Insights for clinical teams

Congress just expanded its Medicaid fraud investigation to ten states while CMS launched its most aggressive anti-fraud ...

OIG has audited Medicaid ABA payments in Indiana, Wisconsin, Maine and Colorado — and found improper payments in every o...

With documentation errors triggering denials and costly recoupments, experts warn that enforcement — not the rules — has...

As we expand to serve both sides of the healthcare equation, we’re bringing on experienced advisors across the industry ...

Top ABA clinics average 30+ billable hours per therapist. Learn the 5 strategies they use for scheduling, documentation,...

Learn everything about Medical Decision Making (MDM) in E/M coding, including MDM levels, key elements, and documentatio...

This comprehensive guide covers E/M coding for psychiatrists and therapists. Ensure accurate billing, avoid mistakes, an...

Learn how to correctly use CPT code 97155 for adaptive behavior treatment with protocol modification. Get expert guidanc...

The 97153 billing code describes one-on-one ABA services provided directly to clients. To ensure accurate reimbursement,...

Learn how to document and bill CPT code 97155 for ABA therapy. Discover key requirements, reimbursement tips, and best p...

Understand CPT code 97153 for ABA therapy, including billing guidelines, documentation requirements, and key differences...

Learn how to correctly use CPT code 97156 for parent and caregiver training in ABA therapy. Find documentation and reimb...

Discover how to bill and document CPT code 97151 for ABA assessments. Ensure compliance with payer guidelines and maximi...

Learn the key differences between CPT code 97153 and CPT code 97155 in ABA therapy. Understand proper usage, documentati...

Learn how to correctly document a therapy intake form to ensure clinical compliance and accurate billing for CPT 90791. ...

Learn how to document CPT codes 90832, 90834, and 90837 correctly, conduct risk assessments, and update treatment plans ...

ChatGPT lacks HIPAA compliance in its basic form and needs major customizations to handle Protected Health Information (...

E/M codes, or Evaluation and Management codes, are a set of CPT codes to bill and document medical care services of medi...

Understand E/M codes in psychiatry, their role in medical billing, and how Medical Decision Making (MDM) influences code...

Learn how to select E/M codes using medical decision-making (MDM) levels. Follow AMA guidelines & understand the 2024 up...

Discover the top 20 most commonly used E/M CPT codes, understand their applications, and learn how to select the correct...

Enhance your understanding of MDM and its role in accurate E/M code selection. Learn essential documentation for complia...

Struggling with E/M code 99214 billing? Find out how to prevent improper payments with proper documentation, accurate co...

Learn how to correctly apply Modifier 25 to E/M codes for accurate medical billing, prevent claim denials, and ensure pr...

Discover essential tools and templates for conducting accurate, efficient medical chart audits. Ensure compliance and im...

Learn how medical auditors can leverage AI technology to efficiently perform comprehensive medical chart reviews, ensuri...

Master clinical documentation compliance by understanding common pitfalls and applying best practices. Protect your prac...

Ensure medical billing accuracy and compliance with proven strategies for effective medical coding audits. Minimize clai...

Learn strategies to ensure your clinical documentation aligns with insurance requirements. Pass payor audits confidently...

Discover how AI-driven chart auditing enhances compliance and clinical quality specifically for behavioral health provid...

Enhance documentation quality and ensure compliance in home health and hospice care through effective AI-driven auditing...

Learn how AI-powered session note auditing can help ABA provider groups proactively avoid insurance clawbacks, ensuring ...

Learn how to successfully navigate insurance prepayment reviews and protect your healthcare practice’s revenue. Follow o...

Understand CPT 90791 billing requirements. Includes intake use cases, documentation tips, reimbursement rates, and audit...

Learn when to use CPT 90837, documentation tips, reimbursement rates, and common billing mistakes.

Understand when to use CPT code 90834, documentation tips, reimbursement rates, and common billing errors for 45-minute ...

Learn how to bill CPT code 90832 correctly, including session length, documentation requirements, and reimbursement tips...

Understand how to use CPT code 90846 for family therapy sessions without the patient present. Includes billing rules, do...

Learn how to bill CPT code 90847 for family psychotherapy sessions with the patient. Includes documentation tips, billin...

Discover how to bill CPT code 90853 for group therapy sessions. Includes documentation tips, reimbursement rates, and co...

Learn when to bill CPT code 90792 for psychiatric evaluations with medical services. Includes documentation tips, who ca...

Learn how to bill CPT code 90839 for 60-minute crisis therapy sessions. Covers eligibility, documentation, reimbursement...

Learn how to use CPT code 90840 to bill for each additional 30 minutes of crisis psychotherapy beyond 74 minutes. Includ...

Learn best practices for accurate OASIS documentation in home health care. Improve compliance, reduce errors, and protec...

Discover what OASIS means in home health care and why accurate documentation matters. Learn compliance best practices, a...

Learn what payers look for in an ABA treatment plan audit and how to strengthen compliance, reduce denials, and protect ...

Master 99214 CPT code documentation requirements. Learn MDM criteria, avoid common errors, and ensure compliance with ou...

Master CPT code 99214 documentation requirements. Learn MDM criteria, time-based billing rules, common errors to avoid, ...

Master 99213 CPT code documentation requirements. Learn MDM criteria, avoid common mistakes, understand 99213 vs 99214 d...

Master 99204 CPT code documentation requirements. Learn MDM criteria, time-based billing rules, common errors, and compl...

Master CPT code 99213 documentation requirements. Learn MDM criteria, time-based billing, common errors to avoid, and co...

Master 90837 CPT code billing and documentation. Learn reimbursement rates, compliance requirements, common errors, and ...

Master 99203 CPT code documentation requirements. Learn moderate MDM criteria, avoid common coding errors, and ensure co...

Master 99215 CPT code documentation requirements. Learn time vs MDM criteria, avoid common errors, and ensure compliance...

Master G2211 CPT code billing with our comprehensive guide. Learn eligibility requirements, documentation standards, com...

Master CPT code 97110 compliance with our comprehensive guide. Learn documentation requirements, billing best practices,...

Learn everything about CO-96 denial codes: common causes, prevention strategies, successful appeals, and how technology ...

Compare leading chart review companies based on accuracy, EHR integration, and compliance to help healthcare organizatio...

Learn what CMS requires for hospice terminal prognosis certification, how to build defensible decline narratives, and th...

Incomplete face-to-face notes, weak prognosis narratives, and late feedback loops drive most hospice documentation rewor...

Hospice triggers include weak incompatible documentation, long lengths of stay or live discharges, and ownership changes...

A few years before co-founding Brellium, I had a medical misdiagnosis that snowballed into two years of frustration. Tha...