Blog
Field notes from the operations layer of behavioral health.
What we're learning about denials, prior auth, payer parity, and the policy shifts reshaping the small-practice business.
- 5 min read
Why behavioral-health practices leave $216,000 a year on the table
A 5-clinician behavioral-health practice loses roughly $216k a year to denied claims that are never appealed. The math behind why, and why it's about to change.
Read → - 6 min read
CMS-0057-F is about to make payer denial rates public. What that means for behavioral-health practices.
By March 31, 2026, every commercial and Medicare Advantage payer subject to the rule must publish prior-authorization denial rates per service category. For behavioral health — where denials run 16–22% — the consequences are big and worth preparing for now.
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