Resource library

CPT and HCPCS context for behavioral health services — who may report each code, the documentation that supports it, unit and time rules, modifiers, and how payers evaluate it.

ICD-10-CM selection and specificity for behavioral health diagnoses, including code-set structure and payer coverage considerations.

Payer-specific coverage, authorization, credentialing and claim-submission requirements for behavioral health services.

Claim construction, denial resolution, revenue-cycle and reimbursement context across commercial, Medicare and Medicaid behavioral health.

ASAM placement criteria, program types from outpatient through residential, utilization review and continued-stay context.

Standardized screening and assessment instruments, scoring, and the encounter workflows they support.

Note structures, treatment planning and documentation elements that establish and sustain medical necessity.

Accreditation standards, privacy and confidentiality rules, program certification and federal oversight requirements.

Accrediting bodies, provider associations, government agencies and recovery organizations, with links to each body's own standards.

Licensure paths, scope of practice and verification requirements by discipline and jurisdiction.

State and local licensing, Medicaid, telehealth and program-operation requirements, linked to each jurisdiction's own authority.

Operational guidance for running behavioral health programs — startup, staffing, oversight readiness and program administration.