The Supa Journal
Agentic systems in behavioral health.
Billing, payers, operations and AI for outpatient practices, SUD facilities and multi-site groups.
Featured
Behavioral Health
Billing for Treatment Centers: In-House, Outsourced, or Automated?
How larger behavioral health treatment centers should run billing now that payers are automating denials - honest cost math on in-house RCM vs outsourcing vs an agentic platform.
Kathryn ThompsonJune 21, 2026
Everything
Behavioral HealthBilling & RCM
Billing for Treatment Centers: In-House, Outsourced, or Automated?
Kathryn Thompson ·
Behavioral HealthClinical
Avolition in the Mental Status Exam: What It Looks Like and How to Document It
Kathryn Thompson ·
Behavioral HealthBilling & RCM
How Mental Status Exam Documentation Determines Medical Necessity and Triggers Denials
Kathryn Thompson ·
Behavioral HealthClinical
Psychomotor Retardation in Depression: How to Observe and Document It
Kathryn Thompson ·
Behavioral HealthClinical
Speech in the Mental Status Exam: Rate, Volume, Fluency, and Pressured Speech
Kathryn Thompson ·
Behavioral HealthPayers & authorizations
BCBS credentialing for behavioral health: how to find the right plan
Kathryn Thompson ·
Behavioral HealthPayers & authorizations
Cigna credentialing for behavioral health providers (via Evernorth)
Kathryn Thompson ·
Behavioral HealthPayers & authorizations
Optum credentialing for UnitedHealthcare behavioral health
Kathryn Thompson ·
Behavioral HealthPayers & authorizations
Recredentialing: the three-year cycle and the 120-day one
Kathryn Thompson ·
Behavioral HealthPayers & authorizations
How to credential with Aetna as a behavioral health provider
Kathryn Thompson ·
Behavioral HealthPayers & authorizations
CAQH attestation: how to complete and re-attest your profile
Kathryn Thompson ·
Behavioral HealthPayers & authorizations
CAQH credentialing: what it is and how to complete it
Kathryn Thompson ·
Behavioral HealthPayers & authorizations
Credentialing vs contracting vs enrollment
Kathryn Thompson ·
Behavioral HealthPayers & authorizations
How long does provider credentialing take?
Kathryn Thompson ·
Behavioral HealthPayers & authorizations
Insurance credentialing for behavioral health practices
Kathryn Thompson ·
Behavioral HealthClinical
CAGE questionnaire: scoring, CAGE-AID, and when to escalate
Kathryn Thompson ·
Behavioral HealthClinical
CIWA score: CIWA-Ar scoring, thresholds, and documentation
Kathryn Thompson ·
Behavioral HealthClinical
COWS score: scoring, withdrawal, and buprenorphine
Kathryn Thompson ·
Behavioral HealthClinical
DIGFAST: the manic episode mnemonic explained
Kathryn Thompson ·
Behavioral HealthClinical
OLDCARTS: structured history-taking for documentation
Kathryn Thompson ·
Behavioral HealthClinical
PHQ-9 scoring: score ranges and documentation
Kathryn Thompson ·
Behavioral HealthClinical
SIGECAPS: the depression mnemonic and what it leaves out
Kathryn Thompson ·
Behavioral HealthCoding & fees
Autism ICD-10 code: F84.0 and the DSM-5 mismatch
Kathryn Thompson ·
Behavioral HealthCoding & fees
F50.9: when to use it, and when not to
Kathryn Thompson ·
Behavioral HealthCoding & fees
OCD ICD-10 codes: F42.2, F42.3, F42.4, F42.8 and F42.9
Kathryn Thompson ·
Behavioral HealthCoding & fees
Schizophrenia ICD-10 codes: F20 subtypes and documentation
Kathryn Thompson ·
Behavioral HealthPayers & authorizations
The ASAM Criteria explained: Fourth Edition and payer rules
Kathryn Thompson ·
Behavioral HealthBilling & RCM
ASAM Level 2.1: criteria, hours, and how to bill IOP
Kathryn Thompson ·
Behavioral HealthTreatment centers
ASAM Level 3.5: criteria, 3.7, and where Level 3.3 went
Kathryn Thompson ·
Behavioral HealthClinical
ASAM level of care assessment: how risk ratings work
Kathryn Thompson ·
Behavioral HealthTreatment centers
ASAM levels of care: the complete Fourth Edition guide
Kathryn Thompson ·
Behavioral HealthClinical
ESA letter template: a clinician's guide
Kathryn Thompson ·
Behavioral HealthClinical
Who can write an ESA letter?
Kathryn Thompson ·
Behavioral HealthClinical
California AB 468: ESA letter requirements for clinicians
Kathryn Thompson ·
Behavioral HealthClinical
What HUD's ESA guidance rescission means for clinicians
Kathryn Thompson ·
Behavioral HealthClinical
ESA letters: the clinician's guide
Kathryn Thompson ·
Behavioral HealthBilling & RCM
How to Calculate Days in AR: Methods Compared
Kathryn Thompson ·
Behavioral HealthDenial codes
How to Calculate Denial Rate: Methods Compared
Kathryn Thompson ·
Behavioral HealthCoding & fees
H0001 CPT Code: SUD Intake Assessment Guide
Kathryn Thompson ·
Behavioral HealthCoding & fees
H0004 CPT Code: 15-Minute Counseling Units
Kathryn Thompson ·
Behavioral HealthCoding & fees
H0010 CPT Code: Sub-Acute Detox Per Diem
Kathryn Thompson ·
Behavioral HealthCoding & fees
H0015 CPT Code: SUD IOP Per Diem Billing Guide
Kathryn Thompson ·
Behavioral HealthCoding & fees
H0018 CPT code: billing short-term residential
Kathryn Thompson ·
Behavioral HealthCoding & fees
H0019 CPT code: long-term residential billing guide
Kathryn Thompson ·
Behavioral HealthCoding & fees
H2036 CPT Code: Per Diem SUD Program Billing
Kathryn Thompson ·
Behavioral HealthBilling & RCM
IOP Billing Codes: CPT, Rev Codes 0905 & 0906
Kathryn Thompson ·
Behavioral HealthBilling & RCM
PHP Billing Codes: CPT, Rev Codes 0912 & 0913
Kathryn Thompson ·
Behavioral HealthCoding & fees
S9480 CPT Code: Psychiatric IOP Per Diem
Kathryn Thompson ·
Behavioral HealthBilling & RCM
Alcohol dependence ICD-10 codes: F10.2x explained
Olivia Smith ·
Behavioral HealthBilling & RCM
Alcohol use disorder ICD-10 codes that get paid
Olivia Smith ·
Behavioral HealthBilling & RCM
Cannabis use disorder ICD-10: F12 coding for billers
Olivia Smith ·
Behavioral HealthBilling & RCM
Nicotine dependence ICD-10: F17 and missed revenue
Kathryn Thompson ·
Behavioral HealthBilling & RCM
Opioid use disorder ICD-10 codes and MAT billing
Olivia Smith ·
Behavioral HealthCoding & fees
Polysubstance abuse ICD-10: F19 and coding each substance
Kathryn Thompson ·
Behavioral HealthBilling & RCM
Stimulant use disorder ICD-10: F14 versus F15
Olivia Smith ·
Behavioral HealthBilling & RCM
Substance use disorder ICD-10 codes: a clinician's guide
Olivia Smith ·
Behavioral HealthDenial codes
CO 16 denial code: the code that never travels alone
Kathryn Thompson ·
Behavioral HealthDenial codes
CO-197 Denial Code: Missing Prior Authorization
Kathryn Thompson ·
Behavioral HealthDenial codes
CO-22 Denial Code: Other Payer Coverage & Fix
Kathryn Thompson ·
Behavioral HealthDenial codes
CO-45 Denial Code: Fee Schedule Write-Off Rules
Kathryn Thompson ·
Behavioral HealthDenial codes
CO-97 Denial Code: Bundled Services & Fixes
Kathryn Thompson ·
Behavioral HealthDenial codes
PR-1 Denial Code: Deductible Amount & Collections
Kathryn Thompson ·
Behavioral HealthDenial codes
PR-2 Denial Code: Coinsurance Amount Explained
Kathryn Thompson ·
ProductFront desk & intake
Appointment Reminders That Actually Cut No-Shows in Behavioral Health
Kathryn Thompson ·
ProductFront desk & intake
Digital Patient Intake Forms for Behavioral Health Treatment Centers
Kathryn Thompson ·
Behavioral HealthAI & automation
Healthcare Workflow Automation for Behavioral Health Operations
Sam T ·
Behavioral HealthFront desk & intake
AI Answering Services for Behavioral Health Centers
Kathryn Thompson ·
Behavioral HealthCoding & fees
Sliding Scale Fees at Behavioral Health Treatment Centers: How to Set Them Without Losing Money
Kathryn Thompson ·
Behavioral HealthFront desk & intake
Virtual Receptionist for Healthcare: What AI Can and Can't Do
Sam T ·
Behavioral HealthPayers & authorizations
Behavioral Health Claim Denials Rising: Causes and Fixes
Kathryn Thompson ·
Behavioral HealthPayers & authorizations
EOB vs ERA vs 835: How to Read a Remittance
Kathryn Thompson ·
Behavioral HealthPayers & authorizations
In-Network vs Out-of-Network for Behavioral Health Treatment Centers
Kathryn Thompson ·
Behavioral HealthPayers & authorizations
Insurance Credentialing for Treatment Centers and Groups
Kathryn Thompson ·
Behavioral HealthCoding & fees
Modifier 25 vs 59 in Behavioral Health: When to Use Each
Kathryn Thompson ·
Behavioral HealthCoding & fees
POS 02 vs POS 10: Telehealth Place of Service
Kathryn Thompson ·
Behavioral HealthPayers & authorizations
Prior Authorization for Behavioral Health: Carelon, Optum, and the AI-Denial Problem
Kathryn Thompson ·
Behavioral HealthCoding & fees
Psychotherapy CPT Codes: 90837 vs 90834 vs 90832 (A Coding Guide)
Kathryn Thompson ·
Behavioral HealthBilling & RCM
What Is Revenue Cycle Management for Behavioral Health - and Where the Money Leaks
Kathryn Thompson ·
References & tools
Code library
Denial codes
85 CARC and RARC codes behavioral health teams see most, each with why it happens and how to fix it.
Glossary
Billing glossary
161 revenue-cycle, billing and coding terms, each with the behavioral health angle and how it affects getting paid.
Tool
Billing assessment
Thirteen questions on your intake, authorization, claims and denial workflows. A scored read-out of where revenue is leaking.
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