Behavioral Health Billing Archives

Common Substance Use Disorder Coding Errors Aligning with CMS’s Updated Guidelines

Avoiding Costly Mistakes in Substance Use Disorder Coding Accurate medical coding isn’t just about numbers and codes—it directly impacts your reimbursements and compliance with the latest CMS regulations. But when it comes to Substance Use Disorder (SUD) coding, even small mistakes can lead to claim denials, revenue loss, and compliance risks. Let’s break down the […]

Medicaid Billing for Behavioral Health Services: Navigating CMS’s 2025 Updates

As Medicaid Billing for Behavioral Health Services undergoes significant changes in 2025, providers must stay informed to ensure compliance and maximize reimbursements. CMS’s updated policies emphasize value-based care, stricter documentation requirements, and improved access to behavioral health services. Understanding these updates is essential for reducing claim denials and streamlining billing processes. Key CMS Updates for […]

Overcoming Denied Claims in Substance Use Disorder Billing: CMS’s New Coding Standards

Accurate billing and coding for Substance Use Disorder (SUD) services have always been challenging, especially with frequent changes in CMS regulations. Denied claims can result in delayed reimbursements and financial losses for providers. Understanding and implementing CMS’s new coding standards is crucial for maximizing revenue and reducing claim denials. Key CMS Updates in Substance Use […]

Updated Analysis of PAR vs. Non-PAR Medicare Providers with 2025 Changes

PAR vs. Non-PAR Medicare Providers The distinction between Participating (PAR) and Non-Participating (Non-PAR) Medicare providers remains critical for financial planning and patient care. Below is an updated overview incorporating 2025 Medicare changes from the CMS Final Rule and other recent updates: 1. Key Differences Between PAR and Non-PAR Providers Aspect PAR Providers Non-PAR Providers Reimbursement Rates Accept Medicare-approved rates as full […]

Maximize Your Hysterectomy Reimbursements: Tackling Claim Denial Rate and Days in A/R

Are frequent claim denials and prolonged days in accounts receivable impacting your hysterectomy reimbursements? Effective management of these issues is not just important—it is essential for the financial health and operational efficiency of OB-GYN practices. By mastering accurate reimbursements, you can significantly boost your bottom line, reduce stress, and ensure your practice thrives in a highly […]

Boost Rehab Billing: Cut Denials & A/R Days for Year-End Gains

Boosting Rehab Billing to Transform Your Year-End Performance: Are you finding it tough to keep up with the challenges of rehab billing? You are not alone if claim denials and extended Account Receivables (A/R) days are holding back your cash flow. Many rehab practices face these same hurdles, especially as the year-end approaches, where revenue goals feel […]

Maximize Substance Abuse Reimbursements: Cut Denials & Clear Old AR

Maximize Your Substance Abuse Reimbursements

Are High Claim Denial Rates Stalling Your Substance Abuse Reimbursements? You’re not alone if claim denials and aging accounts receivables delay your revenue. Substance abuse treatment centers frequently face this challenge due to complex coding, documentation requirements, and insurance inconsistencies. Did you know that claim denials can cost practices up to 5-10% of their potential […]

How MBC’s Behavioral Health Billing Can Help Collect an Extra Million Annually

Are you struggling to keep up with the complexities of behavioral health billing while ensuring your practice’s financial health? With ever-evolving regulations and insurance requirements, billing errors can cost your practice significant revenue. Also, poor revenue cycle management (RCM) can result in substantial financial losses––potentially costing millions in revenue each year. Here’s how Medical Billers […]

CPT Codes for Behavioral Health Billing

CPT Codes for Behavioral Health: When it comes to the procedural aspect of billing for behavioral health services in the context of medical billing, healthcare professionals face a difficult and complex challenge. A tailored billing system that can manage pertinent Medical Current Procedural Terminology (CPT) codes and related services must be set up by providers […]

2024 Physician Fee Schedule Final Rule Released

2024 Physician Fee Schedule The Centers for Medicare and Medicaid Services (CMS) released the final rule for the 2024 Medicare Physician Fee Schedule (PFS) on November 2, 2023. The PFS is the payment system that determines how much Medicare pays for the services of physicians and other health care providers. The final rule includes several […]

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