Why Psychiatrists’ Physical Health Affects Patient Care
Title: Why Psychiatrists’ Physical Health Affects Patient Care A psychiatrist’s own physical health affects clinical judgment and patient care. Here’s why it matt
State Insurance Contact Guides: 22 Essential Provider Lists
State insurance contact guides put the provider contacts for one state on one page: each major payer, the state Medicaid agency and your Medicare claims contractor. MCM South now h
Secondary Claims for Mental Health: 5 Easy Steps to Follow
Secondary claims for mental health practices start with one question: which plan pays first? Coordination of benefits (COB) answers it. When a patient has two plans, the primary pl
Open Enrollment Changes for Private Practices: 6 Easy Steps
Open enrollment changes for private practices start before the new plan year does. Medicare’s annual enrollment runs October 15 to December 7, and Marketplace enrollment runs
Georgia Psychiatry and Psychology Billing: 5 Essential Tasks
Georgia psychiatry and psychology billing has two jobs to do well. Psychologists bill psychotherapy and testing codes. Psychiatric prescribers bill evaluation and management (E/M)
Georgia Pathways to Coverage: What Changes January 1, 2027
Georgia DCH Pathways, formally Pathways to Coverage, is the state’s limited Medicaid program for low-income adults, and its federal approval is set to end on December 31, 2026 un
Florida CMS Plan Moved to Molina on October 1: What Providers Need to Know
The Florida CMS Plan Molina providers need to know about is now live. On October 1, 2026, Molina Healthcare of Florida took over administration of the CMS Plan from Sunshine State
Illinois CPT 96127 Now Needs Modifier U1 or U2: How to Bill It
The Illinois 96127 modifier U1 U2 rule is now in effect. For Illinois Medicaid dates of service on or after August 1, 2026, CPT 96127 (brief emotional or behavioral assessment) nee
Medicare 2027 Fee Schedule Proposal: Psychotherapy Billing
The 2027 Medicare physician fee schedule psychotherapy question is simple to state: what does CMS propose for the codes you bill? CMS (the Centers for Medicare & Medicaid Servi
Medicaid Work Requirements Start 1/1/2027: What to Do Now
Medicaid work requirements mental health providers must plan for are no longer a Washington debate. They are a billing problem with a start date. Under a federal rule, states must
