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The Unexpected Burden of Billing for Small Behavioral Health Practices

Valant

Billing often becomes one of the biggest administrative burdens for solo and small behavioral health practices. Behavioral health providers managing both clinical care and business operations face unique challenges: complex prior authorization requirements, extensive documentation standards, and insurance coverage barriers.

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Basics of Medical Documentation: What Aspiring Medical Billers and Coders Need to Know

Northwest Career College

Accurate documentation is essential for medical billing and coding, but many beginners struggle to understand the technical terms and guidelines. Without accurate medical documentation, insurance claims can be delayed or denied, frustrating patients and physicians. What is Medical Documentation?

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Combat ED Denials and Burnout Through Smarter Documentation and Coding

Health Prime

In the emergency department (ED), denials and underpayments aren’t just billing issues – they’re operational threats that affect the entire healthcare ecosystem. Current industry data shows ED denial rates average 15–20%, with coding and documentation errors accounting for a significant portion of the denials.

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Navigating Complex Payer Rules in Behavioral Health: A Guide for Providers and Billers

Valant

But understanding how to maintain compliance and bill properly is something that behavioral health clinicians and practice owners have to do. Every part of the billing process, front to back, is subject to these rules. More billing codes. Heavier documentation. Develop documentation processes.

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A Complete Guide to Medical Insurance Credentialing 

CollaborateMD

Whether you’re a physician starting a practice or a healthcare provider working to expand patient access, getting medical insurance credentialing is vital. It’s so time-consuming and cumbersome that states like California are considering a bill to simplify the process. Unfortunately, it’s also a very taxing process.

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3 essential tasks for wrapping up your medical billing for the New Year   

Health Prime

Being so close to the New Year, it is of high importance that your medical practice finishes its medical billing in good time. Here are three essential tasks to help you wrap up your medical billing for the New Year: 1. Also, follow up with insurance companies to settle those claims immediately.

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Preparing for CERT Audits and Practicing Compliant Documentation

EvidenceCare

This comprehensive guide provides hospital and revenue cycle leadership with vital insights on preparing for CERT audits and establishing processes for compliant documentation. This section delves into the specific criteria and expectations set by CERT audits, emphasizing the need for meticulous attention to detail and documentation accuracy.