Behavioral health billing is a maze of session codes, telehealth rules and payer medical-necessity reviews. We navigate it daily - so your clinicians focus on care, not claims.
The specialty-specific billing traps we fix every day for behavioral health practices.
90832 vs. 90834 vs. 90837 hinge on exact session minutes. We audit session lengths against billed codes so downcoding and takebacks stop.
POS 02 vs. 10, modifier 95 vs. GT - telehealth rules still shift by payer. We keep payer-specific telehealth matrices current.
Payers probe treatment plans and session frequency. Our documentation checklists keep every chart defensible.
Session caps and re-auth requirements stall revenue. We track authorizations per patient and re-auth before the last covered visit.
A sample of the behavioral health codes where small errors cost real money.
| Code | What it covers | Where practices lose money |
|---|---|---|
| 90837 | 60-min psychotherapy | Billed without 53+ documented minutes - automatic downcode on review. |
| 90834 | 45-min psychotherapy | Wrong session length selected; add-on codes missed. |
| 90791 | Psychiatric diagnostic eval | Authorization required by many payers before the first session. |
| 96127 | Brief emotional/behavioral assessment | Often billable but never billed - found money in most BH practices. |
The same proven process behind every behavioral health engagement.
Send one billing export. We map denials, AR aging and underpayments - free.
You get a prioritized action plan with projected recoveries before you commit.
Denials appealed, AR worked, workflows fixed - inside your systems.
Transparent reporting. You pay 5%% of what we collect - nothing else.
Straight answers for behavioral health practices.
Send one billing export. We'll show you the leaks, the stuck AR and the denials worth fighting - before you spend a dollar.