Authorization before the next visit
Track approved dates, visit limits and payer requirements alongside the schedule. Route renewal needs to the clinical team before the existing approval is exhausted.
Behavioral & Mental Health BILLING SUPPORT
Keep the session, authorization and claim telling the same story.
Recurring appointments need billing that follows the whole episode of care. We coordinate enrollment, benefits, documented session details and denial follow up for behavioral health practices.
WHERE THE WORK GETS STUCK
The claim starts before submission.
Small inconsistencies repeat quickly in a weekly schedule. An expired authorization or incorrect rendering provider can affect multiple sessions before the first denial is seen.
SPECIFIC OPERATIONAL CHECKS
What we connect in the workflow.
Documented service and time
Compare the recorded service with the billed code. Return missing information for provider clarification rather than changing clinical records to fit a code.
Claims by provider and payer
Check enrollment, location and telehealth requirements. Group recurring denials by cause so a single enrollment correction can be considered across affected claims.
ILLUSTRATIVE CODE REFERENCES
Small details.
Different claim questions.
Examples for understanding the workflow.
Code selection follows the actual service.
| Code | Example service | Operational check |
|---|---|---|
| 90791 | Diagnostic evaluation | Check the service performed and the payer’s repeat evaluation policy. |
| 90834 | Psychotherapy, 45 minute code | The documented psychotherapy time must support the selected code. |
| 90837 | Psychotherapy, 60 minute code | Review actual documented time and medical necessity, not scheduling length. |
| 90846 / 90847 | Family psychotherapy examples | Coverage and identified patient requirements depend on the payer. |
Illustrative CPT, HCPCS or other billing references, not coding instructions or coverage promises. Current code sets, documentation, payer policy and date of service control the correct claim. Review the relevant billing reference
WHAT YOUR PRACTICE RECEIVES
Clear exceptions.
A visible next action.
An authorization and enrollment checklist, a session-to-claim exception queue and follow ups separated by payer reason.
- A named owner and agreed communication plan
- Enrollment and payment setup gaps included in the review
- Written scope before access or service begins
CLAIM VOLUME AND SCOPE
Use your workload, not an industry guess.
We map recurring visits per provider, payer mix and authorization renewals. We do not assume a standard claim volume for every therapy practice.
Billing is quoted as a percentage of monthly collections. Provider count, workflows and historical outstanding work help define the responsibilities included in your agreement.
See Billing & RCMBEFORE WE BEGIN
Agree on the details that affect delivery.
We map your payer mix, systems and the three workflow checks above, then agree on the records and scope needed. No practice information is required before the mutual agreement is signed.
No. We identify gaps and possible next actions. Coverage, records, filing windows and payer decisions determine whether a claim can be corrected or paid.
After the agreement and a BAA, we arrange a secure handover with approved access. Please do not send patient information through public website forms or regular email.
CONNECT THE DETAILS
Start with your practice, not a generic proposal.
A Free Practice Review connects billing, credentialing, enrollment and payment setup. We agree on scope first, with a signed agreement and BAA before practice data moves.