Behavioral health claim denial rates run 85 percent higher than comparable medical services. This guide explains why, and shows you exactly how to fix it. Written from inside the claims adjudication systems providers fight against, this is the guide that explains how the automated engine decides your claim's fate in the first 72 hours. CPT Codes. ICD-10. Prior Authorization. ERA and EOB. Denial Management. Appeals. Telehealth. Group Practice. PMHNP Billing. Revenue Cycle. Compliance and Audits. No theory. The operational knowledge that turns denials into paid claims and builds a practice that gets paid.
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