Resources
Practical Resources For The Business Side Of Behavioral Health.
These are the plain-language guides, the billing code reference and the official sources we point practices to. Read the problem clearly here before you decide what to do about it.
Guides & References
Practical articles for behavioral health practices on denials, A/R and credentialing timelines, plus a reference for the codes you’re billing most.
Behavioral Health CPT & Code Reference
The psychotherapy, E/M, testing, telehealth and timely-filing codes you’ll use most, on one page.
Open the code reference →Denial Management Workflow
How to work denials by reason and root cause, so claims keep moving and don’t age in a queue.
Read the article →A/R Backlog Causes
Why accounts-receivable backlogs build up in behavioral health practices, and where the revenue’s actually leaking.
Read the article →Mental Health Billing Mistakes
Common, avoidable billing mistakes, and what they’re quietly costing behavioral health practices.
Read the article →Credentialing Delays Explained
What’s really behind credentialing and enrollment delays, and how each one turns straight into lost revenue.
Read the article →EHR Optimization Vs. Replacement
Before you switch EHRs, find out whether the problem is the software or the way it’s set up.
Read the article →Every Guide, By Subject
These are the working guides. They’re procedures you can actually follow, written from doing this work for behavioral health and outpatient practices.
Billing And Revenue Cycle
- New Practice Billing Setup: What To Finish Before Your First Claim
- Weekly A/R Review For Behavioral Health Practices: What To Check
- 90834 vs 90837: Choosing the Right Psychotherapy Code (and the Add-On Codes)
- Billing Oregon’s Behavioral Health Payers: Providence, Moda, PacificSource & OHP
- A Denial-Management Playbook for Behavioral Health: The Codes Behind the Denials
- Telehealth Billing Modifiers for Behavioral Health: 95, 93, GT, and POS 02 vs. 10
- IOP vs. PHP Billing in Behavioral Health: Codes, Differences, and Denials
- Spravato (Esketamine) Billing: A Practical Guide for Behavioral Health Practices
Credentialing And Enrollment
- Solo To Group Practice: What Changes When You Add Your First Provider
- Credentialing Status Explained: Submitted, Approved, Effective, EFT And ERA
- DataSpring Provider Data Portal (formerly CAQH) Step-by-Step for Behavioral Health Providers
Practice Operations
Practical Guides
Use The Practice, Billing, And Credentialing Guides
Choose The Part Of The Practice You Are Working On
Open Or Structure A Practice
Plan the business setup, payer enrollment, systems and billing before you open, while it’s still cheap to change.
Start a PMHNP practice →Prepare And Track Payer Work
Understand CAQH/DataSpring, enrollment, timelines, follow-up, and buyer fit.
Use the credentialing calculator →Work Denials By Cause
For each denial code, who fixes it, how to correct or appeal it, and how to keep it from coming back.
Open the denial playbook →Improve Ownership And Handoffs
See how billing, intake, systems and reporting affect each other, and who’s supposed to own what.
Explore practice operations →PMHNP Requirements By State
Start with current scope, prescribing, and collaboration sources.
Browse all state guides →Spravato Billing And Operations
Coding, REMS, authorization and the payer rules to check first.
Read the Spravato billing guide →Looking for direct support? See physician and outpatient practice support or our Portland based, nationwide work.
Authoritative Sources
The official references we point practices to for codes, fee schedules, credentialing, and provider data.
- CMS Medicare Learning NetworkBilling & coding education and fact sheets
- CMS NCCI EditsCorrect-coding pairs and modifier rules
- CMS Physician Fee ScheduleLook up Medicare rates by code and locality
- DataSpring Provider Data Portal (formerly CAQH)Maintain the credentialing profile payers pull from
- PECOSMedicare provider enrollment system
- NPPES / NPI RegistryLook up and manage NPIs
Worksheets & Checklists
Printable tools for getting the work organized before it’s a revenue problem.
Credentialing Readiness Checklist
Track payer enrollment, documents, and follow-up so providers can bill sooner.
Open the worksheet →Denial Follow-Up Worksheet
Give every denial a name, a next step and a place to go when it’s stuck.
Open the worksheet →Timely Filing Worksheet
Keep claims inside each payer’s deadline and catch the write-offs you didn’t have to take.
Open the worksheet →For Psychiatric Nurse Practitioners
PMHNP Practice Resources
A hub built for psychiatric mental health nurse practitioners. It’s got billing and coding, credentialing and payer enrollment, starting a practice, and scope-of-practice rules for all 50 states.
PMHNP Hub
Every PMHNP guide in one place.
PMHNP Billing & Coding
CPT codes, incident-to, Medicare, and clean-claim workflows.
PMHNP Credentialing
CAQH, payer enrollment, and realistic timelines.
Start A PMHNP Practice
The operational sequence from setup to the first billed visit.
Scope Of Practice By State
Practice authority and prescribing rules for all 50 states.
Get The Free Credentialing Checklist
The same checklist structure we use on real projects. PDF, straight to your inbox view.
Next Step
See What It Would Cost Your Practice
Every service has a published price and a written scope. Not sure which one fits? Ask, and we’ll point you to the right one.