behavioral health RCM Archives - Page 2 of 29

SUD Detox Billing: H0010–H0013 Residential Code Differentiation

Confused about H0010 vs H0013 for SUD detox billing? Learn the exact ASAM-level code differentiation, POS codes, and modifiers that prevent denials in 2026.

ABA Authorization Denial Appeal for 97153: Medical Necessity Template

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| ABA

Step-by-step guide to appealing 97153 medical necessity denials for ABA practices, with a reusable template, CPT codes, and recovery data for 2026.

Optum Behavioral Panel Enrollment: Real Credentialing Timelines

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| Behavioral Health

Optum behavioral health panel enrollment takes 90-180+ days. Here’s what we see across 50 BH practices and how to protect revenue during the credentialing gap.

GT Modifier Deprecation 2026: What Behavioral Health Practices Must Do Now

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| Behavioral Health

The GT modifier ends in 2026. Learn exactly how this affects behavioral health telehealth billing, POS codes, and revenue before denials spike.

SUD MAT Prior Authorization: Buprenorphine Payer Rules 2026

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| SUD

Buprenorphine and Suboxone prior auth rules vary wildly by payer. Here’s what we see failing at SUD practices and how to fix denials fast.

ABA Group Billing: CPT 97154 & 97158 Rules and Payer Variation

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| ABA

Learn how ABA practices can reduce denials on CPT 97154 and 97158 group billing with payer-specific rules, modifiers, and proven RCM strategies for 2026.

90785 Interactive Complexity: Fix Your Documentation Now

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| Behavioral Health

Stop losing reimbursement on CPT 90785. Learn the exact documentation requirements behavioral health practices need to capture this add-on code in 2026.