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mental health reimbursement

Still neon

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4 articles in the wider archive have updated wording and source notes. The other 164 have not been fact-checked as part of this review. Older topics and links are retained to keep existing articles findable.

insurance downcoding

The Invisible Pay Cut: How Insurers Downcode a Therapy Session Without Denying It

A commercial insurer doesn't have to deny a therapy claim to cut the pay. It can pay the claim and quietly reclassify a 53-minute session down to a shorter, cheaper code. In 2026 the longer 90837 session commonly pays 15% to 25% more than the shorter 90834, and Cigna began downcoding certain visits automatically on October 1, 2025. There is no denial, so there is nothing to appeal.

Matthew Sexton, LCSWRead article
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