Resource Library
Free and gated resources to help you master behavioral health billing, improve compliance, and reduce denials.
Behavioral Health Billing Compliance Checklist
A complete checklist covering H-codes, telehealth modifiers, documentation requirements, and state-specific rules.
The 2024 Telehealth Billing Guide for Behavioral Health
State-by-state breakdown of telehealth billing rules, modifier requirements, and payer policies.
Denial Pattern Analysis: Top 10 BH Claim Rejections
Real data on the most common behavioral health denial reasons and how to prevent them.
Revenue Audit Checklist
Prepare your claims data and metrics before your free revenue audit so you get maximum insights.
Group Therapy & H-Code Billing Guide
Guidance on billing group sessions, documenting participant counts, and handling multi-discipline groups.
Prior Auth Quick Reference
Common payers, typical auth timelines, and state-specific requirements for behavioral health services.
SUD Billing 101: Codes, Compliance & Common Pitfalls
A comprehensive guide to billing for substance use disorder treatment — HCPCS H-codes, ASAM criteria documentation, and payer-specific rules.
ABA Therapy Billing Handbook
CPT codes for ABA services, supervision requirements, prior authorization workflows, and Medicaid vs. commercial payer differences.
Credentialing Timeline & Checklist
Step-by-step credentialing guide — CAQH setup, payer-specific requirements, and how to avoid common delays that cost you revenue.
Medical Necessity Documentation Standards
What payers look for when reviewing claims — documentation templates and best practices to survive RAC audits and reduce denials.
EHR & Billing Software Integration Guide
How to connect your EHR to your billing system for clean claims submission, error reduction, and real-time eligibility verification.
HIPAA Compliance Quick-Start for Small Practices
Practical steps to achieve and maintain HIPAA compliance — patient forms, employee policies, disaster recovery, and annual training requirements.
Outsourcing Billing: ROI Analysis Template
A spreadsheet-based template to calculate the true cost of in-house billing vs. outsourcing — includes labor, overhead, error rates, and collection lift.
Telehealth Modifier Reference Card
Quick reference for GT, 95, and FQ modifiers by payer and state — updated for current CMS and commercial payer policies.
More Resources Coming
We're constantly adding new guides, case studies, and compliance resources. Stay tuned for updates on payer policy changes, new billing codes, and behavioral health regulatory shifts.
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