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.
CARF and The Joint Commission are the two major accrediting bodies for behavioral healthcare. CARF offers a consultative approach and accredits specific programs. The Joint Commission is more medical and compliance-driven, accrediting entire organizations. Both ensure quality standards and continuous improvement but differ in scope and philosophy.
Mental health progress notes are the backbone of clinical documentation for therapists, counselors, psychologists, and other mental health professionals. These notes track a client's journey through treatment, providing a written record of each session that supports continuity of care, communication among providers, and legal and ethical accountability. High-quality progress notes ensure that care is consistent and effective, allowing any clinician involved in the case to understand the client's history and current status. They also serve as legal documents that can protect both client and clinician by evidencing the services provided and the decision-making process.
Navigating UnitedHealthcare's addiction treatment coverage can be complex. This guide offers step-by-step instructions for healthcare providers on verifying patient benefits, understanding medical necessity (ASAM criteria), obtaining prior authorizations, managing concurrent reviews, and appealing denials. Mastering these processes is crucial for streamlining workflows, minimizing payment issues, and ensuring patients receive necessary care under their UHC plans. Key steps include accurate benefit verification, comprehensive documentation of medical necessity, and timely submission of authorization and appeal requests.
The United States continues to face a devastating overdose crisis and widespread unmet mental health needs in 2025. Federal policy under the Trump administration is playing a pivotal role in shaping addiction treatment, mental health services, behavioral health programs, and recovery housing. This comprehensive review examines the latest federal initiatives and policies – and their impacts on patients, providers, and policymakers – in a fact-based, politically neutral manner. We’ll explore everything from funding and Medicaid rules to harm reduction, workforce shortages, and housing supports for people in recovery, with data-driven insights and expert perspectives throughout.
An outpatient addiction or mental health treatment center looking to expand into sober living housing must approach the project with careful planning. This report provides a comprehensive overview of the key considerations for adding a recovery housing component (such as a sober living home or halfway house) as a separate entity. It emphasizes compliance with regulations, sustainable financial planning, and leveraging grant funding opportunities.
The concept of recovery capital (RC) has reshaped modern addiction treatment by shifting focus from pathology to resilience. RC’s development is rooted in decades of collaborative work by researchers, clinicians, and advocates worldwide. This blog post explores the pioneers, tools, and frameworks that built the RC paradigm—and how they continue to inform strengths-based care today.
Much to the chagrin of behavioral health industry leaders, President Trump has not made his second term plans for behavioral health policy especially clear in the days leading up to his inauguration.
When it comes to behavioral health marketing - and digital marketing, in particular - there’s one certification that stands out: Legitscript certification.
Unlike The Joint Commission’s accreditation program or CARF’s accreditation program, the ASAM Level of Care Certification program looks specifically at how a program fits into the ASAM Criteria.
TJC certification not only raises your organization’s profile within the behavioral health community, in many states it also makes your organization eligible for Medicaid and Medicare reimbursements.
If you're considering expanding your existing medical or mental health practice into a full-fledged addiction treatment center in Ohio, you're making a timely decision. The state is facing a significant challenge with substance abuse, particularly opioids, and there's a growing need for quality treatment options.
Need a handy list of the most commonly used CPT and HCPCS code modifiers that addiction treatment billers will use in 2024? Find it here.
We are excited to announce that Behave Health is launching a new effort to expand and consolidate our startup consulting, accreditation, and licensing services under a single umbrella, called Behave360.
When the CMS drops a new update to existing codes, it’s considered a “new codeset” - a shiny new box of codes that addiction treatment billers can use to communicate about services rendered with insurance payers.
Behave Health is excited to announce that we will be at the 45th annual National Association of Addiction Treatment Providers (NAATP) Conference in Denver, Colorado this May, from the 19th through the 21st.
I wanted to share a look-back at the product progress the Behave Team has accomplished so far in 2024 and the second half of 2023. We got more done than ever before!
The Centers for Medicare and Medicaid Services, also known as CMS, released their annual update to CPT/HCPCS codes on September 8th, 2023.
You can find the entire range of CPT codes accepted for addiction treatment billing at MassHealth in Subchapter 6 of the MassHealth Substance Use Disorder Treatment Manual, under the header, “Substance Use Disorder Treatment Service Codes.”
Medicaid in Tennessee is called TennCare. According to a recent study, well over 65% of all addiction treatment centers in Tennessee accept Medicaid. That number is growing about .1% every year, with a total of 297 facilities treating SUD in Tennessee.
Are you thinking of opening an addiction treatment center but don’t know where to start? Welcome. You’ve found your people. Behave Health’s Addiction Treatment Startup Program might be a good fit for you.
Medicaid in Arizona is called the Arizona Health Care Cost Containment System, or AHCCCS, for short. The vast majority of services delivered through AHCCCS are delivered by managed care health plans, rather than fee-for-service providers.
The Medicaid program in Washington State is nicknamed Apple Health. Washington Medicaid will reimburse for a wide variety of addiction treatment services.
Learn the most common Medicaid CPT codes for addiction treatment in Virginia, and the limitations on peer services, sober living homes and residential treatment in “Old Dominion.”
Learn what treatment service categories are covered under Georgia Medicaid, as well as some of the most common CPT codes you’ll encounter when billing Medicaid for addiction treatment services in Georgia.
New Jersey Medicaid - also known as NJ FamilyCare - can be billed for most kinds of addiction treatment, including outpatient, residential, and medical detox services.
The most common name of Michigan Medicaid is simply Medicaid. However, there are some circumstances where you’ll hear Medicaid plan names such as Healthy Michigan Plan, Children’s Special Health Care Services, MIChild, or Maternity Outpatient Medical Services
In this post, we’ll cover some of the most common questions addiction treatment providers in North Carolina encounter when filing claims.
