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Category: Billing Software

Best medical billing software features for behavioral health practices

Best medical billing software features for behavioral health practices

Behavioral health billing does not behave like the rest of medical billing. Therapy is billed by the minute, mental health benefits are frequently administered by a different insurer than the rest

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How to bill Medicaid for mental health services: billing rules, codes, and documentation

Medicaid is the single largest payer of mental health and substance use treatment in the United States, according to an August 2025 Milbank Quarterly opinion piece by Emma McGinty and Magdalena

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What is ERA in mental health billing? Benefits, process, and setup

A therapist who sees 25 clients a week files roughly 1,300 claims a year. Multiply that across a five-clinician group and the practice is reconciling more than 6,000 payment decisions annually,

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Who Can Bill Medicare for Mental Health Services? A Complete Guide for Providers

For decades, the list of clinicians who could bill Medicare for mental health services was short and stable: physicians, clinical psychologists, clinical social workers, and a handful of advanced practice clinicians.

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cpt code 99493 updates for 2026 what providers should know

CPT Code 99493 Updates for 2026: What Providers Should Know

Introduction CPT code 99493 has been the core pillar behind Collaborative Care Model billing for years in 2026 it’s changing the terrain around it without touching its core purpose. Rural health

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CPT Code 99205 Billing Guide for Physicians & Practices.jpg

CPT Code 99205 Billing Guide for Physicians and Medical Practices

CPT code 99205 sits at the top of the new patient office visit series, and it is one of the most closely watched codes a practice submits. It pays more than

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new patient office or outpatient visit

CPT Code 99204 Cheat Sheet for Medical Billers and Coders

Introduction Some codes you assign on autopilot. 99204 isn’t one of them. It sits in a tricky stretch of the new patient ladder where the chart note either earns the level

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99203 CPT Code Explained Billing, Documentation, and Reimbursement Guide (2026).jpg

99203 CPT Code Explained: Billing, Documentation, and Reimbursement Guide (2026)

Coders new to the office and outpatient E/M family often assume CPT code 99203 is the “easy” new patient code, one step above the entry level. That assumption causes problems. The

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How to Bill CPT Code 99213 Correctly and Avoid Claim Denials.jpg

How to Bill CPT Code 99213 Correctly and Avoid Claim Denials

CPT code 99213 shows up on more outpatient claims than almost any other evaluation and management code, which is exactly why small documentation gaps around it cause so many denials. Billers

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CPT Code 99215 Audit Risks & Compliance Best Practices.jpg

CPT Code 99215 Audit Risks and Compliance Best Practices (2026)

Introduction Code 99215 is the heavyweight of the established-patient office visit family the top rung on the 99211 to 99215 ladder, and, for that single reason, the most closely watched line

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