Avoiding Denials: 3 Utilization Review Mistakes That Hurt New Programs
Expanding into new services—like PHP, IOP, or ABA—can unlock major growth opportunities. But if your utilization review (UR) process isn’t aligned from day one, it can also trigger denials, compliance flags, and slowdowns in reimbursement. In this guide, we outline three common UR mistakes that cost small practices time and revenue—and how to prevent them […]
Avoiding a Billing Backlog: How to Optimize Billing Services Before You Expand
Expanding your behavioral health or ABA practice is an exciting milestone—but without the right billing infrastructure, growth can quickly lead to claims backlogs, staff burnout, and cash flow issues. Before you scale, it’s critical to evaluate whether your current billing services can keep pace. Explore our billing services here to assess how outsourcing can support […]
Billing Services for Small Practice Owners: Build or Buy?
When you run a small behavioral health or ABA practice, billing isn’t just a task—it’s the lifeblood of your operations. But should you handle it in-house or partner with a revenue cycle management (RCM) provider? This guide walks through what to consider when evaluating billing services, with a focus on return on investment, compliance risk, […]
When a PHP Looks Like an IOP: Billing Pitfalls with H0035 and H0015
If you’re billing PHP rates—but your schedule looks suspiciously like an IOP—you’re not alone. At Capture RCM, we work with programs in fast-growth mode that hit this wall all the time: “Wait… are we billing this right?” If your team is growing faster than your backend can keep up, here’s what to check before you […]
Billing for Medical Services: A Checklist for Clean 99214 Claims in Behavioral Health
If your behavioral health organization is billing CPT 99214 for outpatient visits, even minor documentation issues can trigger denials, delays—or long-term reimbursement losses. Use this CEO-level checklist to reduce claim rework and align your billing for medical services with the strategic decisions that shape your payer mix, staffing, and scalability. 1. Verify the Visit Meets […]
How to Bill H0015 Correctly—and Avoid Costly IOP Denials
When billing errors start to eat into your revenue cycle, it’s rarely the code itself that’s broken—it’s the assumptions behind it. If you’ve been running IOP services for years, you’ve likely used H0015 thousands of times. But with payer scrutiny tightening and audits becoming more aggressive, even seasoned teams are getting blindsided by preventable denials. […]
H0015 Billing Made Simple: Getting Paid for Every Hour of IOP Care
Even the most established IOP programs are bleeding revenue from one sneaky place: bad billing around H0015. It’s not always catastrophic. Sometimes it’s just $80 here, $140 there. But stack that across three months of group sessions and suddenly you’re looking at five figures not showing up on your aging report. If you’re exploring new […]
Fast, Accurate Behavioral Health Billing Starts Here | Free Assessment
You didn’t open a new program to spend your nights decoding CPT codes. You did it to help people—and now billing is becoming the biggest barrier to that mission. If you’re feeling swamped by documentation backlogs, billing rejections, or confusing credentialing rules, you’re not alone. Capture RCM helps behavioral health providers like you get back […]
What Most Practice Owners Get Wrong About Revenue Cycle Management
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 the office, staring at another rejected claim and wondering how a thriving caseload still leaves your bank account empty. If you’re a behavioral health provider who just launched a new treatment program, you’re probably feeling […]
The Hidden Costs of DIY ABA Billing in Your First Year
You didn’t open your practice to chase down insurance codes. But now you’re six months in, and your Fridays are full of rejections, write-offs, and W-9s instead of clients. If billing ABA services yourself is feeling more like a second job than a support system—you’re not alone. And you don’t have to keep doing it […]
