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Mental Health

7 Prior Authorization Challenges in Mental Health

Prior authorization in mental health directly affects access to care, continuity of treatment, and practice revenue stability. It’s not just paperwork. Behavioral health providers face a unique mix of recurring authorizations, medical necessity reviews, utilization management rules, and inconsistent payer requirements. Unlike one-time surgical approvals, mental health services often require ongoing authorization extensions, sometimes every […]
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How 2026 Telehealth Policy Changes Are Reshaping Mental Health Billing

The 2026 CMS Physician Fee Schedule (PFS) now establishes a new foundation that redefines how tele-mental health services are delivered, documented, and reimbursed. This shift is not incremental; it represents a fundamental redesign of federal telehealth expectations. Key policies such as home-based telehealth reimbursement at non-facility rates, audio-only parity for behavioral health, permanent removal of […]
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