If your SUD practice runs definitive (confirmation) drug testing and 80%+ of your screens are billing as G0480, you’re under-coding the work. The G0480 to G0483 series is stratified by complexity (number of drug classes tested), and the reimbursement delta between G0480 and G0483 can be 4-5x per claim. For a residential SUD program running […]

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If your practice bills any commercial insurance — Anthem, Aetna, United, Cigna, BCBS plans — you have parity-violation denials in your queue right now. They look like routine denials. They’re not. The Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA) and the 2020 amendments require that behavioral health and substance use disorder benefits […]

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The honest answer: Outsourcing your ABA billing makes financial sense when your collected revenue per BCBA hour is being suppressed by 4% or more in fixable categories you don’t have time to work. Below that threshold, in-house billing usually wins. Above it, you’re paying yourself to do work an outsourced team can do faster and […]

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We audit a lot of behavioral health, ABA, mental health, and substance use disorder practices. The pattern is almost always the same: 8 to 12 percent of net revenue is sitting in denials that nobody had time to rework. It’s not because the billing team is bad. It’s because there aren’t enough hours in the […]

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The single most expensive mistake in optometry billing is treating every patient encounter as either a vision plan visit or a medical visit based on what insurance card they handed the front desk. It isn’t the card that determines the billing pathway – it is the chief complaint. Get that wrong, and you are either […]

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Substance use disorder residential billing is where clean claims go to die. The combination of ASAM level-of-care rules, HCPCS code selection, revenue code pairing for room and board, Medicaid MCO carve-outs, and the IMD exclusion creates a stack of failure points that most programs only discover after 60 days in A/R. If you run a […]

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Before signing an offshore RCM contract, audit HIPAA, SOC 2, pricing, AM coverage, and denial workflows. 12-point CFO checklist and red flags to reject.

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15-point ABA supervision audit checklist for BCBAs. Stop retroactive clawbacks on 97155, 97153, 97156, and 97158 across Anthem, Aetna, Magellan, Medicaid.

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Practical 2026 guide to billing CoCM codes 99492-99494 and G2214. Time thresholds, documentation, denial prevention for multi-site BH practices.

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Excellency In Healthcare Revamp in New York   With healthcare BPO services tailored to the needs of healthcare providers in New York, Revenant Care helps enhance productivity, improves patient outcomes, and automates administrative tasks. Experience unrivalled efficiency with Revenant Care. Best Healthcare BPO Services in New York Administrative tasks in New York require particular attention due […]

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