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
Mental Health CPT Codes Documentation: What Your Notes Must Show
Mental health CPT codes documentation decides whether a claim is paid or recouped. A timed code needs the date of service plus start and end time, and most psychotherapy denials tr
90791 or 90837: Which Code Fits the Session?
90791 or 90837? CPT 90791 is a psychiatric diagnostic evaluation. CPT 90837 is individual psychotherapy lasting 53 minutes or more. One assesses a patient and the other treats one,
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
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 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
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
Massachusetts Mental Health Parity Billing: Easy Essentials
Massachusetts mental health parity billing is the day-to-day work of spotting when a commercial plan treats your therapy or psychiatry claims more strictly than comparable medical
5 Ways Telehealth Billing Rules By Payer Affects Your Telehealth Claims
Key Takeaways Telehealth claims can follow different rules depending on the payer, plan, service, and patient location. A few checks before and after each visit can help your pract
Patient Collection Rate: 12 Easy Ways to Raise It in a Therapy Practice
Your patient collection rate is the share of what clients owe your practice that you actually collect. In a therapy or psychiatry practice, that means copays, coinsurance, deductib