Billing & Credentialing Cranberry Twp. (Pittsburgh)
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Call: (412) 219-4789 | Fax: (866) 422-9277
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Behavioral Health

Maximize Reimbursement: 2025 Behavioral Health CPT Codes

April 14, 2025 / admin / 90832, 90834, 90837, 96121, 96146, 99484, Articles, Behavioral Health, Behavioral Health Billing, Behavioral Health Codes, Behavioral Health CPT Codes, CPT Code, CPT Code Update, CPT Codes
Behavioral Health Billing Mechanisms

Behavioral health professionals continue to face a complex and evolving landscape of reimbursement challenges. The good news? Strategic knowledge of Current Procedural Terminology (CPT) codes can significantly boost your practice’s financial health while ensuring you’re fairly compensated for the valuable services you provide. Figuring out the nuances of behavioral health coding is no longer optional, […]

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2025 CPT Code Updates, 90832, 90834, 90837, 96121, 96146, 99484, Behavioral Health, Behavioral Health Billing, Behavioral Health Codes, Behavioral Health CPT Codes, Behavioral Health CPT-10 Codes, CPT Code, CPT Code Update, CPT codes

Behavioral Health Payer Contracting

November 22, 2024 / admin / Articles, Behavioral Health, Behavioral Health Contracting, Behavioral Health Payer Contracting, Contract Negotiation, Contracting, Contracting Fee Schedule, Fee Schedule, Fee Schedule Management, Fee-for-Service, Fee-for-service Model
White Male Payer Contracting Specialist

Behavioral health providers face unique challenges when it comes to payer contracting. The landscape has grown increasingly complex, especially as mental health parity laws have evolved and the demand for behavioral health services has surged in recent years. Let’s dive into the intricacies of behavioral health payer contracting and explore what providers need to know […]

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Behavioral Health, Behavioral Health Contracting, Behavioral Health Payer Contracting, Behavioral Health Payor Contracting, Contract Negotiation, contracting, Contracting Fee Schedule, Fee Schedule, Fee Schedule Management, Fee-for-Service, Fee-for-Service (FFS), fee-for-service model

Credentialing for Behavioral Health Providers

November 15, 2024 / admin / Articles, Behavioral Health, Behavioral Health Credentialing, Credentialing, Credentialing Accuracy, Credentialing New Providers, Credentialing On-Boarding, Medical Credentialing, Mental Health, Mental Health Credentialing, Out of Network
Behavioral Health Credentialing

Let’s face it – medical credentialing isn’t exactly the most exciting topic for behavioral health providers. You probably went into this field to help people with their mental health challenges, not to wade through paperwork and bureaucracy. Yet, here’s the thing: understanding and successfully navigating the credentialing process is absolutely crucial for running a successful […]

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Behavioral Health, Behavioral Health Credentialing, Credentialing, Credentialing Accuracy, Credentialing New Providers, credentialing on-boarding, medical credentialing, Mental Health, Mental Health Credentialing, Out of Network

Key Mechanisms Used in Behavioral Health Billing

October 1, 2024 / admin / Articles, Behavioral Health, Behavioral Health Billing, Behavioral Health Codes, Behavioral Health CPT Codes, Behavioral Health Integration, Billing, CPT, CPT Codes, CPT Definitions, EDI, Electronic Data Interchange, HIPAA
Key Behavioral Health Billing Mechanisms

Behavioral health billing is a complex and crucial aspect of the healthcare industry, specifically focused on mental health and substance abuse services. It involves intricate processes, numerous codes, and strict regulations to ensure accurate reimbursement for services provided while maintaining patient privacy and data security. We research the various mechanisms used in behavioral health billing, […]

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Behavioral Health, Behavioral Health Billing, Behavioral Health Codes, Behavioral Health CPT Codes, Behavioral Health Integration, billing, CPT, CPT codes, CPT definitions, EDI, Electronic Data Interchange, HIPAA

Common Behavioral Health Modifiers

August 19, 2024 / admin / Articles, Behavioral Health, Behavioral Health Billing, Modifier 25, Modifier 59, Modifier 95, Modifier AF, Modifier AH, Modifier AJ, Modifier Code, Modifier Codes, Modifier HE, Modifier HF, Modifier HN, Modifier HO, Modifier HP, Modifier HS, Modifier TD
Behavioral Health Modifiers

Behavioral health presents unique challenges and opportunities. One of the key elements in ensuring accurate billing and appropriate reimbursement is the proper use of modifiers. These two-character codes provide additional information about the services rendered, helping to paint a complete picture of the care provided. In behavioral health, where treatment often involves multiple providers, various […]

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Behavioral Health, Behavioral Health Billing, billing, Medical Billing, Modifier 25, Modifier 59, Modifier 95, Modifier AF, Modifier AH, Modifier AJ, Modifier Code, Modifier Codes, Modifier HE, Modifier HF, Modifier HN, Modifier HO, Modifier HP, Modifier HS, Modifier TD, Revenue Cycle Management

Navigating the Complexities of Behavioral Health Billing

May 31, 2024 / admin / Articles, Behavioral Health, Behavioral Health Billing, Billing, Billing Best Practice, Billing Challenges, Billing Codes, Coding, Coding and Billing, Modifier Codes, Modifiers, Pre-Authorization, Preauthorization
Behavioral Health Billing

Let’s be real, billing and claims processing is probably not what got you into the behavioral health field in the first place. You were driven by a passion to help people overcome mental health challenges, develop positive coping strategies, and improve their overall well-being. But as much as we might wish it were different, managing […]

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Behavioral Health, Behavioral Health Billing, billing, Billing Best Practice, Billing Challenges, Billing Codes, Coding, coding and billing, Modifier Codes, Modifiers, Pre-Authorization, Preauthorization

Understanding General Behavioral Health Integration (BHI) CPT Codes for Revenue Optimization and Streamlined Billing

May 1, 2023 / admin / Articles, Behavioral Health, Behavioral Health Billing, Behavioral Health Codes, Behavioral Health Integration, BHI, BHI CPT Codes, BHI Services, CCM, CPT Code, Federally Qualified Health Centers, FQHCs, RHCs, Rural Health Clinics
Behavioral Health Doctor treating patient

Integrating behavioral health services with primary care has become increasingly important. Recognizing the significance of this integration, the American Medical Association (AMA) has developed specific Current Procedural Terminology (CPT) codes to facilitate the billing and reimbursement process for behavioral health integration (BHI) services. By comprehending and effectively utilizing these codes, healthcare providers can maximize their […]

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99484, Behavioral Health Integration, BHI, BHI Services, CCM, Chronic care management, CPT Code, CPT Code 99484, CPT Code G0511, Federally Qualified Health Centers, Federally Qualified Health Centers (FQHCs), FQHCs, G0511, RHCs, Rural Health Clinics, Rural Health Clinics (RHCs)

Which CPT Codes are Used in Behavioral Health Billing?

March 5, 2023 / admin / Articles, Behavioral Health, Behavioral Health Billing, Behavioral Health Codes, Behavioral Health CPT Codes, Biling Codes, Billing, CPT, CPT Codes
Behavioral Health Billing Codes

In behavioral health, medical billing is a crucial aspect of providing services to patients. The billing ensures that healthcare providers receive proper payment for the services they provide, and it helps patients understand the costs associated with their care. As the healthcare industry continues to evolve, it is important for behavioral health providers to understand […]

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Behavioral Health, Behavioral Health Billing, Behavioral Health Billing Codes, Behavioral Health Codes, Behavioral Health CPT Codes, Billing Codes, CPT, CPT Billing Codes, CPT codes, CPT-10, CPT-10 Codes, Healthcare Billing, Medical Billing, Medical Billing Service, Revenue Cycle Management

The Reasons to Outsource your Medical Billing

February 28, 2023 / admin / Allergy Billing, Allergy Testing Billing, Articles, Behavioral Health, Behavioral Health Billing, Billing, Billing Services, COVID Test Kits, COVID Testing Billing, COVID-19 Billing, COVID-19 Testing Billing, DME Billing, Genetic Testing Billing, Sleep Study Lab Billing, Speech Therapy Billing, Substance Abuse Billing, Toxicology Billing, Toxicology Lab Billing
White Female Revenue Cycle Management

In today’s healthcare landscape, medical billing has become an increasingly complex and time-consuming task. It requires in-depth knowledge of constantly evolving billing regulations, as well as the ability to manage large amounts of patient data accurately. Many healthcare practices find it challenging to manage their billing in-house, which is why outsourcing medical billing has become […]

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Allergy Billing, Behavioral Health Billing, COVID testing billing, COVID-19 billing, DME Billing, genetic testing billing, Medical Billing, speech therapy billing, Substance Abuse Billing, toxicology billing

Does Medicare Cover (Mental Health Services) such as Therapy?

February 9, 2022 / admin / Articles, Behavioral Health, Behavioral Health Billing, Healthcare, Healthcare Outcomes, Medicare Coverage, Mental Health, Mental Health Billing
mental-health-treatment-medicare

Are Mental Health Services (like Therapy) Covered Under Medicare? Behavioral / Mental Health Services + Medicare Sometimes it can be problematic for older adults to differentiate indicators of mental health difficulties for typical aging-related changes. They may think that experiencing sadness or anxiety is an ordinary symptom of growing older, particularly when they live with […]

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Behavioral Health, Behavioral Health Billing, medicaid, medicare, medicare coverage, Medicare Therapy, Mental Health, Mental Health Billing

Case Study: Behavioral Health Billing

February 13, 2021 / admin / Articles, Behavioral Health, Behavioral Health Billing, Healthcare, Medical Billing, Medical Billing Companies, Mental Health Billing
Behavioral Health Billing

Behavioral Health Billing Case Study Type of Practice: Behavioral Health Group The Challenge: A successful behavioral health practice approached Medwave to manage their billing process. Up until now, they were performing their own billing in-house using various staff members who had had some formal training. However, they were finding that these staff members were spending […]

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Behavioral Health, Behavioral Health Billing, Medical Billing, Mental Health, Mental Health Billing, Pittsburgh Behavioral Health Billing

What Makes Mental Health Billing So Difficult?

October 24, 2020 / admin / Articles, Behavioral Health, Behavioral Health Billing, Medical Billing, Medical Billing Companies, Mental Health Billing
Mental Health Billing

Vexatious Aspects of Mental Health Billing Let’s face it, the healthcare industry is vast and complex, even more so for mental health providers. This is especially true when it comes to the billing process. The variety in the types of services, the time, scope and restraints put on mental health treatments make the billing process […]

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Behavioral Health, Behavioral Health Billing, ICD-10, Medical Billing, medical coding, Mental Health, Mental Health Billing, Outsource Medical billing, Pittsburgh Behavioral Health Billing

The 10 Advantages of Outsourcing Your (Behavioral Health Billing)

July 20, 2019 / admin / Articles, Behavioral Health, Behavioral Health Billing, Medical Billing, Medical Billing Outsourcing, Mental Health Billing, Outsource Medical Billing, Outsourcing Medical Billing
Behavioral Health Billing Mechanisms

10 Advantages of Outsourcing Your Behavioral Health Billing Behavioral Health Billing Healthcare in a digital environment is complicated, particularly with the numerous regulations that seem to be constantly rolling out additional layers. Healthcare providers are spending more time and resources as they organize patient care, and this time could be put to better use. Using […]

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Behavioral Health, Behavioral Health Billing, Medical Billing, Mental Health, Mental Health Billing, Outsource Billing, Outsource Medical billing, outsourced medical billing

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Practices Served

  • Behavioral Health
  • Genetic Testing
  • Pharmacogenetic (PGx) Testing
  • Toxicology
  • COVID-19 Testing
  • Allergy Testing
  • Skilled Nursing Facilities
  • Urgent Care
  • Oncology
  • Pathology
  • OBGYN
  • Biologics and Specialty Drugs
  • Telestroke and Teleneurology
  • Remote Patient Monitoring
  • Remote Therapeutic Monitoring
  • Home Infusion Therapy
  • Speech Therapy
  • Substance Abuse
  • DME
  • Sleep Study Labs
  • Physical Therapy (PT)
  • Occupational Therapy

Practices Served

  • Behavioral Health
  • Genetic Testing
  • Pharmacogenetic (PGx) Testing
  • Toxicology
  • COVID-19 Testing
  • Allergy Testing
  • Skilled Nursing Facilities
  • Urgent Care
  • Oncology
  • Pathology
  • OBGYN
  • Biologics and Specialty Drugs
  • Telestroke and Teleneurology
  • Remote Patient Monitoring
  • Remote Therapeutic Monitoring
  • Home Infusion Therapy
  • Speech Therapy
  • Substance Abuse
  • DME
  • Sleep Study Labs
  • Physical Therapy (PT)
  • Occupational Therapy

Recent Posts

  • Medical Credentialing Staff at a Hospital

    25 Stats Medical Credentialers Must Know

  • Older Female Doctor in need of Credentialing

    Credentialing Problems? We Can Fix Them!

  • Medical Credentialing State-by-State

    Multi-State Licensing in Provider Credentialing

  • Telehealth Provider

    Solutions for Telehealth Credentialing Challenges

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