12 Questions to Ask Your Payer About Telehealth Documentation Requirements
Key Takeaways Telehealth rules can vary by payer, plan, service, and date of care. A short set of questions—and a consistent record of the answers—can help your practice make s
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 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
CPT Code 90837: How to Bill the 53-Minute-Plus Psychotherapy Session
CPT code 90837 “the 60 minutes code” how to properly document and code these longer sessions to maximize reimbursement.
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
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