Guides
Billing, Credentialing And Practice Operations Guides.
Practical guides from the team that runs billing, credentialing, payer enrollment, and daily operations for behavioral health and outpatient practices. Each one walks through a single job, with the codes, payer rules, and checklists we use in our own work.
Credentialing Status Explained: Submitted, Approved, Effective, EFT And ERA
Understand the credentialing statuses that matter after submission: received, in review, approved, effective, rostered, EFT, ERA, directory verification, and first paid claim.
Read the guide →Weekly A/R Review For Behavioral Health Practices: What To Check
A practical weekly A/R review for behavioral health practices: rejections, claim status, denials, aging, EFT and ERA reconciliation, ownership, and next actions.
Read the guide →Switching EHRs: What Behavioral Health Practices Need to Know Before They Sign
A cutover plan for moving records, billing operations, staff workflows and patient facing processes when you change EHRs, including what to verify before you sign.
Read the guide →90834 vs 90837: Choosing the Right Psychotherapy Code (and the Add-On Codes)
90834 vs 90837 explained: time thresholds, documentation, 90837 audit scrutiny, and the 90833/90836/90838 add-on codes.
Read the guide →Billing Oregon’s Behavioral Health Payers: Providence, Moda, PacificSource & OHP
How to bill Oregon's behavioral health payers, including Providence, Moda, PacificSource, Regence and the OHP CCOs, with the manual, benefit, prior authorization and credentialing details that differ by plan.
Read the guide →CAQH Is Now DataSpring: Provider Data Portal Setup And Attestation, Step By Step
A step-by-step CAQH Provider Data Portal guide: building and attesting your profile, the 120-day re-attestation, and mistakes that stall credentialing.
Read the guide →A Denial-Management Playbook for Behavioral Health: The Codes Behind the Denials
Sort denials by their reason code and the chaos turns into routine. A code-by-code playbook for behavioral health.
Read the guide →Telehealth Billing Modifiers for Behavioral Health: 95, 93, GT, and POS 02 vs. 10
Modifiers 95, 93, and GT, plus the POS 02 vs. 10 distinction that quietly underpays telehealth claims.
Read the guide →IOP vs. PHP Billing in Behavioral Health: Codes, Differences, and Denials
IOP and PHP bill by their own rules. The codes, the difference between the two levels of care, and the denials to avoid.
Read the guide →Spravato (Esketamine) Billing: A Practical Guide for Behavioral Health Practices
How to bill Spravato (esketamine) correctly: G2082/G2083 vs. J0013, REMS, prior auth, and the two-hour monitoring that drives the claim.
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