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    Private Practice RCM

    Psychotherapy Billing Services

    Psychotherapy billing services for LCSWs, LPCs, LMFTs and psychologists. Outsourced medical billing that plugs into your EHR, tracks authorizations, and handles telehealth compliance so you stay in session.

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    The Three Pressure Points

    Navigating the Complexity of Psychotherapy Billing

    Therapy billing has three structural pressure points: time-based CPT thresholds, NPI hierarchy, and telehealth place of service distinctions, and structured certified medical coding reduce the risk of this happening again. We manage these nuances at the configuration level to prevent recoupments before they occur.

    Time-Based CPT Thresholds

    Payers enforce precise minute thresholds for psychotherapy. We ensure your documentation for 90834 (38–52 min) and 90837 (53+ min) includes exact start/stop times and medical necessity narratives to withstand ‘upcoding’ audits. Our therapy session billing guide covers the full CPT selection process.

    NPI Hierarchy & Group Practice Scaling

    Whether you are a solo LLC or a multi-clinician group, we manage the mapping of your Individual Type 1 NPI and Group Type 2 NPI. We ensure that Box 33a and Box 24J on your CMS-1500 claims are perfectly synchronized to prevent the “Provider Not Recognized” claims appeal services that often stall growing practices.

    Telehealth Place-of-Service Accuracy

    We apply the correct modifiers (95 or 93) for POS 02 and POS 10 services so your telehealth claims align with current CMS and commercial payer rules before COVID-era waivers fully expire. Tighter revenue cycle optimization keeps reimbursements on track and closes the gap between care delivered and revenue collected.

     

    Specialty-Specific Patterns

    Including modifiers and crisis add-ons

    Every Therapy Code We Manage

    90791

    Psychiatric Diagnostic Evaluation (Initial Intake)

    90832

    30-Minute Psychotherapy

    90834

    45-Minute Psychotherapy

    90837

    60-Minute Psychotherapy

    90846

    Family Therapy (Without Patient)

    90847

    Family Therapy (With Patient)

    90853

    Group Psychotherapy

    90839

    Crisis Psychotherapy

    90840

    Crisis Add-on Session

    + More

    Modifiers, add-ons & specialty codes

    Four Core Solutions

    Core Therapy Revenue Cycle Solutions

    Eligibility Verification And Payer Carve Out Management

    Eligibility Verification & Payer Carve-Out Management

    Mid-month insurance changes cause most “patient owes” surprises. We perform proactive eligibility checks and navigate complex behavioral health carve-outs, confirming coverage before the session so copay and deductible collections are accurate.

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    Proactive Authorization And Session Limit Tracking

    Proactive Authorization & Session-Limit Tracking

    We implement a proactive alert system for managed care authorizations. By tracking session caps (such as 12 or 20 visits), we ensure you never provide a session that hasn’t been pre-authorized eliminating “Exceeded Benefit” rejections.

    Out Of Network And Payer Ready Superbills

    Out-of-Network & Payer-Ready Superbills

    For private-pay or hybrid practices, we remove the administrative weight of superbills. We automate the generation of accurate, payer ready superbills or submit OON claims directly — reducing client friction and increasing your practice’s perceived value.

    Patient Billing And Statement Management

    Patient Billing & Statement Management

    Therapists shouldn’t have to be debt collectors. We manage patient statements, payment plan coordination, and balance billing — ensuring high-deductible plans are managed transparently so you aren’t chasing fees months after the session.

    Practice Integrity

    Audit-Proof Compliance & Practice Integrity

    We act as your practice’s final line of defense against payer recoupments and regulatory hurdles — integrating compliance into every step of the revenue cycle.

    CAQH Profile Maintenance

    CAQH ProView requires re-attestation roughly every 120 days. We handle this quarterly cadence so your insurance contracts remain active and credentialing is never at risk.

    Rendering vs. Supervising Provider Compliance

    For group practices utilizing pre-licensed associates (LPC-A, LMSW, MFT-I), we manage the specific modifier and signature requirements to ensure associate billing follows state-specific scope-of-practice rules.

    MHPAEA & Parity Advocacy

    We leverage our expertise in the Mental Health Parity and Addiction Equity Act to challenge systemic denials where payers fail to provide equitable behavioral health reimbursement.

    ICD-10 to CPT Linking

    We rigorously check that diagnostic codes are linked correctly to your CPT codes bypassing “Inconsistent with Procedure” rejections that quietly erode reimbursement.

    15-Day Transition

    Seamless 15-Day Transition Timeline

    A phased onboarding designed to recover revenue while integrating quietly behind your existing tools.

    Phase One

    Workflow & Audit

    Deep-dive audit of your current therapy coding and aging A/R. We identify revenue leaks within seven days.

    Phase Two

    Secure EHR Sync

    Our team plugs into your platform Simple Practice, TherapyNotes, or TheraNest through encrypted connections.

    Integration

    Configuration Optimization

    Custom coding rules and session tracking alerts are built into your billing layer for clean first-pass claims.

    Phase Four

    Revenue Recovery

    An A/R recovery project tackles unpaid or abandoned claims from the last six months to reclaim earned income.

    A Team Built for Behavioral Health

    Specialized Therapy Billers Not Generalists

    Every member of your dedicated Revix MD pod has been trained specifically on behavioral health coding, parity law, and the unique workflows of psychotherapy practices. We don’t service primary care on Tuesday and therapy on Wednesday – therapy is what we do. See how outsourced mental health billing compares to managing it in-house.

    Dedicated account lead — not a rotating call center

    Behavioral health certified billing specialists

    Direct Slack or email access during business hours

    Monthly performance reviews with action plans

    Your Revenue, Recovered

    Stop Losing Revenue Between Sessions

    Every unbilled session and missed authorization is money you already earned. Let us show you where it’s going.

    Get Your Free Billing Audit

    Frequently Asked Questions

    Yes. Revix MD specializes in working directly within your existing software. We eliminate the need for messy data migrations by integrating our experts into your current digital workflow.

    We offer a transparent, percentage-of-collections model. This aligns our success with yours; we only get paid when you get paid. There are no hidden per-claim flat fees.

    Yes. We navigate the specific rendering vs. supervising provider requirements that vary by state and payer, allowing your group practice to scale safely and compliantly.

    While insurance does not cover no-shows, we manage the patient billing process to ensure your office policies are enforced and collected, protecting your valuable clinical time.

    We can automate the generation of superbly accurate superbills for your patients or submit OON claims directly to the payer, reducing the friction for your private-pay clients and increasing your practice’s perceived value.