Medicare Timely Filing for Therapists: What the 12-Month Rule Means
Medicare timely filing for therapists means your claim must reach your Medicare Administrative Contractor (MAC) within one year of the date of service. Miss that window and Medicar
EAP Authorization and Session Limits: How to Bill Without Surprises
EAP authorization and session limits billing comes down to three questions: did the client get an authorization, how many sessions does it cover, and what does the claim need? An E
Illinois Therapist Credentialing: How the Process Works
Illinois therapist credentialing is how insurance companies check your license and background before they let you join their network. You do not have to guess at it. On Monday morn
Florida Insurance Regulator Complaint for Therapists and Psychiatrists
A Florida insurance regulator complaint works best when you send it to the right agency with the right paperwork. Florida splits oversight between the Department of Financial Servi
MassHealth Timely Filing and Appeals for Therapists and Psychiatrists
MassHealth timely filing and appeals work differently depending on who denied your claim: MassHealth itself (fee-for-service) or one of the managed care plans it contracts with. Th
Georgia Insurance Claim Appeals for Therapists and Psychiatrists
If a payer denies or underpays a claim, you need a plan, not a guess. Georgia insurance claim appeals for therapists and psychiatrists follow different rules depending on who pays:
POS 10 vs POS 02 for Telehealth: Which Place of Service Should Therapists Use?
Choosing between pos 10 vs pos 02 telehealth is one of the small claim decisions that causes big headaches. POS stands for place of service, the two-digit code that tells a payer w
BlueCard Claims for Therapists: Easy Out-of-State Guide
BlueCard claims for therapists are claims you send for a client who carries a Blue Cross Blue Shield (BCBS) card from another state. The BlueCard program links independent BCBS pla
North Carolina Timely Filing for Therapists: What to Know for Each Payer
North Carolina timely filing for therapists means getting each claim to the payer before that payer’s deadline runs out. The deadline is not one number. It changes with the p
Tennessee Timely Filing for Therapists: What to Know for Each Payer
Tennessee timely filing for therapists is the deadline for a payer to receive your claim, and it changes with each payer you bill. Private insurers set it in your contract. TennCar