Behavioral health is booming—but billing it wrong can break your practice. In this episode, Shannen and Nyleen unpack the growing wave of medical groups adding therapy, psychiatry, and counseling services—only to stumble into denials, audits, and compliance nightmares.
From the basics of CPT codes and payer carve-outs, to the credentialing pitfalls that practices overlook, this episode digs into:
💡 Whether you’re a provider, a biller, or a practice administrator, this episode is your survival guide to adding behavioral health services the right way—without setting off alarms.
Takeaway: Adding behavioral health can transform care, but if you cut corners, it will catch up to you. Audit early, credential properly, and protect your providers, your patients, and your practice.
Resources Mentioned:
Open Payments
openpaymentsdata.cms.gov
Verify your Nurses' Credentials:
https://www.nursys.com/
🔎 Verify Your Doctor’s Credentials
✔️ State-Specific Medical Board License Lookup:
Find your state’s board here:
https://www.fsmb.org/contact-a-state-medical-board/
✔️ Medicare Exclusions List (LEIE) – Check if your provider is federally excluded:
https://oig.hhs.gov/exclusions/exclusions_list.asp
✔️ Set Google Alerts on Your Doctor’s Name:
Create your own Google Alert here:
https://www.google.com/alerts
For Medical Staff Professional:
✔️ FSMB.org – Federation of State Medical Boards Physician Lookup:
https://www.fsmb.org/physician-license-lookup/
✔️ Hospital Websites:
Many hospitals have public directories listing credentialed medical staff. Look for a “Find a Doctor” or “Medical Staff Directory” page.
✔️ Set Google Alerts on Your Doctor’s Name:
Create your own Google Alert here:
https://www.google.com/alerts
🔎 Wanna know if your doctor is actually board certified?
Check for yourself right here:
👉 Verify a Plastic Surgeon
Because credentials do matter. 🩺✨
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