Use a more specific page when it matches
Behavioral health still shares the same denial patterns: time-based codes, authorizations, and telehealth place of service. The group page covers that shared revenue cycle. Switch pages when the practice is solo, testing-focused, or limited to counselor and social-work licenses.
Billing for solo and small therapy practices
Why behavioral health claims get denied
- Time-based codes (90832, 90834, 90837) that don't match documented session time
- Authorizations that run out of visits or expire without anyone noticing
- Telehealth claims with the wrong place of service (02 vs 10) or missing modifier 95
- Add-on codes like 90785 (interactive complexity) or 90840 (crisis) billed without support
- Eligibility changes, especially Medicaid managed care and plan-year changes
- Clinicians not linked correctly to the group contract after credentialing
What we do differently
We check claims against behavioral-health-specific rules before submission, track authorizations automatically, and give you a dashboard that shows collections and denials by clinician, payer and CPT code. You keep your own payer contracts and negotiated rates. We just make sure you're paid on them.
Codes we bill every day
Psychiatric diagnostic evaluations (90791, 90792), individual psychotherapy (90832, 90834, 90837), psychotherapy add-ons with E/M (90833, 90836, 90838), family therapy (90846, 90847), group therapy (90853), crisis psychotherapy (90839, 90840), interactive complexity (90785), and psychiatric E/M visits (99202–99215).
Keep your contracts, or join a network?
Networks like Headway and Alma can simplify insurance for solo clinicians, but the payer relationship and rates are theirs. If you run a group practice or plan to grow, holding your own contracts gives you control of rates, data and referrals. We provide the billing and credentialing support that makes that practical.