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
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
Florida Medicaid Managed Care Billing: 5 Easy Essentials
Florida Medicaid managed care billing is how a practice gets paid for Medicaid members who are enrolled in a health plan instead of fee-for-service Medicaid. The state’s Agen
8 Ways to Prevent Denials From Coordination of Benefits Errors
Key Takeaways Coordination of benefits (COB) problems are easier to prevent when coverage details are checked early and revisited often. A consistent process can save a practice fr
State Telehealth Parity Law: 8 Essential Claim Checks
A state telehealth parity law requires private health plans to treat telehealth visits like in-person visits in some way. The rule can be about whether the plan covers the visit, h
Texas Telehealth Billing for Therapists: 5 Easy Essentials
Texas telehealth billing for therapists is the set of modifier, consent and coverage rules for claims on sessions delivered by video or phone. Texas Medicaid and commercial plans h
Florida Timely Filing for Therapists: 4 Easy Essentials
Florida timely filing for therapists is the deadline a payer gives you to submit a claim after the date of service. Miss it and a payer may refuse to pay a claim that was otherwise
Georgia Out-of-Network Mental Health Billing: 5 Easy Steps
Georgia out-of-network mental health billing is how you get paid when you are not in a payer’s network. You can file the claim yourself, hand the client a superbill to file,
Colorado Medicaid Behavioral Health Billing: 5 Easy Steps
Colorado Medicaid behavioral health billing runs through regional organizations, not one state claims desk. Health First Colorado, the state’s Medicaid program, pays for beha