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Analysis

Medicare pays $167.00 for a 60-minute therapy session in 2026

The full behavioral health fee schedule, pulled from CMS: every psychotherapy and testing code, work RVUs, and what the 2026 conversion factor actually does to your rate.

BH REVCYCLE NEWSROOM  /  AUG 22  /  7 MIN

Latest

Everything that moved in behavioral health revenue this week.
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Analysis — Aug 23

Medicare draws the IOP line at 9 hours a week and PHP at 20 — then prices both off the same per diem

Levels of care as payers actually adjudicate them: the hour thresholds in 42 CFR, the condition codes and APCs that separate PHP from IOP, the codes states use for residential and withdrawal management, and the four places the boundary gets fought.

Denial Decoder — Aug 23

CARC 16 with MA130 is a returned claim, not a denial — and it carries no appeal rights

A working reference to the CARC and RARC combinations that actually land on behavioral health remittances: what each code says, why it fires in a BH context, and whether the answer is resubmit, correct, or appeal.

Analysis — Aug 23

DOL has not enforced the 2024 parity rule since May 15, 2025 — the statute behind it still applies

What MHPAEA actually requires, what an NQTL comparative analysis contains, and what two years of federal enforcement produced — read against a final rule that is codified, effective, and deliberately not enforced.

Analysis — Aug 23

POS 10 pays $31.73 more than POS 02 on a Medicare telehealth therapy hour

One digit on the claim moves a 60-minute session from $135.27 to $167.00. The place-of-service rule, what CMS actually instructs for each telehealth modifier, and why behavioral health keeps flexibilities that general telehealth loses at the end of 2027.

Analysis — Aug 21

Medicaid psychotherapy spending hit $6.68 billion, up 156% in seven years

Higher payment per service drove most of it, not more providers. That is the detail that decides whether your rates hold when utilization review catches up.

Exclusives

Stories we broke from primary filings, before anyone announced them.
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Databases

The numbers behavioral health operators cannot get anywhere else.
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Rate Intelligence

BH Rate Lookup

What a payer actually pays for a behavioral health code, by state, from published in-network rate files.

40 codes18 payersAug 18 updated
Authorizations

Prior Auth Requirements

Which payers require authorization for which level of care, by state and plan type.

50 states6 levelsAug 20 updated
Quarterly

The BH Prior Auth Index

Denial rates, appeal overturns and turnaround, and where behavioral health diverges from medical/surgical.

Q3 live4 per yearAug 20 updated