Credentialing
Payer enrollment, CAQH upkeep and recredentialing dates tracked for every provider.
About CredentialingMental Health billing and coding
Therapists and psychiatrists are often billing to payers with separate behavioral health administrators and session rules. We handle those details and keep billing conversations respectful of the sensitive care behind them.
Billing challenges in mental health
Time-based coding
Psychotherapy codes depend on documented time. Payers sometimes review longer sessions such as 90837 more closely.
Telehealth differences
Place of service, modifiers and covered platforms vary by payer and can change over time.
Carved-out benefits
A patient's behavioral health benefit may sit with a different company than their medical plan.
Panel enrollment
Each clinician may need to be enrolled individually, and a waiting panel can hold up a new hire's caseload.
Codes we commonly review
These are examples, not a full list. Coverage and coding rules vary by payer, so each claim is checked against the current rules and your documentation.
- 90791 / 90792 diagnostic evaluation
- 90832, 90834, 90837 psychotherapy
- 90853 group therapy
- 90785 interactive complexity
- 99202–99215 with add-on psychotherapy
Services that often help
Physician Billing
Charge entry through payment posting for independent physicians and group practices.
About Physician BillingCoverage Discovery
Find active coverage on self-pay accounts and catch eligibility issues before the visit.
About Coverage DiscoveryGet a second look at your mental health billing
Share a few details about your practice. We will review them and call you within one business day.