Revenue Rx

 The prescription for maximizing reimbursement, streamlining operations, and avoiding costly mistakes in healthcare billing.

The Challenges of Higher Level of SUD Service Reimbursement

Getting paid for higher levels of SUD care: What the ASAM Criteria actually have to do with it

 

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90785: The Add-On Code Everyone Gets Wrong

In June 2025, I wrote a post on this exact topic, and the response made it clear this one deserved more than a social post. S...

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Why Internal Audits Fail and What That's Costing You

Most organizations run internal audits (and they should). Most organizations believe those audits are working. And most organ...

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FCA Settlement Cases and What We Can Learn from Them

I presented at the HCCA 30th Annual Compliance Institute this year on a session called “When Compliance Fails: Behavioral Hea...

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Paid vs Defensible Claim: There is a Difference.

If a claim paid, it must be fine. That belief is one of the most expensive assumptions in healthcare billing. The reality is ...

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When Every Payer Writes Their Own Rules: The Regulatory Interpretation Crisis in Behavioral Health

I want to ask a question that I think every behavioral health provider, compliance officer, and billing director in this coun...

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