Prior authorizations are more than a clinical formality—they’re one of the leading causes of treatment delays, claim denials, and revenue
When small practice owners evaluate whether to handle billing in-house or partner with a revenue cycle management (RCM) service, the
For small substance use treatment practices, billing isn’t just a back-office task—it’s a risk center and a revenue driver. If
Expanding into new services—like PHP, IOP, or ABA—can unlock major growth opportunities. But if your utilization review (UR) process isn’t
Expanding your behavioral health or ABA practice is an exciting milestone—but without the right billing infrastructure, growth can quickly lead
When you run a small behavioral health or ABA practice, billing isn’t just a task—it’s the lifeblood of your operations.
If you’re billing PHP rates—but your schedule looks suspiciously like an IOP—you’re not alone. At Capture RCM, we work with
If your behavioral health organization is billing CPT 99214 for outpatient visits, even minor documentation issues can trigger denials, delays—or
When billing errors start to eat into your revenue cycle, it’s rarely the code itself that’s broken—it’s the assumptions behind
Even the most established IOP programs are bleeding revenue from one sneaky place: bad billing around H0015. It’s not always
You didn’t open a new program to spend your nights decoding CPT codes. You did it to help people—and now
It doesn’t hit you during the ribbon-cutting or the team meetings. It hits you at 10:42 PM—when you’re alone in
You didn’t open your practice to chase down insurance codes. But now you’re six months in, and your Fridays are
For small ABA therapy providers, billing isn’t just one more task—it’s a wall between you and your clients. The approvals,
