Denial Codes in Behavioral Health: A CARC Guide for BH and SUD Programs (and How to Prevent Each)
What CO-16, CO-97, CO-96, CO-197, CO-4, PR-204, CO-151, CO-50, CO-11 and CO-167 mean for BH and SUD claims, plus how to prevent and appeal each one.
What CO-16, CO-97, CO-96, CO-197, CO-4, PR-204, CO-151, CO-50, CO-11 and CO-167 mean for BH and SUD claims, plus how to prevent and appeal each one.
How IOP and PHP billing actually works: the HCPCS and revenue codes, hours requirements, ASAM levels, and the documentation that keeps intensive outpatient claims paid.
The behavioral health CPT codes that matter in 2026, what documentation each requires, add-on and telehealth rules, and the coding mistakes that cause denials.
The best IOP and PHP billing software for behavioral health in 2026, the EHR and billing platforms plus the AI compliance layer that keeps intensive outpatient claims paid.