Home Specialities Behavioral Health
Solo to group
right-sized billing
Therapy CPT depth
coded right, every session
Telehealth-native
modifiers & POS handled
Clean claims
fewer denials, faster pay
In behavioral health, the leaks are small — which is exactly why they get missed.
A surgical practice notices a $6,000 shortfall the day it lands. A therapy practice never notices a $30 one. But $30 a session, across a full caseload, week after week, quietly adds up to a clinician's salary — and no month-end report flags it, because every one of those claims says "paid."
Behavioral health also has quirks nothing else does: session codes tied to documented time, extra payer scrutiny on 90837, plan session limits, shifting telehealth rules, and credentialing lag that can delay a new clinician's first paid claim by weeks. Small, specific, and easy to miss — unless someone's watching for them.
See where yours leaksHow the small stuff adds up
Illustrative examples of common behavioral-health leaks — not a quote or a guarantee. Actual amounts depend on your payers, contracts, and documentation.
Seven places therapy revenue quietly slips.
These are the behavioral-health billing risks that commonly leak — the small, specific things standard reports don't surface until a claim is denied, delayed, or underpaid.
Session-length code mismatch
90832 (30 min), 90834 (45), and 90837 (60) each pay differently. When documentation doesn't support the time billed — or the practice defaults to one code — you either leave money on the table or invite an audit. Payers scrutinize 90837 especially.
Missing add-on codes
Interactive complexity (90785) and crisis (90840) are billable alongside the session, but routinely forgotten in the moment. Every un-billed add-on is revenue simply left uncaptured.
Intake coding (90791 vs 90792)
The diagnostic evaluation is often mis-coded or under-documented. 90792 (with medical services) pays more when a prescriber is involved, but only if the documentation supports it.
Telehealth modifier & POS mismatch
Modifier 95 and the correct place of service (10 for home, 02 for other telehealth) have to match each payer's current policy — or the claim denies or pays at a reduced rate.
Session-limit & authorization denials
Many plans cap sessions or require authorization. When the auth doesn't match the sessions actually delivered, or a cap is hit unnoticed, the claim denies after the work is already done.
Start/stop time documentation
Time-based codes require documented session length. Without start and stop times, a 90837 can't be defended and gets downcoded on review.
Credentialing lag
A new clinician's claims can't be paid until they're credentialed with each payer. Every week of lag is a week of unbillable — or later clawed-back — sessions.
Every service you offer has its own soft spot.
The leak looks a little different depending on what you're billing.
Diagnostic evaluations
Intake coding (90791 / 90792) and documentation that supports the level billed.
Individual therapy
Session-length accuracy (90832 / 90834 / 90837) and holding up to 90837 scrutiny.
Family & couples
90847 (with patient present) vs 90846 (without) — many payers cover these very differently.
Group & specialized
90853 group therapy, plus trauma and EMDR documentation that supports the claim.
Telehealth
Modifiers, place of service, and payer-by-payer telehealth parity rules.
Patient responsibility
Copays, coinsurance, and patient balances collected before they quietly age.
Billing infrastructure that grows with your practice.
Whether you're a solo clinician or a multi-site group, we handle eligibility, coding, claims, denials, and credentialing — and give you simple visibility into what's actually happening, not a month-end report you can't act on.
As you add clinicians, the billing scales with you. No enterprise machinery you don't need — just the right support for where your practice is right now.
- Eligibility & benefits verified before the first session
- Correct session and add-on coding, every time
- Authorization & session-limit tracking, so nothing lapses
- Telehealth modifiers & place of service kept current
- Credentialing support, so new clinicians get paid sooner
- A simple dashboard — claims, denials, and A/R you can actually see
Who We Serve?
Right-sized billing for behavioral & mental health practices.
Solo & independent therapists
Single-clinician practices that need billing handled so they can focus on clients, not claims.
Group counseling practices
Growing practices adding clinicians who need coding, denials, and credentialing kept in order.
Multi-clinician / multi-site groups
Larger groups that need consistent coding and clean claims across every clinician and location.
Teletherapy & virtual practices
Virtual-first practices navigating telehealth modifiers, place of service, and payer rules.
Your clients' information, protected
Behavioral health carries some of the most sensitive records in medicine. Everything is handled in a controlled, auditable, HIPAA-compliant environment, with a BAA in place before any data is shared.
Tell us your clinicians and session types — we'll tailor the review.
No spreadsheets to send, no big commitment. A short conversation about how your practice bills, and we'll show you where therapy revenue is most likely slipping — and what it would take to close it.
- A look at your session coding, add-ons, and telehealth setup
- Where authorizations and session limits may be costing you
- Right-sized to your practice — solo, group, or growing
- HIPAA-compliant, with a BAA before anything is shared
Request your tailored review
We'll reply within one business day.
Common questions.
Do you work with solo therapists, or just groups?
Both. From a single clinician to a multi-site group, the billing scales as you grow — right-sized to where your practice is today.
Which session and add-on codes do you handle?
Individual therapy (90832/90834/90837), intakes (90791/90792), family and couples (90846/90847), group (90853), and add-ons like interactive complexity (90785) and crisis (90840).
Can you handle telehealth billing?
Yes — Modifier 95, place of service, and payer-by-payer telehealth rules kept current so claims don't deny or underpay.
Do you help with credentialing?
Yes. We support payer credentialing so new clinicians start getting paid sooner, and we track re-credentialing so it doesn't lapse.
How do you handle authorizations and session limits?
We track each client's authorization and session count against what's actually delivered, so claims don't deny after the work is already done.
Do we have to switch our EHR?
No. We work with your existing system and adapt to how your practice already runs.
Get paid fully for the work you already do
A short conversation about how your practice bills — and where therapy revenue is quietly slipping.