Complete Practice Support for Mental and Behavioral Health Professionals
CareVixis serves LCSWs, LMHCs/LPCs, LMFTs, psychologists, psychiatrists, PMHNPs, solo practitioners, and group practices. We bring billing, credentialing, technology, communications, marketing, and operations together so you can focus on providing care. One partner. One fee. Everything included.
Built for Every Mental and Behavioral Health Provider
Whether you are a solo therapist just starting to take insurance or a multi-provider group practice navigating complex carve-out payers, CareVixis has the expertise and the infrastructure to handle your practice's full back-office.
Licensed Clinical Social Workers (LCSW)
LCSWs face a billing landscape dominated by behavioral health carve-outs and strict documentation requirements. CareVixis handles your time-based CPT coding, manages Optum and Carelon credentialing, and ensures every session is billed with the correct procedure code and diagnosis so nothing is left on the table.
LCSW-specific solutions →Licensed Mental Health Counselors (LMHC/LPC)
LMHCs and LPCs often run into payer-specific rules about which codes they can bill independently versus under supervision. CareVixis understands state-level and payer-level scope-of-practice rules and structures your billing to maximize what you can collect based on your license and your payer mix.
Therapist solutions →Licensed Marriage and Family Therapists (LMFT)
LMFTs work in one of the most complex billing environments in behavioral health, often treating multiple family members under the same plan. CareVixis handles family session coding, relationship-diagnosis coding, and payer-specific rules around couples and family therapy so your documentation and billing are always aligned.
Psychologists
Psychologists often bill a broader range of services than other mental health providers, including psychological and neuropsychological testing codes, evaluation and management codes in some cases, and extended psychotherapy sessions. CareVixis captures the full range of billable services within your scope of practice and ensures documentation supports every code submitted.
Psychiatrists
Psychiatric billing is uniquely complex because psychiatrists frequently combine evaluation and management codes with psychotherapy add-on codes in the same session. CareVixis correctly pairs E/M codes with add-on psychotherapy codes (90833, 90836), ensures medical decision-making is properly documented, and maximizes reimbursement for medication management visits.
Psychiatric Mental Health Nurse Practitioners (PMHNP)
PMHNPs must navigate both mid-level provider billing rules and behavioral health payer-specific requirements that can vary dramatically by plan. CareVixis understands incident-to billing, independent billing, and NPI enrollment requirements for PMHNPs and structures your claims to maximize collections within your practice model.
Solo Practices
Solo practitioners carry the entire administrative burden of running a practice on their own. CareVixis eliminates that burden completely. Billing, credentialing, communications, marketing, and reporting are all handled so you can see more clients and take back your evenings and weekends.
Group Practices
Group practices with multiple clinicians across different license types need a billing partner who can handle individual NPI billing, group NPI billing, provider-level and group-level reporting, and credentialing across an entire roster of providers. CareVixis manages all of it and gives practice owners the financial transparency to make smart operational decisions.
We Understand What Makes Behavioral Health Billing Different
Mental health billing is not a simplified version of medical billing. It is a completely different discipline with its own codes, its own payer rules, and its own documentation requirements. Practices that treat it like general billing leave significant revenue on the table. CareVixis was built to capture all of it.
For a deep dive into the full landscape, read our complete guide to mental health billing.
Time-Based CPT Codes
The difference between billing 90834 (45-minute session) and 90837 (60-minute session) is not just a matter of time. It is a matter of documentation. The wrong code means a denial or a costly audit. CareVixis verifies that the documented service duration matches the billed code on every single claim before submission.
Psychotherapy Add-On Codes
Codes 90833 and 90836 allow psychiatrists and other eligible providers to bill for psychotherapy performed during an E/M visit. These add-on codes are routinely missed by billers unfamiliar with psychiatric billing, representing real revenue left uncollected on every qualifying visit.
Telehealth Billing and Modifiers
Telehealth billing for therapy requires the correct place-of-service code and modifier, modifier 95 for real-time audio-visual sessions and modifier 93 for audio-only sessions. Payer rules on telehealth coverage for behavioral health continue to evolve, and CareVixis tracks every payer's current policy so your claims are submitted correctly the first time.
Behavioral Health Payer Carve-Outs
Many commercial plans carve out behavioral health benefits to a separate managed behavioral health organization (MBHO) such as Optum, Carelon (formerly Beacon Health Options), Magellan, or ComPsych. Claims submitted to the medical payer instead of the MBHO are denied immediately. CareVixis identifies the correct payer for every patient's behavioral health coverage before any claim is submitted.
Prior Authorization and Session Limits
Behavioral health payers frequently impose session limits and prior authorization requirements that do not apply to medical services. Failing to obtain authorization before the session means a denial after the fact. CareVixis tracks session limits, submits prior authorization requests proactively, and alerts your practice before limits are reached so care is never interrupted by an administrative oversight.
DSM-5 to ICD-10 Diagnostic Coding
Accurate translation from DSM-5 diagnoses to ICD-10-CM codes is essential for behavioral health claims. Many diagnoses map to multiple ICD-10 codes depending on specifiers, severity, and episode type. CareVixis uses a proprietary coding engine to ensure the ICD-10 code submitted matches the clinical documentation and meets payer medical necessity criteria.
High Patient Responsibility and Collections
Mental health patients often carry high deductibles and significant co-insurance, meaning a large portion of revenue comes from patient payments rather than insurance. CareVixis manages the full patient billing cycle: statements, payment plans, automated reminders, and online payments, so patient responsibility balances are collected promptly and professionally.
Behavioral Health Credentialing
Credentialing for mental health providers is more complex than medical credentialing because it often involves separate enrollment with behavioral health carve-out payers in addition to the primary commercial and government payers. Credentialing gaps mean sessions with out-of-network patients you thought were in-network, and that means lost revenue and unhappy clients. CareVixis manages the full credentialing process, including all carve-out payers.
Everything Your Mental Health Practice Needs -
All Included.
CareVixis is not a billing company that also sells add-ons. Every capability below is part of the same partnership. Billing services start at 6% of collected billing; the complete solution is 8%. One vendor. One invoice. Zero silos.
Revenue and Billing for Behavioral Health
End-to-end revenue cycle management built for the specific demands of mental health practices. Every service billed to its maximum allowable reimbursement, every denial attacked the same day it is received, and every outstanding balance followed up every 14 days.
- Time-based CPT coding (90832, 90834, 90837, 90839, 90840)
- E/M and psychotherapy add-on code pairing (90833, 90836, 90838)
- Telehealth billing with correct modifiers (95, 93)
- Behavioral health carve-out payer routing
- Prior authorization tracking and submission
- Session limit monitoring and alerts
- Patient billing and payment plan management
- Real-time eligibility and benefits verification
Mental Health Credentialing
Full credentialing and enrollment for every provider on your roster, including with behavioral health carve-out payers that most billing companies do not even know how to navigate. We track every application, every re-credentialing date, and every expiring license so your participation status is never at risk.
- Commercial payer enrollment (Cigna, Aetna, United, BCBS, and more)
- Behavioral health carve-out enrollment (Optum, Carelon, Magellan, ComPsych)
- Medicare and Medicaid enrollment by state
- CAQH profile setup and maintenance
- License and certification expiration tracking
- Complimentary credentialing assessment for all practice partners
EHR and Telehealth for Therapy Practices
A full electronic health record platform purpose-built for mental health, paired with a practice-branded telehealth system that puts your name and logo in front of patients, not a third-party vendor's. HIPAA-compliant at every layer.
- Therapy-specific charting templates and progress note workflows
- Psychiatric evaluation and medication management documentation
- Practice-branded telehealth platform (your domain, your logo)
- HIPAA-compliant scheduling and patient portal
- E-prescribing for psychiatrists and PMHNPs
- Session recording and secure messaging
Patient Communications
HIPAA-compliant patient communication tools that keep your clients engaged, reduce no-shows, and accelerate patient payment collections, without burdening your front desk or adding administrative overhead to your practice.
- Automated appointment reminders by SMS and phone
- Payment reminders and online payment links
- Two-way HIPAA-compliant SMS messaging
- Intake form delivery and collection
- Session satisfaction and outcome surveys
- Business phone system for your practice
Marketing and Practice Growth for Therapists
A professionally designed therapy practice website and ongoing digital marketing strategy built to attract clients who are actively searching for mental health services in your area. Your practice grows while you focus on providing care.
- Professionally designed therapy practice website
- Local SEO to rank for your specialty and service area
- Patient acquisition campaigns
- Psychology Today and Zocdoc profile optimization
- Content strategy and blog management
- Online reputation and review management
Practice Operations and Reporting
Financial dashboards and reporting built for mental health practice owners, whether you are a solo therapist tracking monthly collections or a group practice owner monitoring per-clinician profitability and payer mix performance.
- KPI dashboards (collections, denial rate, AR aging)
- Per-clinician revenue reporting for group practices
- Payer mix analysis and contract performance
- Session volume and utilization reporting
- Compliance audit packages
- Custom reports built for your specific practice needs
One partner. One platform. One invoice. Everything above is included in the Complete CareVixis Solution at 8% of collected billing. Billing services alone start at 6%. CareVixis is a revenue-generating, industry-monitoring, practice-building machine built specifically for mental and behavioral health professionals. Nothing is off the table. Ever.
Here's Exactly How We Build Your Mental Health Practice Infrastructure
No long onboarding. No confusing setup. We learn your practice, identify the gaps, build what you need, and measure results, continuously.
We Learn About Your Practice
We start with a free, no-obligation practice assessment. We want to understand your specialty mix, whether you are a solo LCSW, a multi-clinician group with LMHCs and a psychiatrist, or anything in between. We look at your current payer mix, your patient population, the systems you are already using, and the specific challenges you are running into. This conversation drives everything we build for you. No cost. No obligation.
Identify Your Revenue, Credentialing, and Technology Gaps
After we understand your practice, we conduct a comprehensive audit. We identify where claims are being undercoded or miscoded, which payers you are not yet credentialed with (including behavioral health carve-outs), what technology gaps are creating administrative friction, and where patient communication breakdowns are causing no-shows and uncollected balances. We present you with a clear picture of what is being left on the table and how we will fix it. You see exactly what we find.
Build a Customized System for Your Practice
We do not deploy a generic template. We build your practice's specific infrastructure. That means your billing workflows are configured for your exact payer mix and license types, your EHR templates are built for the therapies and evaluations you provide, your telehealth platform carries your brand, your communications are configured for your patient population, and your reporting shows exactly the metrics that matter to your practice. Solo practice or multi-provider group, we build around you. Your practice doesn't bend to us. We build around your practice.
Measure Results and Optimize Continuously
Once your system is live, you get dashboards showing collections, denial rates, AR aging, per-clinician revenue (for group practices), and payer performance. We deliver monthly reports and proactive alerts when something needs your attention, a session limit approaching, a payer rule change that affects your billing, or a credentialing expiration coming up. CareVixis monitors your practice the way a Chief Revenue Officer would. Complete transparency. Continuous improvement. No surprises.
Custom Pricing. One Philosophy.
Mental health practices should not have to pay separately for billing, credentialing, EHR, telehealth, communications, and marketing. Your rate is based on the level of service your practice needs.
Your rate is based on the level of service your practice needs. Practices that bring their own systems and need primarily billing support start at the lower end. Practices that use the complete CareVixis solution, including EHR, telehealth, communications, marketing, and custom development, are at the higher end. Every practice gets a custom rate determined during the initial practice assessment.
If we don't collect, you don't pay the collections fee. Period.
Every CareVixis system talks to every other CareVixis system. Billing knows what telehealth booked. Communications know what billing needs to collect. Reporting knows everything. If you already have an EHR you want to keep, we integrate with it. If you need something custom, we build it at no extra cost. Nothing is off the table. Ever.
100% US-Based. Zero Outsourcing.
100% US-Based Team
Every member of our team is located in the United States. Your mental health practice data never leaves US hands. When you call, you speak with billing experts who know behavioral health, not a call center reading from a script.
HIPAA Compliant at Every Layer
Patient data and financial information for mental health practices requires the highest level of protection. CareVixis is HIPAA, HITECH, and SOC 2 compliant across all systems, communications, and data handling. All patient and provider communications require explicit prior consent. We are fully 10DLC registered and TCPA compliant.
Direct Access to Decision Makers
You are a partner at CareVixis, not a ticket number. When you have a question about a denial, a credentialing status, or a new insurance contract, you speak directly with someone who knows your practice and has the authority to act. Founder Jeff Norton's promise: nothing is off the table. Ever.
Proprietary Technology Built In-House
CareVixis writes every line of code. Our proprietary coding engine and billing process are not licensed software. They were built by our team in the United States and are updated continuously as payer rules and CMS regulations change. No competitor has what we have built, and nothing we build gets outsourced.
"Mental health providers do some of the most important work in healthcare. They deserve a back-office partner who is as committed to their practice as they are to their patients. That is exactly what CareVixis is built to be."- Jeff Norton, Founder, CareVixis
Frequently Asked Questions
Straightforward answers about how CareVixis supports mental and behavioral health practices.
Yes. CareVixis has deep expertise in behavioral health billing, including time-based CPT coding (90832, 90834, 90837, 90839), psychotherapy add-on codes (90833, 90836), telehealth billing with correct modifiers (95 for audio-visual, 93 for audio-only), behavioral health carve-out payer management, and DSM-5 to ICD-10 diagnostic coding. We serve LCSWs, LMHCs/LPCs, LMFTs, psychologists, psychiatrists, and PMHNPs in solo and group practice settings.
Yes. CareVixis serves solo practitioners of all sizes. Whether you are a solo LCSW seeing 20 clients per week or a solo psychiatrist running a full panel, our platform scales to your volume and your workflows. Solo practices often have the most to gain from outsourcing billing and administration because they carry the full operational burden on their own, and every hour spent on billing is an hour not spent providing care or building the practice.
CareVixis is fully equipped for group practices with multiple clinicians across different license types. We handle billing under each clinician's individual NPI, manage group NPI billing where appropriate, coordinate credentialing across your entire provider roster, and provide reporting at both the individual clinician level and the group level. Group practice owners get complete financial visibility into every revenue stream across the practice.
Yes. CareVixis works with the EHR you already have at no additional cost on our end. Practices that bring their own systems and need primarily billing support are at the lower end of our 6% to 8% pricing range, whether you use SimplePractice, TherapyNotes, TheraNest, Valant, or any other platform. If you want to upgrade to our purpose-built mental health EHR, that is available as part of a higher service level. Nothing is off the table.
Yes. CareVixis handles full credentialing and enrollment for mental health providers, including with behavioral health carve-out payers like Optum, Carelon (formerly Beacon Health Options), Magellan, ComPsych, and others. Most billing companies are not equipped to handle carve-out payer credentialing. It is one of the most common gaps we find when we assess new practice partners. Credentialing is an optional add-on service, and a complimentary credentialing assessment is included for all practice partners.
CareVixis turns around denials the same day they are received. Our proprietary coding engine identifies the root cause of every denial, whether it is a missing modifier, a time documentation mismatch, a session limit issue, an authorization problem, a carve-out payer routing error, or a payer-specific documentation requirement, and submits the corrected claim or appeal immediately. All open AR is followed up every 14 days. Nothing is written off until every available option is exhausted.
Yes. CareVixis performs eligibility and benefits verification for all patients, including verification of behavioral health carve-out coverage, annual session limits, deductibles, co-pays, co-insurance amounts, and prior authorization requirements. Behavioral health benefits verification is meaningfully different from medical benefits verification because it often requires contacting the MBHO directly rather than the primary commercial payer. We handle that. Knowing the exact benefits before the session prevents the most common and costly denial scenarios in mental health billing.
Yes. CareVixis provides a practice-branded telehealth platform for therapy and psychiatry practices. Your patients see your brand, your logo, and your domain, not a third-party vendor's name. The platform is HIPAA compliant at every layer, and billing for telehealth sessions is handled automatically with the correct place-of-service codes and modifiers (95 for real-time audio-visual sessions, 93 for audio-only sessions) based on each payer's current telehealth coverage policy.
CareVixis pricing is a flexible sliding scale from 6% to 8% of collected billing, based on the level of service your practice needs. Practices that bring their own systems and need primarily billing support start at the lower end. Practices that use the complete CareVixis solution including EHR, telehealth, communications, marketing, and custom development are at the higher end. Your rate is custom, determined during the initial practice assessment. No hidden fees. No per-user charges beyond the monthly platform fee, which is charged per provider. If we do not collect, you do not pay the collections fee.
Yes. CareVixis includes professionally designed therapy practice websites and digital marketing built to attract clients who are actively searching for mental health services in your area. Local SEO, patient acquisition campaigns, Psychology Today and Zocdoc profile optimization, content strategy, and reputation management are all part of the platform. Practice growth is not an upsell. It is included because your practice's growth drives our collections, which is how we all win.
Yes. Every member of the CareVixis team is located in the United States. All data is hosted in US-based data centers. There is no offshore processing, no outsourced billing, no overseas customer service. When you call CareVixis, you speak directly with billing experts and decision makers who know behavioral health billing. Your practice's data and your patients' data never leave US hands.
Onboarding starts with a free, no-obligation practice assessment where we learn your specialties, payer mix, patient volume, current systems, and specific pain points. We then identify billing gaps, credentialing gaps, and technology gaps before building a customized plan. Most practices are fully operational with CareVixis within two to three weeks. Choose the structure that fits your practice: a setup fee with no contract, or a contract with no setup fee. The process is designed to be as frictionless as possible so you see results quickly.
Mental Health Practice Solutions by Service and Provider Type
CareVixis covers the whole business side of a behavioral health practice. Start with the area causing the most friction, or with the page that matches your license type.
Billing and revenue cycle
Claims, denials, AR, eligibility and reporting: billing and revenue cycle management, plus dedicated denial management.
Credentialing
Panel enrollment, CAQH management and recredentialing: credentialing and payer enrollment.
Technology
EHR and practice management, practice-branded telehealth and patient communications, connected to the billing layer.
Growth
marketing and SEO and practice growth for practices adding providers or services.
By provider type: therapists (LCSW, LMHC, LPC, LMFT), psychologists, psychiatric practices, PMHNPs, solo practices and group practices.
Let's Talk About Your Mental Health Practice
Tell us about your practice and what you are dealing with right now. No sales pressure. No commitment. Just a straightforward conversation about whether CareVixis is the right fit for you, and an honest answer if it is not. Zero risk. Zero obligation.
No credit card. No obligation. Just a clear picture of what is possible for your practice.
Please do not submit patient names, medical records, diagnoses, insurance information, or other protected health information through this form.