The Behavioral Health Billing Entrepreneur Program
An advanced, step-by-step program designed to help experienced behavioral health billing professionals build, launch, and scale their own RCM business.
Learn how to structure your company, define your services, acquire clients, and create a profitable operation in a highly regulated industry—based on real-world strategy, not generic entrepreneurship theory.
Course Content
Section 1: Behavioral Health Billing 101 Section 2: Verification Of Benefits / Eligibility
Welcome to The Behavioral Health Billing Institute
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Lesson 1: Introduction to Behavioral Health Billing
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5 Topics
What is behavioral health billing (and why it matters)?
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Where BH services happen (settings & levels of care)
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The behavioral health revenue cycle—end to end
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Forms, files, and “the plumbing” (what you actually touch)
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Career tracks and entrepreneurship
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Lesson 13 — Putting It All Together: Clean Claims & Avoiding Denials
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Lesson 5 — UB-04 Field-by-Field (FL 31–41): Occurrence/Value Codes & Amounts
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Lesson 10 — Ethics, Compliance, and Legal Considerations in UR
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Lesson 11 — Modern Technology in Utilization Review (Tools, Integration, and Innovation)
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Lesson 12 — Interdisciplinary Collaboration in UR
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Lesson 13 – Section 3 Final Exam
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Section 4 – Knowledge Check
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Lesson 6 — UB-04 Field-by-Field (FL 42–81): Revenue Codes, HCPCS/CPT, Charges, and Diagnoses
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Lesson 8 — CMS-1500 Field-by-Field (Boxes 14–33): Services, POS, Modifiers, Totals
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Lesson 9 — Behavioral Health Service Coding (CPT/HCPCS)
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Lesson 10 — Diagnosis Coding (ICD-10-CM)
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Lesson 11 — Evaluation & Management (E/M) Coding for Behavioral Health
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Lesson 12 — Claim Attachments, Modifiers, and Special Situations
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Lesson 7 — CMS-1500 Field-by-Field (Boxes 1–13): Patient/Insured & Coordination of Benefits
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Lesson 5 – The Appeals Process
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Lesson 4 — Financial Policies and Patient Communication
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Lesson 3 — Insurance Benefit Structures & Patient Liability (Behavioral Health)
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Lesson 2 — Legal & Regulatory Framework for Patient-Responsibility Collections (Behavioral Health)
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Final Quizzes
Section 5 Claim Management Knowledge Check
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Section 1 Quiz
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