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ClaimDenials

Spravato Billing Alert: Navigating the 2026 Shift from S0013 to J0013

Spravato Billing Alert: Navigating the 2026 Shift from S0013 to J0013 For mental health practices providing Spravato (esketamine), the administrative landscape just shifted. Effective January 1, 2026, the Healthcare Common Procedure Coding System (HCPCS) has undergone a significant update: the longstanding code S0013 has been discontinued and replaced with J0013 (Esketamine, nasal spray, 1 mg). […]

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Insurance Verification: The Non-Negotiable Step That Drives Your Medical Practice’s Cash Flow

Insurance Verification: The Non-Negotiable Step That Drives Your Medical Practice’s Cash Flow In a medical practice, few tasks are as crucial—or as complex—as insurance verification. This essential step is the bedrock of a healthy revenue cycle management strategy, directly impacting your practice’s financial stability and, critically, your patients’ experience. Performing accurate and timely patient eligibility

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