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Health plans are increasingly steering members with milder mental health concerns toward behavioral health coaches and digital wellness tools instead of licensed therapists. Insurers frame these coaching programs as providing faster access to care and “early...
Do you bill for “unspecified” and “other specified” diagnoses? Well, you aren’t alone. These diagnoses are those favorite “catch all” diagnoses that many of us lean on heavily. Some of us, too heavily. And why not? Our clients are complex, and rarely fit neatly...
Last updated Sept 15, 2026 I've written a lot of articles over the years about Medicare. So I thought it would be helpful to put together this page to answer some of your questions about Medicare. I'll try to update it regularly, posting the most up-to-date...
Are you using your Social Security number on claims, superbills, and other practice documents? You might want to rethink this. Using your Social Security Number on practice forms carries a risk of identity theft. There is also the risk of financial fraud...
Do you work with Medicaid clients? Over 80% of Medicaid clients don’t know they’ll need to report work, education or volunteer hours starting in 2027 to maintain coverage, according to a survey from the Health Management Academy. The new requirements The...
While I have always emphasized the importance of putting all your client’s diagnoses on a claim – even the Z codes – this may be more important than you realize. Although found in the DSM-5-TR, Z codes are typically not billable as primary or standalone diagnoses,...
= Updated July 23, 2026 I recently traveled to Washington state to meet Susan Frager from PsychBillingCoach.com. I have turned to Susan for years, whenever I don’t know an answer (I know, you thought I had all the answers, but I don’t). But I had never met her in...
Well… it seems many of you had some strong reactions to my previous article on 45 minute sessions. That article was actually the second of two. The first article looked at Aetna’s decision to reimburse 60-minute sessions (CPT 90837) at the same rate as 45-minute...
If you are a mental health clinician who takes insurance, chances are CAQH is one of those pain-in-the-neck systems you deal with – well, because you have to. So here's an important update: CAQH has officially rebranded as "DataSpring, powered by CAQH." The...
UPDATED AUGUST 7, 2026 There has been a great deal of confusion about billing for psychotherapy sessions that last longer than 60 minutes. How should they be coded? Will health insurance plans cover these longer sessions? Must the therapist get...