Emerging Denial Categories in Behavioral Health Billing
Payer AI now demands quantified symptom severity and measurable progress in every session note.
Priya Subramaniam
Section
Denial Trends
7 stories in Denial Trends.
Denial Overturn Rates by Payer and Appeal Level
Most denied claims get overturned on appeal, but only if someone fights them.
Marcus Delgado-Wren
Medical Necessity Denial Trends and Payer Clinical Criteria Divergence
Payers are tightening medical necessity rules beyond CMS guidance, creating wide approval gaps.
Priya Subramaniam
Denial Rate Spikes Following Payer System Migrations and Platform Changes
Payer system overhauls are silently driving denial spikes across practices nationwide.
Colt Vanzetti
Timely Filing Denial Trends and Payer Deadline Discrepancies
CO-29 denials close permanently when filing deadlines pass, with windows varying wildly by payer.
Marcus Delgado-Wren
Bundling and Unbundling Denial Patterns in Surgical and Procedural Claims
How practices can map repeat bundling denials to stop losing money.
Marcus Delgado-Wren
Prior Authorization Denial Trends Across Major Commercial Payers
Denial rates vary wildly among payers despite operating under identical federal rules.
Priya Subramaniam