https://healthrevenueintelligence.com/insights/ Plain-English billing intelligence for behavioral-health providers. Tue, 29 Sep 2026 00:00:00 +0000 https://healthrevenueintelligence.com/insights/closer-look-at-iop-billing-for-behavioral-health-service-providers/ https://healthrevenueintelligence.com/insights/closer-look-at-iop-billing-for-behavioral-health-service-providers/ Tue, 29 Sep 2026 00:00:00 +0000 How IOP billing works: usually paid by the program day, payer-specific codes and units, authorization, where claims stall. HRI bills IOP programs end to end. https://healthrevenueintelligence.com/insights/closer-look-at-php-billing-for-behavioral-health-service-providers/ https://healthrevenueintelligence.com/insights/closer-look-at-php-billing-for-behavioral-health-service-providers/ Mon, 07 Sep 2026 00:00:00 +0000 How PHP billing works: revenue codes 0912 and 0913, daily-hour thresholds, authorization, concurrent review, where claims stall. HRI bills PHP programs end to end. https://healthrevenueintelligence.com/insights/how-to-get-reimbursement-for-iop-s9480-via-telehealth/ https://healthrevenueintelligence.com/insights/how-to-get-reimbursement-for-iop-s9480-via-telehealth/ Sat, 29 Aug 2026 00:00:00 +0000 S9480 does not report telehealth by itself. Verify service eligibility, claim type, modifier, place of service and payer rules for the service date. https://healthrevenueintelligence.com/insights/eating-disorder-codes-for-insurance-billing/ https://healthrevenueintelligence.com/insights/eating-disorder-codes-for-insurance-billing/ Sat, 29 Aug 2026 00:00:00 +0000 How to match an eating-disorder diagnosis to the service, level of care, claim format and payer rule—without relying on an outdated code list. https://healthrevenueintelligence.com/insights/medical-necessity-denials/ https://healthrevenueintelligence.com/insights/medical-necessity-denials/ Thu, 13 Aug 2026 00:00:00 +0000 How behavioral-health medical-necessity denials work, what documentation matters, and how providers can build stronger appeal packets. https://healthrevenueintelligence.com/insights/how-to-choose-a-behavioral-health-billing-company/ https://healthrevenueintelligence.com/insights/how-to-choose-a-behavioral-health-billing-company/ Wed, 29 Jul 2026 00:00:00 +0000 Six questions for evaluating a behavioral-health billing company, including specialty expertise, denial work, transparency and service boundaries. https://healthrevenueintelligence.com/insights/rtc-billing-services-what-full-service-covers/ https://healthrevenueintelligence.com/insights/rtc-billing-services-what-full-service-covers/ Wed, 29 Jul 2026 00:00:00 +0000 What full-service RTC billing should cover, from benefits and concurrent review through institutional claims, payment posting and denial follow-up. https://healthrevenueintelligence.com/insights/increasing-reimbursement-while-decreasing-claim-denials/ https://healthrevenueintelligence.com/insights/increasing-reimbursement-while-decreasing-claim-denials/ Wed, 08 Jul 2026 00:00:00 +0000 How benefit verification, authorization, trained staff and denial data can strengthen a behavioral-health revenue-cycle workflow. https://healthrevenueintelligence.com/insights/the-secret-to-getting-reimbursed-quicker-claims-follow-up/ https://healthrevenueintelligence.com/insights/the-secret-to-getting-reimbursed-quicker-claims-follow-up/ Wed, 08 Jul 2026 00:00:00 +0000 Practical claims follow-up steps for behavioral-health providers, including account research, payer contact and documented next actions. https://healthrevenueintelligence.com/insights/php-and-iop-billing-for-eating-disorders/ https://healthrevenueintelligence.com/insights/php-and-iop-billing-for-eating-disorders/ Thu, 28 May 2026 00:00:00 +0000 An overview of how PHP and IOP program structure can affect eating-disorder authorization, documentation and claim billing. https://healthrevenueintelligence.com/insights/rtc-php-iop-insurance-billing-101/ https://healthrevenueintelligence.com/insights/rtc-php-iop-insurance-billing-101/ Thu, 28 May 2026 00:00:00 +0000 An introduction to RTC, PHP and IOP billing, including institutional claims, clearinghouses, authorizations and remittance workflows. https://healthrevenueintelligence.com/insights/medication-assisted-treatment-codes-for-medicaid/ https://healthrevenueintelligence.com/insights/medication-assisted-treatment-codes-for-medicaid/ Wed, 23 Jul 2025 00:00:00 +0000 A superseded New Hampshire Medicaid example covering medication-assisted-treatment billing codes and denial-prevention checks. Verify current rules. https://healthrevenueintelligence.com/insights/primary-and-secondary-insurance-claims-filing-a-step-by-step-guide/ https://healthrevenueintelligence.com/insights/primary-and-secondary-insurance-claims-filing-a-step-by-step-guide/ Tue, 10 Jun 2025 00:00:00 +0000 A guide to filing Medicare-primary and commercial-secondary mental-health claims, including payment order and coordination steps. https://healthrevenueintelligence.com/insights/are-your-h0015-iop-or-php-substance-abuse-claims-are-denying/ https://healthrevenueintelligence.com/insights/are-your-h0015-iop-or-php-substance-abuse-claims-are-denying/ Thu, 22 May 2025 00:00:00 +0000 A payer case study on H0015 authorization denials, system-error research and the checks to make before correcting a claim. https://healthrevenueintelligence.com/insights/medical-necesity-behavioral-health/ https://healthrevenueintelligence.com/insights/medical-necesity-behavioral-health/ Thu, 22 May 2025 00:00:00 +0000 An overview of how medical-necessity criteria, patient information and clinical documentation can affect behavioral-health authorization. https://healthrevenueintelligence.com/insights/insurance-billing-for-substance-abuse-and-mental-health-cheat-sheet/ https://healthrevenueintelligence.com/insights/insurance-billing-for-substance-abuse-and-mental-health-cheat-sheet/ Thu, 22 May 2025 00:00:00 +0000 CPT codes used by professional clinicians and therapists for psychiatric evaluation, psychotherapy and E/M services. https://healthrevenueintelligence.com/insights/how-to-write-referral-letter-for-php-mental-health/ https://healthrevenueintelligence.com/insights/how-to-write-referral-letter-for-php-mental-health/ Wed, 11 Oct 2023 00:00:00 +0000 A guide to PHP referral letters, common medical-necessity considerations and payer-specific authorization requirements. https://healthrevenueintelligence.com/insights/7-aspects-of-insurance-billing/ https://healthrevenueintelligence.com/insights/7-aspects-of-insurance-billing/ Fri, 11 Aug 2023 00:00:00 +0000 Seven parts of the behavioral-health billing workflow, from benefit verification and authorization through claims, follow-up and reporting. https://healthrevenueintelligence.com/insights/can-psych-visits-be-billed-along-with-a-per-diem-iop-visit-how/ https://healthrevenueintelligence.com/insights/can-psych-visits-be-billed-along-with-a-per-diem-iop-visit-how/ Mon, 17 Jul 2023 00:00:00 +0000 A discussion of billing psychiatric visits alongside per-diem IOP services, with claim-format and payer-policy cautions. https://healthrevenueintelligence.com/insights/a-general-look-at-2023-medical-necessity-criteria-for-behavioral-health/ https://healthrevenueintelligence.com/insights/a-general-look-at-2023-medical-necessity-criteria-for-behavioral-health/ Tue, 20 Jun 2023 00:00:00 +0000 A 2023 overview of behavioral-health medical-necessity criteria used for RTC, PHP and IOP decisions, with links to criteria sources. https://healthrevenueintelligence.com/insights/one-common-insurance-billing-code-mistake-for-non-intensive-outpatient-groups-for-behavioral-health/ https://healthrevenueintelligence.com/insights/one-common-insurance-billing-code-mistake-for-non-intensive-outpatient-groups-for-behavioral-health/ Tue, 06 Jun 2023 00:00:00 +0000 A guide to group-service coding mistakes, modifier questions and the need to verify current payer rules before filing. https://healthrevenueintelligence.com/insights/how-to-do-a-authorization-for-behavioral-health/ https://healthrevenueintelligence.com/insights/how-to-do-a-authorization-for-behavioral-health/ Tue, 06 Jun 2023 00:00:00 +0000 A call-preparation checklist for behavioral-health authorization, including member, provider, clinical and level-of-care details. https://healthrevenueintelligence.com/insights/what-is-the-limit-for-number-of-patients-for-a-php-or-iop-behavioral-health-treatment-program/ https://healthrevenueintelligence.com/insights/what-is-the-limit-for-number-of-patients-for-a-php-or-iop-behavioral-health-treatment-program/ Wed, 31 May 2023 00:00:00 +0000 There are a lot of variables to insurance billing, each policy of a plan needs to be vetted and checked for limitations and criteria https://healthrevenueintelligence.com/insights/heres-what-an-industry-insider-says-about-third-party-insurance-billing/ https://healthrevenueintelligence.com/insights/heres-what-an-industry-insider-says-about-third-party-insurance-billing/ Wed, 31 May 2023 00:00:00 +0000 An explanation of how third-party behavioral-health billing differs from routine medical-office billing across levels of care. https://healthrevenueintelligence.com/insights/what-you-need-to-know-for-php-insurance-billing-in-2023/ https://healthrevenueintelligence.com/insights/what-you-need-to-know-for-php-insurance-billing-in-2023/ Mon, 08 May 2023 00:00:00 +0000 A 2023 overview of PHP structure and billing, including levels of care, authorization, documentation and payer-specific rules. https://healthrevenueintelligence.com/insights/uhc-direct-pay-issue-for-behavioral-health/ https://healthrevenueintelligence.com/insights/uhc-direct-pay-issue-for-behavioral-health/ Wed, 18 May 2022 00:00:00 +0000 An overview of UnitedHealthcare and Optum payment options, including ACH, virtual cards and enrollment considerations. https://healthrevenueintelligence.com/insights/insurance-billing-improve-patient-outcomes/ https://healthrevenueintelligence.com/insights/insurance-billing-improve-patient-outcomes/ Wed, 18 May 2022 00:00:00 +0000 A discussion connecting billing accuracy, cost expectations and claim errors with the financial experience surrounding treatment. https://healthrevenueintelligence.com/insights/ubh-optum-discontinuing-out-of-network-benefits/ https://healthrevenueintelligence.com/insights/ubh-optum-discontinuing-out-of-network-benefits/ Wed, 28 Jul 2021 00:00:00 +0000 The change will apply to medical and behavioral health services and impacts services that are already subject to prior authorization. https://healthrevenueintelligence.com/insights/are-you-coding-for-mental-health-services-accurately/ https://healthrevenueintelligence.com/insights/are-you-coding-for-mental-health-services-accurately/ Tue, 20 Jul 2021 00:00:00 +0000 An overview of behavioral-health coding accuracy, documentation, service duration and payer-specific claim requirements. https://healthrevenueintelligence.com/insights/understanding-insurance-issues-for-eating-disorders/ https://healthrevenueintelligence.com/insights/understanding-insurance-issues-for-eating-disorders/ Mon, 17 May 2021 00:00:00 +0000 An overview of eating-disorder insurance issues, including benefit review, authorization, medical necessity and out-of-pocket questions. https://healthrevenueintelligence.com/insights/denied-insurance-coverage-for-mental-health-illness-drawing-more-attention/ https://healthrevenueintelligence.com/insights/denied-insurance-coverage-for-mental-health-illness-drawing-more-attention/ Mon, 29 Oct 2018 00:00:00 +0000 A discussion of mental-health coverage denials, medical-necessity disputes and the effect of access barriers on families. https://healthrevenueintelligence.com/insights/5-things-to-know-when-outsourcing-insurance-billing/ https://healthrevenueintelligence.com/insights/5-things-to-know-when-outsourcing-insurance-billing/ Fri, 20 Jul 2018 00:00:00 +0000 Five considerations for choosing an outsourced behavioral-health billing partner, including expertise, service scope, reporting and accountability. https://healthrevenueintelligence.com/insights/5-insurance-billing-errors-drug-treatment-centers-can-avoid/ https://healthrevenueintelligence.com/insights/5-insurance-billing-errors-drug-treatment-centers-can-avoid/ Fri, 20 Jul 2018 00:00:00 +0000 Five common billing errors for treatment centers, including weak benefit verification, patient-data mistakes and incomplete claim review. https://healthrevenueintelligence.com/insights/revenue-cycle-management-tips-tricks-behavioral-health/ https://healthrevenueintelligence.com/insights/revenue-cycle-management-tips-tricks-behavioral-health/ Fri, 16 Feb 2018 00:00:00 +0000 An introduction to behavioral-health revenue-cycle management, from benefit verification and claims through follow-up and collections. https://healthrevenueintelligence.com/insights/understand-incident-reports/ https://healthrevenueintelligence.com/insights/understand-incident-reports/ Wed, 08 Nov 2017 00:00:00 +0000 Incident report documentation plays a part in making sure all benefits are utilized from insurance carriers. https://healthrevenueintelligence.com/insights/rehab-benefits-denial/ https://healthrevenueintelligence.com/insights/rehab-benefits-denial/ Wed, 08 Nov 2017 00:00:00 +0000 As we all know, they are not all created equal and these are HUMAN choices – not policy.