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
Read More
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,
Read MoreFor 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.
Read More
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
Read More
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
Read More
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
Read More
Ask five billers what CPT code 99203 requires and you will likely get five slightly different answers. Some will mention a detailed history. Others will point straight to medical decision making.
Read More
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
Read More
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
Read More
Introduction Few corners of behavioral health billing trip up clinicians as reliably as the psychological testing codes. A neuropsychologist can spend an entire afternoon walking a patient through a battery of
Read More
