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
3 Rules That Changed for In-home Telehealth POS Codes in 2027
Key Takeaways For telehealth claims, start with where the patient was during the visit, then check the payer’s current instructions. The code alone does not settle every coverage
9 Documentation Mistakes That Trigger Denials for Documentation Audit Risk
Key Takeaways Clear records help show what care was provided and why the billed service was appropriate. A few steady checks can catch gaps before a claim goes out. Record the clin
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
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 90791: How to Bill the Diagnostic Evaluation
CPT code 90791 is the psychiatric diagnostic evaluation without medical services. It is the intake code for most psychotherapists. Psychiatrists and other prescribers use 90792 whe
CPT 90839 vs 90834 and 90837: When Crisis Psychotherapy Applies
CPT code 90839 is the code for psychotherapy for crisis. It is not the code for a third visit, a long session, or a hard session. You use it when a patient is in a crisis state and
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
7 Rules That Changed for Telehealth Originating Site Rules in 2025
Key Takeaways Medicare telehealth originating-site policies were in flux during 2025, but the scheduled deadline did not become a permanent return to pre-pandemic rules. Congress e
Georgia Mental Health Claim Appeals: 6 Easy Steps
Georgia mental health claim appeals are the steps you take when a payer denies or underpays a behavioral health claim: read the reason, fix what is fixable, appeal to the plan, and
