HealthIT Answers March 12, 2025
By Ram Krishnan, CEO, Valant
Navigating payer stipulations in behavioral healthcare can be a challenge, as they are often more complicated than those for physical healthcare. However, understanding how to maintain compliance and bill properly is something that behavioral health clinicians and practice owners have to do to maintain business efficiency, avoid revenue losses, and provide timely care to patients.
Understanding Complex Payer Rules in Behavioral Health
The rules that payers set dictate how much and what type of information clinicians gather on patients, which billing codes to use, how to document treatment, and which treatments are covered. Every part of the billing process, front to back, is subject to these rules.
Here are a few common examples of complex...
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