Peace of Mind for
Mental Health Practices
Behavioral health billing is uniquely challenging. From navigating hidden insurance carve-outs to mastering time-based psychotherapy and telepsychiatry codes, we secure your revenue so you can focus entirely on patient care.
E&M + Psychotherapy
We expertly apply add-on codes (e.g., 90833, 90836) alongside standard E&M visits to ensure prescribers are fully compensated for both medication management and therapy.
Why Mental Health Billing Needs Specialists
Mental health and behavioral health practices frequently suffer from authorizations denied by third-party "carve-out" payers. Additionally, billing a 60-minute session (90837) often triggers automatic medical necessity audits. Our specialized billers proactively manage these hurdles so your cash flow remains uninterrupted.
Insurance Carve-Out Navigation
Many patients have medical coverage through one payer, but mental health benefits carved out to a third party (e.g., Magellan, Beacon). We verify exactly where to submit claims to prevent delays.
Time-Based Code Scrubbing
Psychotherapy codes (90832, 90834, 90837) are strictly time-based. We audit session durations to ensure billing accurately reflects the time spent, avoiding costly over-coding audits.
Telepsychiatry Optimization
Virtual therapy rules change frequently. We flawlessly apply Place of Service (POS) codes 02 or 10 along with Modifiers 95 or GT to ensure your remote sessions are fully reimbursed.
Securing Revenue from
Intake to Discharge
We streamline the financial side of your practice, ensuring precise tracking of session times, strict adherence to authorization limits, and perfect telehealth compliance.
Intake & Auth Verification
We verify behavioral health benefits prior to the first visit, checking if initial evaluations (90791/90792) or ongoing sessions require pre-authorization.
E&M + Add-on Coding
For psychiatrists and NPs, we ensure that Evaluation & Management codes are properly billed alongside the correct psychotherapy add-on codes (e.g., +90833).
Crisis & Prolonged Services
When patients require extended care, we accurately apply crisis codes (90839/90840) and prolonged service codes, ensuring you are compensated for intense, emergency sessions.
Medical Necessity Appeals
Payers often flag extended 60-minute sessions (90837) for "medical necessity" reviews. We proactively manage these requests, providing necessary documentation to overturn denials.
Stop Losing Revenue to
Carve-Out Denials
Partner with certified billers who understand the exact mechanics of teletherapy, add-on codes, and behavioral health carve-outs. Contact Valeria Healthcare Solutions today.