Stay ahead of reimbursement changes before they become denied claims.
Candor Health Intel delivers a weekly digest of payer, coding, and reimbursement changes affecting therapy practices.
Reimbursement policies change without notice. Payers update prior authorization requirements, CMS adjusts billing rules, and telehealth regulations shift, often with little warning and no direct notification to your practice.
Most practices discover these changes after submitting incorrect claims, receiving unexpected denials, or losing revenue they cannot recover.
By then, the damage is done.
Candor Health Intel monitors over 30 government and commercial payer sources every week, including CMS publications, regional MAC (Medicare Administrative Contractor) websites, and the coverage policy pages of the five largest commercial payers, and delivers what matters to your inbox every Tuesday morning.
Every update is verified against its primary source, translated into plain English, and paired with clear action steps so your practice can respond before the effective date, not after.
What You Receive Every Tuesday
Payer Policy Monitor: Coverage changes, prior authorization updates, and LCD (Local Coverage Determination) revisions from Medicare, Medicaid, and major commercial payers, specific to behavioral health practices.
Telehealth Billing Watch: Modifier requirements, audio-only coverage updates, place of service code changes, and parity enforcement notices, the most frequent source of billing errors in outpatient therapy.
Coding and Compliance Alerts: CPT (Current Procedural Terminology), ICD-10 (International Classification of Diseases), and HCPCS (Healthcare Common Procedure Coding System) updates affecting behavioral health codes, published before the effective date, so your billing system is updated in time.
On the Radar: Proposed rules, upcoming deadlines, and anticipated policy changes, advance notice so nothing reaches your practice as a surprise.
Urgent Alert Emails: When a time-sensitive change requires immediate action between Tuesday issues, a standalone alert goes out the same day it is identified.
Who This Is For?
Candor Health Intel is built for independent practices, solo providers, small group practices, and office managers who handle billing without a dedicated revenue cycle team.
If your practice bills insurance and you do not have a system for monitoring policy changes before they affect your claims, this is built for you.
The Financial Case
A single denied claim costs between $25 and $181 in staff rework time. Multiply that across multiple payers, multiple clinicians, and multiple billing cycles, and the cost of missed policy updates compounds quickly.
At $99 per month, one prevented denial makes Candor Health Intel cost-neutral. Most practices protect significantly more.
Founding Member Pricing
$99 per month, locked for life. Limited to 25 founding member spots.
After founding member spots are filled, the standard rate is $139 per month. Access and content are identical across both tiers. The only difference is the price, and founding members keep $99 permanently.
If your practice bills insurance and you do not have a system for monitoring policy changes before they affect your claims, this is built for you.
Risk Free
30-day money-back guarantee– If Candor Health Intel does not deliver value within your first 30 days, email us for a full refund. No forms, no questions.
FAQ
Is this only for behavioral health practices?
Currently yes. Candor Health Intel covers behavioral health reimbursement specifically. Expansion to additional specialties is planned.
What if I already have a billing service?
Billing services process claims. They do not proactively monitor for policy changes before the effective date. Candor Health Intel and your billing service serve different functions and work better together than either does independently.
Are you a billing expert or compliance consultant?
No. Candor Health Intel is an independent research and intelligence service. We monitor primary sources and translate findings into plain English. Everything published cites the original source for verification. Nothing published constitutes legal, billing, or compliance advice.
Can I cancel anytime?
Yes. No contracts. No cancellation fees. Your subscription ends at the close of your current billing period.