Billing, coding, revenue cycle, and practice management — written by people who know how claims actually get paid.
CO-197, CO-45, and CO-97 show up on more denials than any other codes in behavioral health. Here's what each one really means and how to stop them at the source.
Read the article →CO-197, CO-45, and CO-97 show up on more denials than any other codes in behavioral health. Here's what each one really means and how to stop them at the source.
Allowed vs. paid vs. patient responsibility — a field-by-field walkthrough of the 835 remittance so your team can post payments accurately the first time.
The three modifiers that decide whether your 97153 and 97155 claims get paid. A plain-language guide to provider-role modifiers across common payers.
Goals addressed, measurable data, caregiver involvement — the eight elements payers look for, and the language that turns a good note into a defensible one.
A practical playbook for working aged claims: how to triage the 90+ bucket, when to call provider relations, and the metrics that tell you it's working.
The revenue thresholds that signal it's time, what to look for in a behavioral-health biller, and the workflows to hand off first so nothing slips.
POS 10, place-of-service shifts, and the modifiers that follow them. A breakdown of the latest CMS guidance and how it touches OT, PT, SLP, and ABA billing.
Practical tips on coding, denials, and revenue cycle — no filler. Unsubscribe any time.
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