Insurance billing can be challenging for addiction and mental health treatment centers. Our guides offer essential insights and streamlined processes tailored for these organizations. By simplifying billing, these resources ensure accurate claims submission, maximize reimbursements, and minimize denials. Focus on best practices and compliance to enhance care quality and financial performance. Transform your billing today to succeed in the evolving behavioral health landscape.

Mastering Billing & Reimbursement

Mastering Behavioral Health Billing and Coding: A Comprehensive Guide
Learn the essentials of behavioral health billing and coding to maximize reimbursement while maintaining compliance with regulations.

Mental Health Reimbursement 2024
Stay updated on 2024 trends in mental health reimbursement, including telehealth policies, value-based care models, and integrated care incentives.

Ultimate Guide to Denial Codes: Addiction & Mental Health Billing
A detailed guide to understanding denial codes in addiction treatment and mental health billing with actionable solutions to prevent revenue loss.

Denial Codes in Addiction Treatment & Mental Health Billing
Explore strategies to address common denial codes like CO16 (missing information) and CO50 (medical necessity), ensuring smoother revenue cycles.

General Insurance Billing Guidance

How Verification of Benefits (VOBs) Can Make or Break Your Addiction Treatment Center
Learn how to streamline the VOB process to ensure accurate insurance verification, avoid claim denials, and improve patient admissions workflows.

The 5 Big KPIs You Need to Be Tracking for Addiction Treatment Billing
Discover the key performance indicators (KPIs) that addiction treatment centers should monitor to optimize revenue cycle management and improve cash flow.

3 Secrets of Efficient Insurance Billing for Drug Rehabs
Explore actionable tips to reduce billing errors, speed up claims processing, and maximize reimbursement rates.

Low Insurance Reimbursement Rates? 4 Reasons Your Addiction Treatment Center Isn’t Getting Paid
Understand common reasons for low reimbursement rates and strategies to address them, including contract negotiations and documentation improvements.

Stop Struggling with Addiction Treatment Utilization Reviews in 4 Easy Steps
Learn how to navigate utilization reviews effectively by preparing thorough documentation and leveraging technology to track payer requirements.

Billing Codes & Denial Management

What You Need to Know About ICD-10 Codes for Addiction Treatment Billing
A detailed guide on using ICD-10 codes for accurate diagnosis reporting and avoiding claim denials.

Here’s the Top 5 Coding Errors You’re Making at Your Addiction Treatment Center
Identify common coding mistakes in addiction treatment billing and learn how to correct them to reduce denials and improve revenue.

Ultimate Guide to Medical Billing Denial Codes: Causes, Solutions, and Prevention Strategies
Understand the most common denial codes in behavioral health billing, their causes, and actionable solutions to prevent revenue loss.

Medicaid Billing by State

Your Complete Guide to Addiction Treatment Insurance Billing in Florida
A comprehensive overview of Florida-specific Medicaid billing requirements, including CPT codes, pre-authorizations, and payer guidelines.

How to Bill Medicaid for Addiction Treatment in California
Step-by-step instructions for navigating California’s Medicaid system for addiction treatment services.

Billing Medicaid for Addiction Treatment Services in Texas
Insights into Texas Medicaid billing processes, including documentation requirements and common challenges.

State-Specific Insurance Billing Guides

Answers to Your Top Questions About Addiction Treatment Billing in Illinois
A Q&A-style guide addressing Illinois-specific insurance billing challenges and solutions for addiction treatment providers.

The Biggest Insurance Billing Mistakes Addiction Treatment Providers Make in Ohio
Learn about common pitfalls Ohio providers face when billing insurance and how to avoid them with proactive strategies.

Billing Best Practices & Technology

Is It Time to Outsource Your Addiction Treatment Medical Billing?
Explore the benefits of outsourcing medical billing for addiction treatment centers, including cost savings and improved efficiency.

Stop Wasting Time with Inefficient Billing at Your Addiction Treatment Center: Introducing Behave Health’s New Billing Assistant
Discover how Behave Health’s integrated billing software can streamline your revenue cycle management processes.

CPT & HCPCS Code Insights

Navigating Insurance Billing Code H0015: A Comprehensive Guide
Everything you need to know about using H0015 for intensive outpatient programs (IOPs), including documentation requirements and payer guidelines.

Understanding HCPCS and CPT Billing Codes for Residential Addiction Treatment (H0017-H0019)
A detailed breakdown of residential treatment billing codes, their applications, and compliance tips.

Insurance Billing Codes

Assessment & Screening

H0001: Alcohol/Drug Assessment
Comprehensive 60-90 minute evaluations to diagnose substance use disorders, including patient history, substance use patterns, and treatment plan development.

H0002: Treatment Eligibility Screening
30-minute screenings to determine if patients meet criteria for behavioral health programs, focusing on symptom severity and functional impairment.

H0003: Lab Drug/Alcohol Screening
Laboratory-based analysis (urine, blood, or saliva) to detect substance use, critical for diagnosis and ongoing treatment monitoring.

Counseling & Therapy

H0004: Individual Counseling
15-minute increments of face-to-face therapy using evidence-based modalities like CBT or motivational interviewing for substance use/mental health.

H0005: Group Counseling
Structured group sessions (2-12 patients) addressing relapse prevention, coping skills, and peer support, typically lasting 60-90 minutes.

H2036: Intensive Residential Therapy
24/7 clinical care in residential facilities for severe mental health or SUD cases, including daily therapy and medication management.

Detoxification Services

H0008: Sub-Acute Inpatient Detox
Medically supervised detox in hospital settings for moderate withdrawal (e.g., benzodiazepines), requiring 24-hour monitoring.

H0009: Acute Inpatient Detox
Intensive hospital-based detox for life-threatening withdrawal (e.g., alcohol delirium tremens), involving daily physician oversight.

H0010: Residential Sub-Acute Detox
Non-hospital residential detox with 24/7 clinical support, ideal for opioid tapering or stimulant withdrawal management.

H0011: Acute Detoxification (Specialized)
High-intensity medical detox for complex cases (e.g., polydrug dependence), requiring multidisciplinary care teams.

H0012: Non-Medical Residential Detox
Peer-supported detox in residential settings for stable patients, focusing on emotional support rather than clinical intervention.

H0013: Outpatient Residential Detox
Daytime detox services within residential programs (e.g., methadone clinics), combining medication management with counseling.

H0014: Ambulatory Detox
Office-based detox under physician supervision, commonly used for alcohol or opioid withdrawal with medications like buprenorphine.

Case Management & Crisis Intervention

H0006: Case Management
Coordination of care for SUD patients, including referrals to housing, employment, and medical services, billed monthly.

H0007: Crisis Intervention
Immediate stabilization services for substance-related emergencies (e.g., overdose), typically lasting 60-90 minutes per session.

H0030: Behavioral Health Hotline Service
24/7 telephone crisis support, including suicide risk assessment and referral coordination.

Residential Treatment Programs

H0015: Intensive Outpatient Program (IOP)
Structured outpatient care (9+ hours/week) with group therapy, individual counseling, and medication management.

H0015-2: Extended IOP Services
Step-down IOP programs (3-6 hours/week) for patients transitioning from higher levels of care.

H0017: Residential Services Without Room & Board
Per diem billing for clinical services in residential facilities, including therapy and medication administration.

H0018: Short-Term Residential
<30-day programs focusing on crisis stabilization and treatment initiation for acute SUD/mental health cases.

H0018-2: Extended Short-Term Residential
30-90 day programs for patients needing longer stabilization before transitioning to outpatient care.

H0019: Long-Term Residential
90+ day structured programs for chronic SUD cases, emphasizing relapse prevention and life skills development.

Prevention & Community Services

H0022: Community Outreach
Mobile services targeting underserved populations, including harm reduction education and naloxone distribution.

H0025: Prevention Education
School-based programs teaching substance use risks and healthy coping strategies (grades 6-12).

H0026: Alcohol/Drug Prevention
Early intervention for at-risk youth, including screening and brief counseling sessions.

H0027: Peer Recovery Support
Non-clinical mentoring by certified peer specialists to promote sustained recovery and community reintegration.

H0029: Prevention Alternatives
Substance-free recreational activities and workshops for high-risk communities.

Specialized Services

H0020: Methadone Administration
Weekly bundled services in opioid treatment programs, including medication dosing and mandatory counseling.

H2034: Supported Employment
Job coaching and workplace accommodation support for individuals with severe mental illness.

H0040: Family Counseling
Therapy sessions addressing family dynamics in SUD treatment, focusing on communication and boundary-setting.

H2025: Therapeutic Behavioral Services
Skill-building interventions for children with behavioral disorders (e.g., DBT for emotional regulation).