7 Ways Medical Necessity Documentation Reduces Audit Risk
Key Takeaways Medical necessity documentation connects the care delivered to the patient’s needs and the claim submitted. Clear, consistent records make that connection easie
Connecticut Mental Health Claim Appeals: 5 Essential Steps
Connecticut mental health claim appeals are the written challenges a practice files when a health plan denies or reduces a behavioral health claim. A strong appeal depends on three
9 Documentation Mistakes That Trigger Denials for Documentation Audit Risk
Key Takeaways Clear records help show what care was provided and why the billed service was appropriate. A few steady checks can catch gaps before a claim goes out. Record the clin
10 Things Your Notes Need to Support Group Therapy Documentation Requirements
Key Takeaways A strong group note connects the shared session to each client’s care. Use these points to make documentation clearer and easier to review. Record the client’s id
Florida Blue Telemedicine Billing: 5 Easy Essentials
Florida Blue telemedicine billing follows the plan’s Virtual Visits payment policy, which changed for commercial plans on January 1, 2026. Florida Blue is the trade name of B
9 Things to Know About Telehealth Prior Authorization Rules
Key Takeaways Telehealth prior authorization rules can change with the payer, plan, service, and details of the visit. A few checks before care can help prevent avoidable delays an
AMA CPT Code Changes: What Behavioral Health Practices Should Check
AMA CPT code changes arrive every year, and the 2026 set took effect January 1, 2026. The American Medical Association (AMA) says the 2026 CPT code set adds 288 new codes, with 418
90791 vs 90792: Which Diagnostic Evaluation Code Applies?
90791 vs 90792: both are psychiatric diagnostic evaluations. CPT 90791 is an evaluation without medical services. CPT 90792 is an evaluation with medical services, such as a medica
90847 or 90846: Which Family Therapy Code Should You Bill?
Choosing 90847 or 90846 comes down to one question: was the patient in the room for the family session? Code 90847 is family psychotherapy with the patient present. Code 90846 is f
90791 or 90834: Which Code Fits Your First Session?
90791 or 90834? CPT 90791 is a psychiatric diagnostic evaluation. CPT 90834 is a 45-minute individual psychotherapy session (38 to 52 minutes). They are not two prices for the same