How Many Vendors Does It Take to Run Your Practice?
Billing here. Credentialing there. An EHR, a phone system, a website, someone for marketing. Each one may work. None of them talks to the others, and the coordinating falls to you. CareVixis brings billing, credentialing, technology, communications, marketing and operations under one accountable team, for LCSWs, LMHCs and LPCs, LMFTs, psychologists, psychiatrists, PMHNPs, solo practitioners and group practices. One partner. One accountable team.
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 and LPC, LMFT), psychologists, psychiatric practices, PMHNPs, solo practices and group practices.
Built for Every Mental and Behavioral Health Provider
Solo or group, every license type, every specialty within behavioral health.
Licensed Clinical Social Workers (LCSW)
Carve-out payers and strict documentation. We handle the time-based CPT coding and the enrollment behind it.
LCSW-specific solutions →Licensed Mental Health Counselors (LMHC/LPC)
Payer rules differ on what you can bill independently versus under supervision. We track them by state and plan.
LMHC and LPC solutions →Licensed Marriage and Family Therapists (LMFT)
Often treating several family members under one plan. We bill 90847 and 90846 correctly and know which payers cover each.
Psychologists
A broader code range, including psychological and neuropsychological testing (96130-96146). We bill all of it.
Psychiatrists
E/M combined with psychotherapy add-on codes 90833 and 90836, paired correctly and documented as separately identifiable services.
Psychiatric Mental Health Nurse Practitioners (PMHNP)
Mid-level provider rules plus behavioral health payer requirements that vary by plan. We handle both.
Solo Practices
The whole administrative load sits with you. We take the business side off your desk.
Group Practices
Individual NPI, group NPI and multiple license types. We manage enrollment as you add providers.
We Understand What Makes Behavioral Health Billing Different
Mental health billing is its own discipline: time-based CPT codes, carve-out payers, session limits and prior authorization. Getting any of them wrong costs you revenue. See how we handle behavioral health billing.
For a deep dive into the full landscape, read our complete guide to mental health billing.
Time-Based CPT Codes
90834 (45 minutes) versus 90837 (60 minutes) is decided by documented time. We check the note against the code on every claim.
Psychotherapy Add-On Codes
90833 and 90836 let prescribers bill psychotherapy during an E/M visit. Routinely missed revenue.
Telehealth Billing and Modifiers
Modifier 95 for real-time audio-visual, modifier 93 for audio-only, plus the right place-of-service code. Payer rules keep moving.
Behavioral Health Payer Carve-Outs
Many plans route behavioral health to an MBHO: Optum, Carelon, Magellan, ComPsych. The wrong payer means an automatic denial.
Prior Authorization and Session Limits
Session limits and prior authorizations that medical services do not face. We track counts and renew before they lapse.
DSM-5 to ICD-10 Diagnostic Coding
One DSM-5 diagnosis can map to several ICD-10-CM codes. The wrong one triggers a medical necessity denial.
High Patient Responsibility and Collections
High deductibles mean much of your revenue comes from patients, not payers. We run statements, payment plans and reminders.
Behavioral Health Credentialing
Separate enrollment with carve-out organizations on top of the commercial payer. In-network for medical is not in-network for behavioral health.
Everything Your Mental Health Practice Needs,
From One Team.
Six areas of work. Use one, use all six. One team is accountable for whichever ones you hand us.
Revenue and Billing for Behavioral Health
Claims, denials, AR and patient payments, worked every day. See revenue cycle.
- 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
Enrollment for every provider, including the carve-out payers most billers cannot navigate. See credentialing.
- 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 mental health EHR plus telehealth carrying your practice name, not ours. See technology.
- 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 reminders and messaging that cut no-shows and speed patient payment. See communications.
- 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 practice website and search strategy that reaches clients already looking. See growth.
- 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
Dashboards and reporting sized to a solo practice or a group. See operations.
- 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. Everything above runs on 6% of insurance collections for Core RCM, 8% all-in, with nothing charged on patient payments. Credentialing is $150 per payer, per provider. CareVixis runs the business side of the practice, 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
1. Talk to us. Tell us what is working and what is frustrating you.
Identify Your Revenue, Credentialing, and Technology Gaps
2. We look at your practice. We identify what is working, what is costing you, and what we can improve.
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.
One partnership instead of six vendors, priced openly.
6% of insurance collections for Core RCM and 8% all-in, depending on the services your practice uses. Nothing on patient payments. See how pricing works.
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, whether you use SimplePractice, TherapyNotes, TheraNest, Valant, or any other platform. Keeping your current EHR is fully supported and carries no monthly software fee from CareVixis. If you later move onto VixisCare™, it is $119 a month for the first provider and $75 a month for each additional provider. 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 works denials the day they arrive. Our 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 on a set cycle. 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 built to support your HIPAA obligations 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 Core RCM is 6% of insurance collections, and all-in with communications and growth services is 8%. You pay nothing on patient payments (copays, deductibles, coinsurance and self-pay), and there are no hourly rates. 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. CareVixis is month to month, with no long-term agreement and no minimum. The process is designed to be as frictionless as possible so you see results quickly.
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.
Mental Health Workflows, Connected
VixisMH™ is the mental-health specialty experience within the CareVixis ecosystem. It supports the clinical workflow while CareVixis connects the revenue cycle, credentialing, communications, operations and growth around it. Prefer your current EHR? Keep it. Working with CareVixis does not require a migration.