Why Mental Health Claims Get Rejected by Insurance Companies (And What You Can Do About It)
You applied for your insurance coverage, went through all of the necessary steps in the claims process, then received an insurance letter stating your claim was denied. Anyone who has submitted a claim for mental health treatment and received a denial can attest to the impact the financial burden has on their issues. Every denial […]
Cash Flow Problems in Medical Practices (Causes & Fixes)
Cash flow issues in healthcare provider settings occur when cash received does not convert to cash within an acceptable time period. The most common causes for this include slow insurance payments, high level of denials, limited bottom-line efforts on biller’s parts, poor patient payment collection efforts, and poor revenue cycle performance tracking. The issues delay […]
Insurance Verification Issues in Urgent Care
In the high-speed environment of an urgent care center, patient intake happens in a flash. However, even a tiny insurance verification mistake made during that rushed check-in can lead to a denied claim and a “zero-dollar” remittance weeks later. Most urgent care centers don’t realize just how much revenue they are silently losing due to […]
Why Urgent Care Claims Get Denied
Are your urgent care claims getting denied even after providing the service correctly? It is a common and incredibly frustrating scenario: your team works at lightning speed to provide quality care, only to receive a “Payment Denied” notification weeks later. Denied claims are one of the single biggest reasons urgent care centers lose revenue. This […]
How to Increase Revenue in Urgent Care Billing
Is your urgent care center seeing record patient volume but your bank account isn’t showing it? Many urgent care owners are frustrated to find that despite a packed waiting room, their revenue remains stagnant. The problem usually isn’t the number of patients; it’s a fragmented Revenue Cycle Management (RCM) system that is silently leaking thousands […]
FQHC Psychiatry in Austin: HRSA Grants + G0469 Guide
FQHC Psychiatry Billing in Austin: The use of Section 330 grants and know billing code G0469 is critical for psychiatry practices that are partnering with or considering becoming a Health Resources and Services Administration (HRSA) funded Federally Qualified Health Center in Austin. HRSA grants support for the expansion of behavioral health services and G0469 New patient […]
Telepsychiatry Texas HB 19 Compliance Checklist
Texas HB 19 Telepsychiatry Compliance: Online mental health care is growing fast in Texas. Psychiatrists can now meet patients virtually, making care easier for everyone. But these digital sessions must follow state laws. House Bill 19 (HB 19) outlines the standards that keep remote care safe, private, and legal. This checklist will help clinics meet […]
Child Psychiatry CHIP Billing: 90847 & Foster-Care Codes
Child Psychiatry CHIP Billing in Texas can be difficult. This is especially true for CHIP (Children’s Health Insurance Program) and foster-care cases. Accurate billing is important. It helps practices get paid and follow state and federal rules. This guide is for Texas psychiatry practices and billing teams. It explains billing best practices and gives a […]
Texas Medicaid 2026: New BHW Rules & 7-Day Prior Auth Hacks
If you’re a Texas behavioral health provider and have been worried about what changes are in store for Texas Medicaid behavioral health 2026, the answer is now the subject of this post that on January 1, 2026, Texas must follow a new federal rule that restricts prior authorization (PA) decisions to being made within 7 […]
Spravato + TMS Billing in Texas: REMS Compliance Blueprint
Spravato TMS billing Texas: It’s an apparent paradox How can you bill for Spravato (esketamine) and TMS (Transcranial Magnetic Stimulation) at once? It makes you want to pull your hair out — especially with Texas’ very strict rules. But with a perfect regimen, your clinic can remain REMS compliant and prevent billing errors as you continue to […]
