denial management Archives - Page 4 of 4

BH Denial Recovery Case Study: $1.04M Recovered in 90 Days (12-Site Provider, $70M Rev). Practical BH/ABA/SUD billing guidance from Revenant Care.

Michigan PIHP Redesign 2026: The ABA + Autism Billing Fixes Every MI Practice Needs Before H0031/H2019 Denials Compound

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| ABA

If your Michigan ABA or autism-services practice bills through a PIHP (Pre-paid Inpatient Health Plan), 2026 is the year the rules got harder. The Michigan PIHP redesign for 2026 is creating denial cliffs on autism ABA H0031 (assessment) and H2019 (behavioral health services) codes that most in-house billing teams are treating as one-off denials when […]

ABA Billing 97153 & 97155 Concurrent Denials: Fix Them Now

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| ABA

Stop losing revenue on 97153 and 97155 concurrent-service denials. Learn the exact modifier, POS, and documentation fixes ABA practices need in 2026.

The 5 Denial Patterns Behavioral Health, ABA, and SUD Practices Lose the Most Revenue To

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| ABA

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 […]

ABA Supervision-Ratio Audit Checklist: How BCBAs Prevent Retroactive Denials

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| ABA

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

How Denial Management Impacts Healthcare Revenue Cycles?

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| Medical Billing

In the healthcare industry, providers face pressure to deliver high-quality patient care while maintaining strong financial performance. They must follow complex billing codes, payer rules, and compliance standards. A key part of keeping this financial balance is an often-overlooked process: Denial Management. Claim denials can lead to lost revenue, higher administrative costs, and added pressure […]