It's 9:47 p.m. The kids are asleep. Your clinician is still on the couch finishing notes from a nine a.m. session. That is not a productivity problem you can staff your way out of. It is what happens when a general purpose EHR asks a behavioral health clinician to document a longitudinal treatment relationship using fields built for a fifteen-minute physical exam.
A psychiatrist documents a thorough 55-minute medication management session with a patient managing treatment-resistant depression. Clinically, nothing about the visit was ambiguous. On the claim, the time was rounded incorrectly against the CPT code's threshold, and the entire visit gets denied instead of downcoded, turning a billable encounter into unpaid work.
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An EMG denial rarely says "wrong code." It says bundling, units, or medical necessity. By the time it lands, the study is done, the patient is gone, and your team is rebuilding the claim from memory.
Three days, one very loud expo hall, and more conversations about modifier 25 than any of us expected. ADS and Moyae just wrapped our first AAO together in New Orleans, and before the notes go cold, here is what ophthalmology practices were actually asking about.
It's October, and the questions start coming in. Did we start our Promoting Interoperability period in time? When was the last security risk analysis? Is our EHR still certified? And what exactly changes for neurology practices in 2027?
Your billing manager pulls the aging report on a Friday afternoon. The EMG claims from three weeks ago are still sitting there. Two EEGs came back denied for medical necessity. An infusion claim bounced because the diagnosis code didn't match the one on the authorization. None of these were clinical mistakes. Every one of them was a billing problem.
About 25,000 eye care professionals will be at the Ernest N. Morial Convention Center in New Orleans for AAO 2026, October 9 to 12. Subspecialty Days run Friday and Saturday. The Opening Session is Saturday morning with Janet L. Davis, MD delivering the Jackson Memorial Lecture. Robert Wachter, MD is speaking on how AI is transforming healthcare. Monday closes with the Spotlight on Cataract.
Medical Billing / RCM | RCM | behavioral health
A counselor finishes back-to-back sessions and still has six treatment plans to update before the day ends. The billing team, three desks away, is fighting a stack of denials on claims for sessions that happened weeks ago. Neither problem is really about effort. Both trace back to the same source: behavioral health billing runs on rules that a general medical billing process was never built to handle.
Medical Billing / RCM | RCM | behavioral health
Payroll is due Friday. Your CFO is looking at a receivables report where a third of the balance is more than 60 days old, most of it tied to per diem claims for residential treatment stays that ended weeks ago. The clinical work happened. The cash has not.
mental health | behavioral health
Your intake coordinator is staring at a consent form, unsure whether the new rules let her share a patient's SUD treatment history with the primary care office down the hall. Your compliance officer is wondering if last year's forms are still valid. If that sounds familiar, you're not behind. You're just catching up to a rule that's been rolling out for two years. And if your program bills per diem or ASAM levels of care, the compliance stakes are even higher -- the payer rules governing inpatient SUD billing intersect directly with how Part 2 records can be used and shared.