SUD Residential Billing: R&B, PHP, and IOP Edge Cases Most Programs Get Wrong
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 […]