The Ai Medi Coder Blog
Practical reading on behavioral health revenue cycle, denial prevention and RCM operations. Educational only — not coding, billing or legal advice.
90837 vs 90834: Billing Guidelines for Psychotherapy Sessions
90834 covers 38–52 minutes and 90837 covers 53+. How to choose, what the note must show and why payers question 90837.
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12 posts
Telehealth POS 10 vs POS 02 and Modifier 95 for Behavioral Health
POS 10 when the patient is home, POS 02 when they're elsewhere. When modifiers 95, 93 and FQ apply, and how to prevent telehealth denials.
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Behavioral Health Claim Denials: CARC Codes Explained
What CO-16, CO-50, CO-97, CO-197, CO-29, CO-4, CO-11 and CO-18 usually mean in behavioral health, who fixes them and when to appeal.
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Where Is Your Behavioral Health Revenue Getting Stuck? A 15-Point Checklist for RCM Teams
Find gaps across eligibility, authorization, documentation, claims and follow-up with a practical 15-point behavioral health revenue checklist.
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Your RCM Dashboard Shows Collections. Does It Show Revenue at Risk?
Build a clearer RCM leadership view with revenue-at-risk amounts, client-level drilldowns, accountable owners and next actions—not collections alone.
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Authorization Approved, Claim Denied: What Behavioral Health Billing Teams Should Check
Review dates, units, providers, coverage and claim details when a behavioral health claim is denied despite authorization approval.
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Georgia Just Fined Insurers $45M for Behavioral Health Denials — What It Means for Behavioral Health Revenue Teams
Georgia fined insurers roughly $45 million for 6,000+ mental health parity violations — described by the cited sources as one of the largest MHPAEA enforcement actions. Here's what caused it, and how to stop denials before they happen.
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How AI Is Revolutionizing the Insurance Claims Process in Healthcare
AI-powered platforms are enabling healthcare providers to catch errors before they happen, flag compliance risks in real time, and dramatically accelerate the time from service to payment.
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7 Leading Causes of Insurance Claim Denials — and How to Prevent Them
A denied claim is more than an administrative headache — it represents delayed revenue and operational cost. Here are the seven most common causes of denial, and what your team can do about each one.
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Pre-Check vs. Post-Check — Why Both Stages of Claims Validation Matter
There are two moments when an organization can catch a problem with a claim: before it's submitted, and after the payer has responded. Both matter — and together they form the foundation of a high-performing revenue cycle.
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The Real Cost of Claim Denials — And What Your Organization Can Do About It
The true cost of denials runs deeper than any single rejected claim. Understanding the full financial and operational toll is essential for building the case — and the urgency — for prevention-focused billing.
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5 Ways AI-Powered Pre-Check Is Transforming Healthcare Revenue Cycles
AI-powered pre-check technology is changing the economics of revenue cycle management. Here are five concrete ways AI-driven pre-check is transforming how healthcare organizations get paid.
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90832 vs 90834 vs 90837: The Therapist's Guide to Psychotherapy CPT Codes in 2026
90832, 90834, and 90837 are the three most-billed psychotherapy codes — and the three most audited. Here's how to pick the right code by documented time, what each note must contain, and the mistakes that trigger denials and downcoding.
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