Learn how to leveraged Behave Health before, during, and after the M&A process. Command confidence and consistency throughout your organization as it grows.
On March 27th 2025, RFK Jr, head of the Health and Human Services Department in the Trump Administration, announced that SAMHSA will effectively cease to exist.
Behave Health partners with NARR to revolutionize recovery residence certification nationwide. This groundbreaking alliance introduces the Behave Affiliate Management Platform (AMP), connecting over 7,150 certified recovery residences through standardized digital certification processes and real-time bed availability tracking. Learn how this partnership is transforming recovery housing management across America.
This in-depth pillar article empowers rehab centers and behavioral health providers by demystifying Elevance Health’s insurance coverage for substance abuse treatment. Discover expert tips on benefit verification, ASAM guideline compliance, prior authorizations, concurrent reviews, and accurate billing & coding—all designed to enhance reimbursement and streamline administrative processes.
Explore our in-depth guide on HCSC’s Blue Cross Blue Shield plans as they embrace ASAM 4.0 for adult substance use disorder treatment. This post covers critical aspects including detox protocols, inpatient/residential rehab, outpatient services (PHP/IOP), medication-assisted treatment, and billing/coding insights. Stay informed on state mandates and provider best practices to ensure compliance and optimal patient care.
Discover how Kaiser Permanente integrates addiction treatment services using ASAM Criteria to determine medical necessity. This guide covers everything from detox and residential rehab to outpatient programs and MAT, including key insights on billing codes, authorization processes, and provider collaboration.
Discover how Cigna leverages ASAM criteria to define clinical necessity for substance use treatment. This blog breaks down the detailed guidelines for detox, inpatient and residential rehab, PHP, IOP, and MAT—including key billing codes and documentation tips to streamline the authorization process.
In Part 3 of our 7-part series, we detail CVS Health’s Aetna guidelines for addiction treatment services. This post breaks down key elements—from detox and inpatient rehab to PHP/IOP and MAT—highlighting the use of ASAM Criteria, precertification protocols, and essential billing codes to ensure medical necessity and optimal reimbursement.
Explore UnitedHealth Group’s evidence-based approach to substance use disorder (SUD) treatment. Our blog breaks down how ASAM Criteria guides decisions for detox, residential rehab, outpatient programs, and medication-assisted treatment, with essential billing codes and prior authorization tips to ensure smooth reimbursement.
Welcome to our comprehensive blog series on navigating medical necessity criteria for addiction treatment by insurers. This series unpacks how leading payers—from UnitedHealth Group to Kaiser Permanente—determine coverage for detox, rehab, and therapy services. Discover in-depth analyses of ASAM guidelines, insurer-specific requirements, prior authorization protocols, and key billing codes. Whether you’re a treatment provider or healthcare administrator, our expert insights will empower you to align your documentation with industry standards and overcome coverage hurdles. Dive in to transform insurance challenges into pathways for effective patient care.
Discover the definitive state-by-state guide to verifying therapist licenses. This resource empowers treatment center staff and providers to access official licensing and complaint filing information for mental health professionals across the United States, ensuring regulatory compliance and quality care.
To illustrate, imagine an addiction treatment center juggling dozens of clients through detox, residential care, and outpatient follow-ups. Without a cohesive software system, the admissions team might use spreadsheets for intake, clinicians hand-write notes that get scanned (making it hard to search for information), and billing staff manually enter claims into a separate program.
Electronic Health Records (EHRs) have become a cornerstone of modern healthcare, and addiction treatment facilities are no exception. An EHR system is essentially a digital platform for managing patient information, replacing paper charts with a secure, accessible electronic record.
Credentialing is the backbone of professional practice in mental health and substance use disorder (SUD) treatment. It refers to the rigorous process of verifying and validating a provider’s qualifications, licensure, training, and experience before they are allowed to deliver care or receive reimbursement.
Eating disorders are among the most challenging conditions in mental health – not only because of their complex clinical presentation and high mortality rate, but also due to the myriad compliance and reimbursement hurdles that providers face.
Explore our comprehensive buyers guide on CRM systems designed for addiction treatment and mental health facilities. Learn how advanced lead management, personalized patient engagement, and automated compliance tracking can revolutionize your operations—ensuring better outcomes and improved efficiency. Get actionable insights to streamline your workflows and elevate patient care with Behave Health.
Struggling with low insurance reimbursement rates for addiction treatment and mental health services? Our comprehensive guide breaks down the essential CPT & HCPCS billing codes, payer reimbursement strategies, and expert tips to reduce denials and increase revenue. Learn how to navigate Medicaid, Medicare, and private insurance billing effectively and ensure your facility gets paid what it deserves.
Navigating the forced transition from Luminello to SimplePractice can be challenging—especially for larger behavioral health practices or those launching IOP/PHP programs. In this post, we compare Luminello, SimplePractice, and BehaveHealth to show how you can maintain smooth operations, optimize revenue, and deliver quality care. Learn why BehaveHealth stands out with advanced billing (including UB-04), team-based workflows, and integrated facility tools—essential for growing mental health organizations.
Adjustment disorder treatment planning is critical in behavioral health because it provides a roadmap for care, ensuring that clinicians, patients, and payers are all aligned on the goals of therapy.
Discover expert guidance on developing comprehensive treatment plans for depression. This in‐depth resource covers assessment, goal setting, tailored interventions, and documentation—including ICD‑10 and billing codes—to help clinicians, administrators, and behavioral health professionals deliver quality care.
This guide covers developing an effective anxiety treatment plan, including ICD-10 and ICD-11 codes (like GAD and unspecified anxiety), setting measurable goals and objectives, and ensuring compliance. It also provides a case study and FAQs, emphasizing the importance of accurate documentation and tools like Behave EHR.
Accurately coding anxiety disorders with ICD-10 and crafting a solid treatment plan are twin pillars of effective behavioral health practice. Getting the ICD-10 coding right ensures compliance, facilitates reimbursement, and paints a clear clinical picture – while a well-structured treatment plan turns that diagnosis into actionable care. This exhaustive guide will walk through everything a behavioral health provider needs to know about ICD-10 codes for anxiety and treatment planning, from coding accuracy and common pitfalls, to developing SMART goals and evidence-based interventions for anxiety. We’ll also explore how these pieces fit into behavioral health documentation and discuss the upcoming transition from ICD-10 to ICD-11 and its implications. Throughout, we’ll highlight how Behave EHR can streamline both coding and treatment planning, ensuring providers stay compliant and deliver high-quality care.
What is IOP Billing and How Does It Work? IOP (Intensive Outpatient Program) billing involves using HCPCS codes like H0015 (substance use IOP) and S9480 (mental health IOP) to submit claims for bundled daily services. Most insurers require pre-authorization, condition code 92 (for Medicare), and a minimum of 9 hours of weekly treatment to qualify for reimbursement. Proper coding, medical necessity documentation, and adherence to payer guidelines help ensure claim approval and avoid denials.
In previous posts, we covered predictions on the Trump administration’s effects on the addiction treatment and recovery residence communities. Change has been moving fast as the Trump administration makes big moves in the Executive Branch and appoints cabinet members like Robert F Kennedy, Jr. to head the Department of Health and Human Services. Today, we will update our previous predictions and highlight some new issues to watch as the developments unfold.
