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Insights on launching and scaling insurance-contracted behavioral health programs.

March 11, 2026

CPT Code 96165: Billing Group Health Behavior Interventions the Right Way

CPT code 96165 billing guide for group health behavior interventions. Covers add-on code usage with 96164, time units, documentation, payer rules, and compliance requirements.

March 11, 2026

CPT Code 99484: The Behavioral Health Integration Billing Guide Providers Actually Need

CPT code 99484 billing guide for behavioral health integration. Covers 20-minute requirements, documentation, reimbursement basics, G0323 comparison, and compliance rules.

March 11, 2026

CPT Code 96372: Complete Billing Guide for Therapeutic Injections

CPT code 96372 covers subcutaneous and intramuscular injection administration. Complete guide to reimbursement rates, modifiers, J-code pairing, and denial prevention.

March 11, 2026

CPT Code 90899: The Unlisted Psychiatric Services Billing Guide

CPT code 90899 billing guide for unlisted psychiatric services. Covers when to use it, documentation requirements, prior auth strategy, comparison codes, and how to avoid denials.

March 11, 2026

CVS/Aetna Medical Necessity Criteria for Addiction Treatment (Part 3 of 7)

CVS Health Aetna medical necessity guidelines for addiction treatment. ASAM criteria for detox, rehab, PHP, IOP, and MAT billing — part 3 of a 7-part payer series.

March 11, 2026

CPT Code 96116: The Neurobehavioral Status Exam Billing Guide

CPT code 96116 billing guide for neurobehavioral status exams. Covers time requirements, documentation standards, code comparisons, and compliance practices for behavioral health and neuro providers.

March 11, 2026

CPT Code 96121: The Complete Billing Guide for Neurobehavioral Status Exam Add-On Hours

CPT code 96121 lets you bill additional hours of neurobehavioral status exams. Learn add-on requirements, 2024 reimbursement benchmarks, and compliance best practices.

March 11, 2026

UnitedHealth Medical Necessity Criteria for SUD Treatment: What Behavioral Health Operators Need to Know

UnitedHealth medical necessity criteria for SUD treatment explained — ASAM levels, prior auth requirements, billing codes, and how to avoid denials for detox and rehab.

March 11, 2026

Medical Necessity Criteria for Addiction Treatment: What Every Provider Needs to Know (Part 1 of 7)

Medical necessity criteria determine whether insurers pay for addiction treatment. Learn ASAM guidelines, payer-specific standards, and coverage strategies. Part 1 of 7.