Insurance Billing Guides

This is the main insurance billing hub for treatment centers that need cleaner claims, fewer denials, and a tighter connection between front-end verification, utilization review, and outcomes reporting. Use it when you need to move from isolated billing tips into a repeatable revenue cycle operating system.

Start with the payer-operations concepts that shape every claim workflow: insurance credentialing, verification of benefits, prior authorization, and claim denials. If you are building state-specific billing workflows, pair this hub with our Medicaid payer guide and the full behavioral health billing code directory.

Where Billing Teams Should Start

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 Guide 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.

• Verification for coverage checks, benefits review, and intake controls.
• Utilization Review for medical-necessity support and concurrent review workflows.
• Mental Health Revenue Cycle Management Software for the platform-level RCM category view.
• Behavioral Health Reports & Analytics for denial trends, payer dashboards, and revenue-cycle KPIs.

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.

Denials: The bane of every treatment center’s existence Denials can be frustrating and financially detrimental for behavioral health providers, often stemming from payer tactics that delay payment or mistakes in claims processing.

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 ’s New Billing Assistant Discover how ’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.

Billing Code Reference

Looking for a specific CPT or HCPCS billing code? Our comprehensive billing code directory includes detailed documentation requirements, reimbursement guidance, and compliance best practices for every behavioral health billing code.

Browse All 174 Billing Codes →

CPT Psychotherapy Codes (Individual)

The core 9083x family covers timed individual psychotherapy sessions. Time tier governs which code applies — pick by the actual face-to-face time, not the appointment block.

CPT Psychotherapy Add-On Codes

Add-on codes are reported alongside an E/M service when psychotherapy is provided in the same session. They cannot be billed alone.

CPT Psychiatric Evaluation Codes

Use these codes for the diagnostic intake. 90792 must be performed by a prescriber; 90791 may be billed by non-prescribing licensed clinicians.

CPT Family & Group Therapy

Codes for sessions involving the patient’s family, multi-family groups, or unrelated patients in a group setting.

Other Psychiatric & Procedure Codes

Health & Behavior Assessment / Intervention

Use the 96156–96171 family for clinicians who deliver behavioral interventions for patients with a primary medical (not mental health) diagnosis. CPT 96127 is widely used for in-office screening.

Psychological & Neuropsychological Testing

Testing codes split into evaluation services (96130–96133) and test administration/scoring (96136–96139), plus cognitive performance assessments (96116, 96121).

Evaluation & Management (E/M) Visits

E/M codes are widely used by psychiatrists and PMHNPs for medication management. Level (212-215 / 202-205) is selected by medical decision-making (MDM) or total time.

Prolonged Services

SBIRT, Tobacco & Alcohol Screening

Screening, Brief Intervention, and Referral to Treatment (SBIRT) codes pay separately when documentation requirements are met.

Collaborative Care Model (CoCM)

Monthly bundled codes for the Collaborative Care Model — a value-based payment for integrated behavioral and primary care.

Behavioral Health Integration (G-codes)

Medicare G-codes for psychiatric collaborative care, BHI care management, and complex care coordination.

Drug Testing & Lab (G-codes)

Allied-Health & Education Services (G-codes)

HCPCS H-Codes — Substance Use & Mental Health Services

The H-code series is the workhorse for substance use treatment billing. H0001–H0050 covers SUD assessment, counseling, residential, IOP, MAT and recovery services. H2000–H2036 covers comprehensive mental health services, day treatment, supported employment, and community-based programs.

H0001–H0050: SUD Assessment, Treatment & MAT

H2000–H2036: Mental Health Day Treatment & Community Services

HCPCS S-Codes — Partial Hospitalization & Outpatient Programs

S-codes are commercial-payer specific (not used by Medicare). Common in commercial behavioral health benefit plans.

HCPCS T-Codes — Case Management & Recovery Support

State Medicaid programs use T-codes for case management, recovery support, and skill-building services.

Official sources

No publisher link is recorded for this topic yet. Confirm the requirement with the governing payer, state agency or accreditor before relying on it — see the primary source directory.