Reimbursement Rates: Different in Solo vs. Group Practices?
If you’ve ever compared notes with another therapist and thought, “Wait…how are you getting that rate?” — you’re not alone....
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The Top 10 Reasons Group Practices Have Slow Cash Flow
As crazy as it sounds, running a therapy business — whether as a small group practice or a larger mental-health...
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How Do Payers Determine Reimbursement Rates for Therapists?
Understanding the hidden formulas behind what insurers actually pay. If you’ve ever stared at an EOB and wondered, “How on...
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What is CPT Code 96127 and How to Use it?
CPT code 96127 is defined as a “brief emotional/behavioral assessment (e.g., depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and...
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Top 7 Audit Red Flags for Behavioral Health Providers
If you’ve ever heard the word “audit” and immediately felt your stomach drop — you’re not alone. For many mental...
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What are CARC and RARC Codes?
CARC (Claim Adjustment Reason Code): These are standard codes used by payers. They explain why a claim was paid differently...
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Are There Provider Taxes with Medicaid?
If you run a mid-sized or larger behavioral health agency, you’ve probably heard the term “provider tax” or “provider assessment”...
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How My EHR Can Reduce Denials
For mental and behavioral health providers, there are few frustrations more demoralizing than receiving a claim denial after investing time...
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The Difference Between Benefits and Eligibility
Navigating insurance requirements can be one of the most confusing and time-consuming aspects of running a behavioral health practice. Whether...
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