Automate
The role, why it burns out, its fully loaded cost, and which half to automate so a good coordinator stays.
Read more →New Patient Intake Process for Behavioral Health: A Step-by-Step Workflow
Seven steps from first contact to first session, the failure point at each, and what to measure.
Read more →Eligibility Denials in Behavioral Health: Why They Happen and How to Stop Them
The most preventable denial in behavioral health, the five causes behind it, and how verifying at booking removes it.
Read more →Front Desk & Patient Communication Tools for Behavioral Health: 12 Compared
Weave, Klara, Luma, Spruce, OhMD, Solutionreach, Artera, Phreesia, Ruby, Assort, Hyro and Zocdoc, and the coverage gap all twelve share.
Read more →Weave for Behavioral Health: Strengths, Limits & Alternatives
Weave consolidates phones, texting, and payments. It still assumes someone is free to answer. Where that leaves a behavioral health practice.
Read more →Klara for Behavioral Health: Strengths, Limits & Alternatives
Klara organizes patient conversations beautifully and routes every one of them to your staff. Better-organized overload is still overload.
Read more →Luma Health for Behavioral Health: Strengths, Limits & Alternatives
A broad engagement suite built and priced for health systems. What fits a behavioral health group, and what you are paying for twice.
Read more →Spruce Health for Behavioral Health: Strengths, Limits & Alternatives
Genuinely one of the better tools for small behavioral health practices. Its limit is availability, not capability.
Read more →OhMD for Behavioral Health: Strengths, Limits & Alternatives
OhMD picked the right channel. Patients would rather text. The question is why a person still has to answer.
Read more →Solutionreach for Behavioral Health: Strengths, Limits & Alternatives
Mature outbound patient communication. Behavioral health loses patients on the inbound side, which is the opposite end.
Read more →Artera for Behavioral Health: Strengths, Limits & Alternatives
Enterprise communication orchestration for health systems. Why coordination is rarely the behavioral health problem.
Read more →Phreesia for Behavioral Health: Strengths, Limits & Alternatives
Strong intake tooling that begins after the appointment exists. What a behavioral health practice needs first.
Read more →Ruby Receptionists for Behavioral Health: Strengths, Limits & Alternatives
A warm human answers, then takes a message. What live virtual receptionists cannot do without access to your EHR.
Read more →Assort Health for Behavioral Health: Strengths, Limits & Alternatives
A serious AI voice product built for health system call centers. What specialization means for behavioral health.
Read more →Hyro for Behavioral Health: Strengths, Limits & Alternatives
Enterprise conversational AI covering many request types. Why a specialty practice needs depth in one instead.
Read more →Zocdoc for Behavioral Health: Strengths, Limits & Alternatives
Zocdoc sells you patients. Your front desk decides whether the ones you already have become appointments.
Read more →TherapyNotes Alternatives (2026): When to Switch — and When Not To
SimplePractice, Valant, Ensora, AdvancedMD, Tebra, matched to why you're switching, plus the awkward truth: if billing is the reason, most moves are sideways.
Read more →Pennsylvania Medicaid Behavioral Health Billing: A Practical Guide
The HealthChoices carve-out means the county, not the health plan, picks your payer. How BH-MCO billing works and where Pennsylvania claims fail.
Read more →Ohio Medicaid Behavioral Health Billing: A Practical Guide
Next Generation plans, OhioRISE routing for youth, BH redesign modifiers, and PNM affiliations, Ohio's rulebook and where claims fail.
Read more →Illinois Medicaid Behavioral Health Billing: A Practical Guide
HealthChoice Illinois MCOs, CountyCare, and IMPACT enrollment, the plan-by-plan rules and the enrollment layer that bites.
Read more →Georgia Medicaid Behavioral Health Billing: A Practical Guide
Georgia Families CMOs on one side, the DBHDD community system on the other, two systems, two code sets, and how to route claims between them.
Read more →North Carolina Medicaid Behavioral Health Billing: A Practical Guide
Standard Plans vs. Behavioral Health I/DD Tailored Plans vs. NC Medicaid Direct, three doors for every claim, plus NCTracks taxonomy pitfalls.
Read more →New Jersey Medicaid Behavioral Health Billing: A Practical Guide
The behavioral health carve-out, the IME's SUD authorizations, and NJMMIS enrollment — where New Jersey claims get misrouted.
Read more →Michigan Medicaid Behavioral Health Billing: A Practical Guide
PIHPs, CMHSPs, and the mild-to-moderate line that decides who pays you — Michigan's severity split and where claims fail.
Read more →Massachusetts Medicaid Behavioral Health Billing: A MassHealth Guide
ACO behavioral health contractors, MBHP, and the CBHC network — the two-step payer lookup MassHealth claims require.
Read more →Washington Medicaid Behavioral Health Billing: A Practical Guide
Statewide integrated managed care, BH-ASOs for crisis, agency certification as the real gate, and ProviderOne's data traps.
Read more →Arizona Medicaid Behavioral Health Billing: An AHCCCS Guide
AHCCCS Complete Care, the SMI designation that changes your payer mid-treatment, tribal routing, and APEP's provider-type traps.
Read more →Virginia Medicaid Behavioral Health Billing: A Practical Guide
Cardinal Care plans, Project BRAVO's rebuilt service array, ARTS levels of care, and the authorization windows Virginia won't forgive.
Read more →Tennessee Medicaid Behavioral Health Billing: A TennCare Guide
Three MCOs, three rulebooks, and no fee-for-service fallback — why credentialing dates decide Tennessee claims.
Read more →Missouri Medicaid Behavioral Health Billing: A Practical Guide
MO HealthNet vs. DMH funding streams, CCBHC prospective payment, and the credential rules behind Missouri recoupments.
Read more →Indiana Medicaid Behavioral Health Billing: A Practical Guide
The MRO tier, CMHC certification, H code unit rules, and the supervision requirements Indiana actually checks.
Read more →Wisconsin Medicaid Behavioral Health Billing: A Practical Guide
County-administered CCS and CSP, service-plan linkage, staff qualification levels — where Wisconsin audits actually land.
Read more →Minnesota Medicaid Behavioral Health Billing: A Practical Guide
ARMHS and CTSS documentation chains, CCBHC prospective payment, and the recoupment findings Minnesota reviewers look for.
Read more →Colorado Medicaid Behavioral Health Billing: A Practical Guide
Seven RAEs, a capitated benefit, and a covered diagnosis list that turns coding into payer routing.
Read more →SimplePractice Alternatives (2026): When to Switch — and When Not To
TherapyNotes, Ensora, Tebra, Valant, AdvancedMD, matched to why you're switching, plus the option most lists leave out: keeping SimplePractice and fixing the billing.
Read more →athenahealth Billing: Strengths, Limits & How to Extend It
athenaOne has the strongest rules engine of the general platforms, and it's still general. Where behavioral health groups leak revenue, and how to extend it.
Read more →Valant Billing: Strengths, Limits & How to Extend It
Valant gets behavioral health right at the EHR layer. Why practices on it still carry billing teams, and how to fix throughput without switching.
Read more →Medi-Cal Behavioral Health Billing: A California Guide
County mental health plans, managed care, Drug Medi-Cal, and CalAIM payment reform, a practical map of who pays for what and where claims fail.
Read more →New York Medicaid Behavioral Health Billing: A Practical Guide
Managed care and HARPs, Article 31/32 licensure rules, APG rate codes, and the quiet underpayment problem New York clinics miss.
Read more →Texas Medicaid Behavioral Health Billing: A Practical Guide
STAR, STAR+PLUS, STAR Health, and STAR Kids managed care, PEMS enrollment, and the 95-day timely filing clock that turns denials into write-offs.
Read more →Florida Medicaid Behavioral Health Billing: A Practical Guide
SMMC managed care plans, SMI specialty plans, and the H-code benefit, how Florida organizes behavioral health and where claims fail.
Read more →Mental Health Billing Software: A Buyer's Guide
What mental health billing software does, the five types, the coding rules it must enforce, and how to choose by practice size.
Read more →Best Behavioral Health Billing Software in 2026: An Honest Comparison
SimplePractice, TherapyNotes, Tebra, AdvancedMD, Kipu, Alleva, Ensora, and AI billing, compared honestly by practice type, including when the answer isn't us.
Read more →Best AI Receptionist for Therapists & Mental Health Practices (2026)
The evaluation criteria that matter for behavioral health, crisis routing, EHR booking, insurance verification, HIPAA, and an honest map of the options.
Read more →AdvancedMD Billing: Strengths, Limits & How to Extend It
AdvancedMD has serious RCM tooling, but it's built for general medicine and human billers. Where it's strong, where behavioral health work stays manual, and how to extend it.
Read more →TheraNest (Ensora) Billing: Strengths, Limits & How to Extend It
TheraNest is now Ensora Mental Health. What its billing covers, where insurance-heavy practices outgrow it, and how to extend it without switching EHRs.
Read more →Behavioral Health EHR Billing: What 17 Systems Handle (and What They Don't)
Netsmart, CareLogic, Credible, Kipu, Sunwave, SimplePractice, TherapyNotes, Valant, athenahealth and more — compared on what each handles natively, and the gap they all share.
Read more →Kipu Billing: Strengths, Limits & How to Extend It
Kipu understands SUD treatment billing better than any general EMR, so why do Kipu shops still run big billing teams? Where the work stays manual, and how to extend it.
Read more →Netsmart Billing: Strengths, Limits & How to Extend It
What myAvatar and Netsmart's revenue cycle tools handle natively, where CMHC business offices still lose time, and how to extend it.
Read more →Qualifacts CareLogic Billing: Strengths, Limits & How to Extend It
What CareLogic handles natively for multi-payer agency billing, where configuration drift creates denials, and how to extend it.
Read more →Credible Billing: Strengths, Limits & How to Extend It
What Credible handles natively at agency scale, why appeals capacity is where revenue dies, and how to extend it.
Read more →Welligent Billing: Strengths, Limits & How to Extend It
Behavioral health, IDD, and school-based billing in one system — and the unit and credential denials Welligent can't resolve for you.
Read more →Sunwave Billing: Strengths, Limits & How to Extend It
All-in-one CRM, EMR, and RCM for treatment centers — and the concurrent review and denial work it still hands to your staff.
Read more →BestNotes Billing: Strengths, Limits & How to Extend It
Strong CRM and outcomes tooling, thin denial management — why BestNotes programs still pay an outsourced biller.
Read more →Ritten Billing: Strengths, Limits & How to Extend It
A modern, usable treatment-program EHR — and the payer-rule depth and denial work it doesn't try to cover.
Read more →Osmind Billing: Strengths, Limits & How to Extend It
Psychiatry-native documentation and measurement-based care — and the E/M add-on coding scrutiny Osmind leaves to you.
Read more →Alleva Billing: Strengths, Limits & How to Extend It
Alleva is the EMR clinicians don't hate, but a friendly EMR and a self-running revenue cycle are different things. Where billing still depends on staff, and how to extend it.
Read more →Tebra Billing: Strengths, Limits & How to Extend It
What Tebra (formerly Kareo) billing does well for behavioral health, where it hits limits on denials and authorizations, and how to extend it with AI billing instead of switching EHRs.
Read more →What Missed Calls Really Cost a Behavioral Health Practice
A missed call is rarely a voicemail, it's a lost patient. The real cost of missed calls, why front desks miss them, and how to stop.
Read more →After-Hours Call Handling for Mental Health Practices
Behavioral health calls spike after hours. How to book patients and handle crisis calls safely when the front desk is closed.
Read more →Patient Scheduling Software for Behavioral Health: What to Look For
What behavioral health scheduling should do, EHR sync, insurance, reminders, rescheduling, and why booking the call matters as much as the calendar.
Read more →Behavioral Health Self-Scheduling: How Patient Self-Booking Actually Works
What self-scheduling platforms do well, where they quietly fail, and how to make sure the patients who call instead of clicking still get booked.
Read more →Therapist Utilization and Caseload: How to Measure It
What therapist utilization means, how to calculate it, why it drives both revenue and burnout, and how to track caseload without spreadsheets.
Read more →Measurement-Based Care: Reporting PHQ-9 and GAD-7 Outcomes
What measurement-based care is, what PHQ-9 and GAD-7 track, and how to report response, remission, and completion across a practice.
Read more →Behavioral Health Patient Acquisition: A Practical Playbook
Where patients come from, why conversion (not lead volume) is the real bottleneck, and how to respond, qualify, nurture, book, and measure the funnel.
Read more →Where Behavioral Health Practices Lose New Patients: The Intake Funnel
The four leak points in the intake funnel, first response, qualification, booking, and the gap before the first session, and how to plug each one.
Read more →Getting More Patients from Psychology Today and Online Directories
Directory leads are high-intent but shop around. How to respond, qualify, and book more of your Psychology Today inquiries before they choose someone else.
Read more →Lead Nurturing for Therapy Practices (Without Being Pushy)
Most therapy inquiries aren't ready to book on first contact. How to nurture them with warm, paced, multi-channel follow-up that converts, without being salesy.
Read more →Mental Health Billing: A Complete Guide
What makes mental health billing different, the core CPT codes, the claims and denial process, in-house vs. outsourced vs. AI, and how to get paid faster.
Read more →Behavioral Health KPIs Every Practice Should Track
The operational, financial, and clinical metrics that actually run a practice, no-show rate, utilization, denial rate, days in AR, PHQ-9 outcomes, and how to track them without spreadsheets.
Read more →No-Show Rate Benchmarks for Behavioral Health (and How to Lower Them)
What's a normal behavioral health no-show rate, how to calculate yours, why mental health no-shows run higher, and the reminders, scheduling, and tracking that bring the rate down.
Read more →Behavioral Health Answering Service: AI vs. Traditional vs. In-House
A message is not an appointment. How AI, a traditional call center, and in-house staff compare on 24/7 coverage, EHR scheduling, insurance verification, and sensitive calls.
Read more →Speed to Lead in Behavioral Health: Why Response Time Wins Patients
The practice that responds first usually wins the patient. Why first-response time decides who books the intake, and how to reply in seconds without adding front-desk staff.
Read more →AI Revenue Cycle Management for Behavioral Health
How AI strengthens every stage of the behavioral health revenue cycle, eligibility, authorization, coding, submission, denials, and AR follow-up.
Read more →Psychiatry E/M Coding: Billing E/M with Psychotherapy
Selecting the E/M level, adding psychotherapy add-on codes (90833/90836/90838), and the documentation that keeps both from being denied.
Read more →Telepsychiatry Billing: Modifiers & Place of Service
Telehealth modifiers (95, 93), place-of-service codes (10 vs 02), audio-only rules, and the coding mistakes that cause telehealth denials.
Read more →TherapyNotes Billing: Strengths, Limits & How to Extend It
What TherapyNotes billing does well, where growing practices need more, and how to extend it with AI billing alongside your EHR.
Read more →Outsourced Behavioral Health Billing: What It Costs and When It Stops Making Sense
What outsourced billing companies charge, what's actually in scope, and the point where a percentage of collections stops making sense.
Read more →Substance Abuse Billing Services: What to Look For and What They Cost
What SUD billing services cover, why concurrent review and out-of-network work drive the price, and what to ask before signing.
Read more →Behavioral Health Denial Management: A Practical Playbook
The four stages, the root causes that actually drive denials, the metrics worth tracking, and why capacity — not knowledge — is the constraint.
Read more →How Much Does Behavioral Health Billing Cost?
Outsourced fees, in-house staffing, and software pricing, and the cost-per-clean-claim comparison that actually matters.
Read more →How to Appeal a Behavioral Health Claim Denial
A step-by-step guide, reading the denial code, meeting deadlines, building the appeal, peer-to-peer reviews, and escalation.
Read more →AI Denial Management for Behavioral Health
How AI predicts, prevents, diagnoses, and appeals behavioral health denials, plus a reference table of the most common denial (CARC) codes.
Read more →AI vs. Outsourced Behavioral Health Billing
In-house vs. outsourced service vs. AI billing, a side-by-side on cost, control, denial handling, and when each makes sense.
Read more →AI Substance Abuse Billing Software: What to Look For
What AI billing software does for SUD treatment centers, verification, authorizations, ASAM level-of-care, denials, and how to choose it.
Read more →IOP & PHP Billing: A Guide for Treatment Programs
Per-diem vs fee-for-service, codes and revenue codes, authorization and concurrent review, and the denials that cost programs the most.
Read more →SimplePractice Billing: Strengths, Limits & How to Extend It
What SimplePractice billing does well, where practices need more, and how to extend it with AI billing that works alongside your EHR.
Read more →Medicaid Behavioral Health Billing: A Practical Guide
State variation, managed care carve-outs, H-codes, eligibility, and the most common reasons Medicaid behavioral health claims get denied.
Read more →Medicare Mental Health Billing: What to Know
Part B coverage, eligible provider types (now including MFTs and MHCs), telehealth, "incident to" rules, and common pitfalls.
Read more →Prior Authorization for Behavioral Health: How to Reduce Denials
Which services need authorization, prior vs concurrent vs retro review, and how to prevent the authorization denials that cost practices the most.
Read more →Behavioral Health CPT Codes: A 2026 Reference Guide
The behavioral health CPT codes practices use every day, psychotherapy, intake, family/group, add-ons, and E/M, with time thresholds and billing notes.
Read more →CPT 90837 vs 90834: When to Bill Each
The two most-billed psychotherapy codes, time thresholds, documentation, and why 90837 draws more payer scrutiny.
Read more →CPT Code 90837: The 60-Minute Psychotherapy Code, Explained
The highest-reimbursing standard psychotherapy code and the most audited: the 53-minute line, payer scrutiny, and documentation that holds up.
Read more →CPT Code 90834: The 45-Minute Psychotherapy Code, Explained
The workhorse of outpatient mental health billing: time range, documentation, and how it compares to 90837.
Read more →CPT Code 90832: 30-Minute Psychotherapy, Explained
When the 30-minute code applies (16–37 minutes), who bills it, and the coding-drift mistake that draws audits.
Read more →CPT 90791 & 90792: Billing the Psychiatric Diagnostic Evaluation
The intake codes of behavioral health: who bills which, frequency limits, and the denials that poison an episode from day one.
Read more →CPT 90839 & 90840: Billing Psychotherapy for Crisis
What actually qualifies as a crisis encounter, the time rules, documentation, and the same-day exclusions that trip up billers.
Read more →CPT 90833, 90836 & 90838: Billing Psychotherapy with Med Management
The most under-billed codes in psychiatry: how prescribers bill therapy add-ons with E/M, and the two-clock rule that keeps it compliant.
Read more →CPT 90846 & 90847: Billing Family and Couples Therapy
The identified-patient rule, the couples-coverage trap, time thresholds, and the documentation family sessions need.
Read more →H Codes in Behavioral Health: The Medicaid Code Set, Explained
H0031, H0038, H2014 and the rest of the Medicaid code set: 15-minute units, credential rules, and why every state plays by different rules.
Read more →Telehealth Modifiers for Behavioral Health Billing, Explained
Modifier 95 vs GT vs 93/FQ, POS 02 vs 10, and the telehealth coding errors that quietly deny or underpay mental health claims.
Read more →Common Addiction Treatment Claim Denials (and How to Fix Them)
Level-of-care disputes, concurrent review lapses, per-diem unit errors, and the other denials that hit SUD programs hardest — with the fix for each.
Read more →Top Reasons Behavioral Health Claims Get Denied (and How to Prevent Them)
Behavioral health claims are denied at higher rates than almost any other specialty. Here are the most common denial reasons, and how to stop them before they cost you.
Read more →HIPAA-Compliant AI: What It Means and How to Choose It (2026 Guide)
Which AI tools can legally touch patient data, what a BAA must cover, the red flags to avoid, and a vendor-vetting checklist.
Read more →Is AI HIPAA Compliant? What Behavioral Health Practices Need to Know
Can you use AI for billing without violating HIPAA? A plain-English look at what compliant AI billing actually requires for behavioral health data.
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