Revenue Rx

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

Remote Work Reality Check: Communication, Accountability and the Quiet Decline of Standards

Remote work is no longer a temporary adjustment. It’s the new operational baseline, and with it comes a hard truth: some peop...

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Why Payment Posting Is the Most Overlooked Step in Healthcare RCM

In healthcare revenue cycle management, most of the focus goes to eligibility checks, claims submission, and denial follow-up...

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Cigna's E/M Code Adjustment Policy: A Misguided Solution to a Real Problem

The insurance giant's new approach to combating E/M upcoding creates more problems than it solves

Effective October 1, 2025,...

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The Most Dangerous Words in Healthcare: “That’s How We’ve Always Done It”

If I had a dollar for every time I’ve heard this phrase in healthcare, I’d never have to send another invoice:

“That’s how w...

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The Hidden Cost of Copy-Paste in Behavioral Health Documentation

Clinicians are busy. Caseloads are high, appointment times are tight, and documenting in the EHR often takes longer than the ...

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Behavioral Health Contracting Isn’t One-Size-Fits-All — Here's Why

When it comes to behavioral health, one of the most misunderstood areas in the revenue cycle is contracting. I’ve seen countl...

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Couples Counseling: Covered or non-covered? Here’s What You Need to Know

Let’s clear something up: traditional couples counseling is not considered a covered benefit under most insurance plans.

The...

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The Psychotherapy Add-On Trap: When Good Intentions Meet Bad Documentation

Let’s talk about one of the most frequently used—and frequently misunderstood—billing combinations in behavioral health: Eval...

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AI Didn’t Write That… Or Did It?

The fine line between automation and accountability in psychotherapy documentation

Artificial Intelligence is officially in ...

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The Licensure Conundrum: Why Payers Keep Us Guessing

When legal scope, clinical supervision, and reimbursement don’t align.

In the world of behavioral health, we’ve got rules.
S...

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Interactive Complexity: The Most Misunderstood Code in Behavioral Health

Recently I posted on this subject, and I felt it was also worthy of a blog!! CPT code 90785—Interactive Complexity. Yes, the ...

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Leadership Burnout The Myth of Being Indispensable: Letting Go to Lead Better

Let’s get real.

In today’s leadership culture, especially in healthcare and consulting, we’re praised for wearing all the ha...

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