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The Supa Journal

Kathryn Thompson

RCM Expert, Supa

RCM expert at Supa. 20+ years building revenue cycle operations in healthcare; Adjunct Professor at Concordia University-St. Paul teaching healthcare MBA.

Kathryn writes about the operational realities of running a healthcare revenue cycle — eligibility, prior auth, claim denials, payer dynamics, and the human handoffs where billing actually breaks down. She brings two decades of senior leadership experience across healthcare operations, training, and consulting.

Outside Supa, Kathryn teaches healthcare ethics, informatics, and leadership to MBA students at Concordia University-St. Paul.

Posts by Kathryn

21 posts
Still teal water under soft light
Behavioral Health

Billing for Treatment Centers: In-House, Outsourced, or Automated?

Kathryn ThompsonJune 21, 202618 min read
Gold light scattered across moving water, no single point legible on its own - the denial that means nothing until you read the remark code beside it
Behavioral Health

CO 16 denial code: the code that never travels alone

Kathryn ThompsonAugust 27, 20268 min read
Petals resting on still water, easily lifted but seldom retrieved - authorization denials overturned far more often than they are ever appealed
Behavioral Health

CO 197 denial code: preventable, and more appealable than you think

Kathryn ThompsonAugust 27, 20268 min read
Light split across two surfaces of water, each reflecting a different source - the coordination of benefits question of which payer owes first
Behavioral Health

CO 22 denial code: you billed the wrong payer first

Kathryn ThompsonAugust 27, 20267 min read
Countless soft bubbles of light, near identical but for the few that catch differently - the handful of CO 45 lines worth a second look among the thousands that are simply the contract working
Behavioral Health

CO 45 denial code: the adjustment most billers waste time on

Kathryn ThompsonAugust 27, 20268 min read
Two forms blurring softly into one another in diffuse cloud light - the bundling judgment that decides whether a service is separately payable or absorbed into another
Behavioral Health

CO 97 denial code: bundled, or wrongly bundled?

Kathryn ThompsonAugust 27, 20267 min read
A single droplet breaking a still surface at the start of a cycle - the January deductible reset that lands across every patient balance at once
Behavioral Health

PR 1 denial code: your claim was not denied

Kathryn ThompsonAugust 27, 20267 min read
A single dewy sphere in meadow grass, its size clear only against what surrounds it - coinsurance as a percentage that means nothing until the allowed amount is known
Behavioral Health

PR 2 denial code: coinsurance, and why patients never see it coming

Kathryn ThompsonAugust 27, 20268 min read
A single dewy sphere resting in soft green meadow grass, suggesting one held appointment among many
Product

Appointment Reminders That Actually Cut No-Shows in Behavioral Health

Kathryn ThompsonAugust 24, 202622 min read
Soft layered clouds fading into one another, suggesting information passed from one hand to the next without a clean edge
Product

Digital Patient Intake Forms for Behavioral Health Treatment Centers

Kathryn ThompsonAugust 24, 202623 min read
Scattered points of light on a dark field, suggesting many inbound calls arriving at once
Behavioral Health

AI Answering Services for Behavioral Health Centers

Kathryn ThompsonAugust 24, 202620 min read
Warm gold light diffused and rippling across the surface of still water
Behavioral Health

Sliding Scale Fees at Behavioral Health Treatment Centers: How to Set Them Without Losing Money

Kathryn ThompsonAugust 24, 202623 min read
Concentric white ripples spreading across still water, suggesting a single decision cascading outward
Behavioral Health

Why Behavioral Health Claim Denials Keep Rising - and How Payers' AI Is Making It Worse

Kathryn ThompsonJune 22, 202625 min read
Pink petals floating on still water, suggesting the calm of a reconciled remittance
Behavioral Health

How to Read an EOB and ERA: A Line-by-Line Guide for Treatment Centers

Kathryn ThompsonJune 22, 202625 min read
Soft underwater bloom of light and color diffused through still water
Behavioral Health

In-Network vs Out-of-Network for Behavioral Health Treatment Centers

Kathryn ThompsonJune 22, 202622 min read
A single dew-covered sphere resting in a sunlit meadow
Behavioral Health

Insurance Credentialing for Group Practices and Treatment Centers

Kathryn ThompsonJune 22, 202621 min read
Soft blurred cloud light in pale blue
Behavioral Health

Modifier 25 and Modifier 59 in Behavioral Health: When to Use Each

Kathryn ThompsonJune 22, 202622 min read
Soft out-of-focus blue bokeh circles suggesting overlapping data points, evoking the many small place-of-service rule variations across payers
Behavioral Health

Place of Service Codes for Telehealth Therapy: POS 02 vs 10

Kathryn ThompsonJune 22, 202621 min read
A single droplet hitting still water, sending concentric ripples outward - one authorization decision cascading across a treatment center's revenue cycle
Behavioral Health

Prior Authorization for Behavioral Health: Carelon, Optum, and the AI-Denial Problem

Kathryn ThompsonJune 22, 202624 min read
Light scattering across rippling water, evoking the many small reflective decisions in time-based psychotherapy coding
Behavioral Health

Psychotherapy CPT Codes: 90837 vs 90834 vs 90832 (A Coding Guide)

Kathryn ThompsonJune 22, 202621 min read
Light refracting through still gold-toned water, suggesting flow and leakage
Behavioral Health

What Is Revenue Cycle Management for Behavioral Health - and Where the Money Leaks

Kathryn ThompsonJune 22, 202622 min read
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