Reimbursement Rates: Different in Solo vs. Group Practices?

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

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?

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?

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

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?

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?

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

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

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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