Your Sessions Were Delivered. Were They All Paid?
Getting a claim out the door is not the same as getting it paid correctly. Mental health billing and revenue cycle management, built specifically for behavioral health practices.
For therapists, LCSWs, LMHCs and LPCs, LMFTs, psychologists, psychiatrists and PMHNPs, in solo and group practice.
Behavioral health billing is its own discipline: its own codes, payer structures, authorization limits and documentation rules. CareVixis was built for it.
We look first, agree the measures with you, then guarantee. Details below.
See Guarantee TermsFirst We Look. Then We Measure. Then We Guarantee.
We don't make a performance promise before we've seen how your practice actually runs. We review your billing, revenue cycle and related operations, establish where you stand today, and agree the measures with you. If your practice qualifies, we put our fees behind our recommendations.
If we can't identify and document at least $500 in measurable financial opportunity in your first 30 days, we'll add $500 to your CareVixis Growth Account, a service credit toward eligible CareVixis services. It has no cash value.
If we don't achieve the improvement we agreed with you within your first 90 days, we'll refund the eligible CareVixis fees you paid for the guarantee period.
No sales pitch. No obligation. No BS.
Not every practice qualifies. See Guarantee Terms
Why I Built CareVixis Around Mental Health Practices
A 90-second look at why the conversation starts with your practice, not ours.
What a Practice Assessment Uncovered for One Behavioral Health Partner
Collected for Mindfulife, a Behavioral Health Practice
Mindfulife's billing looked fine. Claims went out, money came in, no denial spikes.
The assessment found claims aged past 90 days with no follow-up, some closed too early, some denied with no appeal filed.
In the first month, CareVixis collected more than $13,000 of claims a previous biller had effectively written off. Sessions already delivered, already billed, never collected.
Pick a Time That Works for You
Choose a time that works for you. This conversation is free, fully confidential, and focused entirely on your practice. Please do not submit patient names, insurance information, or any protected health information when scheduling.
Why Behavioral Health Billing Requires a Specialist
General billers underperform on behavioral health because they do not know the code structures, payer rules and documentation standards.
For a full breakdown of the behavioral health billing landscape, read our complete guide to mental health billing.
Time-Based CPT Coding
Mental health CPT codes are time-based. 90834 (45 minutes) versus 90837 (60 minutes) depends entirely on documented duration. We verify documented time against the billed code on every claim.
Psychotherapy Add-On Codes
90833 and 90836 let prescribers bill psychotherapy during an E/M visit. Routinely missed revenue. We pair the add-on correctly and make sure the documentation supports both services.
Behavioral Health Carve-Out Payers
Many plans carve behavioral health out to an MBHO: Optum, Carelon, Magellan, ComPsych. Wrong payer means automatic denial. We identify the right one before submitting.
Prior Authorization and Session Limit Tracking
Behavioral health payers impose session limits and prior authorization that medical services do not. We track authorization status and session counts before each appointment, and renew proactively.
DSM-5 to ICD-10-CM Diagnostic Coding
A DSM-5 diagnosis can map to several ICD-10 codes, and the wrong one triggers a medical necessity denial. Our coding engine picks the right one every time.
Telehealth Billing for Therapy
Telehealth needs the right place-of-service code (02, or 10 for audio-only from home) and modifier (95 audio-visual, 93 audio-only). We track every payer's current policy.
Every Step of the Billing Cycle, Handled
The complete revenue cycle, owned end to end. Nothing passed to a third party or left for your front desk.
Eligibility and Benefits Verification
Verified before the appointment, not after. We identify the correct behavioral health payer and confirm coverage, session limits, deductibles, co-pays and authorization requirements, contacting the MBHO directly when needed.
Charge Capture and Coding Optimization
Every session note is checked before the claim goes out: documented service against billed CPT, time documentation, modifiers, and ICD-10 against medical necessity criteria.
Claims Submission and Clearinghouse Processing
Submitted electronically, with clearinghouse responses monitored and rejections corrected before they reach the payer. A rejection caught early never becomes a denial.
Denial Management and Appeals
Worked the day they arrive. We identify the reason, decide between a corrected claim and a formal appeal, and our standard is to submit it the same day with the supporting documentation.
AR Follow-Up and Aging Management
Every open balance followed up on a set cycle. We contact payers, escalate stalled claims and spot payer-level patterns. No balance sits while its filing window closes.
Patient Billing and Payment Collection
High deductibles and co-insurance make patient balances a big share of revenue. We run statements, payment plans, reminders and online payments, so your team never makes a collections call.
Payment Posting and Reconciliation
Every EOB and ERA posted accurately, reconciled against contracted rates, with underpayments flagged and disputed. Underpayment recovery is commonly overlooked.
Financial Reporting and Revenue Analytics
Dashboards for collections, denial rate, AR aging, payer performance and code-level revenue, with per-clinician reporting for group practices.
Mental Health CPT Codes CareVixis Bills
The core codes we bill, and the documentation that decides which one is correct.
90832 / 90833
30-minute individual psychotherapy (90832) or as add-on to E/M (90833). Requires documented face-to-face time of 16-37 minutes of psychotherapy.
90834 / 90836
45-minute individual psychotherapy (90834) or as add-on to E/M (90836). Requires documented face-to-face time of 38-52 minutes of psychotherapy.
90837 / 90838
60-minute individual psychotherapy (90837) or as add-on to E/M (90838). Requires documented face-to-face time of 53 or more minutes of psychotherapy.
90839 / 90840
Psychotherapy for crisis: 90839 (first 60 minutes) and 90840 (each additional 30 minutes). Requires documentation of the crisis state, clinical decision-making, and direct involvement in stabilization.
90847 / 90846
Family psychotherapy with patient present (90847) or without patient present (90846). Payer coverage varies significantly and some plans do not cover 90846 independently.
90853
Group psychotherapy (not family). Billed per patient, not per session. Requires documentation identifying each group participant and the therapeutic intervention provided.
CareVixis also bills psychological testing codes (96130-96146), psychiatric evaluation codes (90791, 90792), interactive complexity add-on (90785), and the full range of inpatient and partial hospitalization psychiatric codes. If it is within your scope of practice, we bill it correctly.
The Most Common Mental Health Billing Denials, and How We Prevent Them
Most are preventable. We fix the root cause, not just the claim.
Wrong Payer, Carve-Out Routing Error
The most common behavioral health denial. We identify the correct carve-out payer during eligibility verification, before any claim is submitted.
Missing or Expired Prior Authorization
We track authorization status and expiration dates and renew before they lapse. Sessions past the authorized number are near impossible to overturn.
Time Documentation Mismatch
Bill 90837 on a note documenting 40 minutes and the claim is denied or flagged. We cross-check documented time against the billed code on every claim.
Medical Necessity Denial
Usually the ICD-10 code does not meet the payer's criteria, or the documentation does not support continued treatment. We align both before submission and appeal when needed.
Mental Health Billing Questions
Answers to the most common questions about behavioral health billing and how CareVixis handles it.
CareVixis bills the full range of behavioral health CPT codes: individual psychotherapy (90832, 90834, 90837), crisis psychotherapy (90839, 90840), psychotherapy add-on codes (90833, 90836, 90838), group therapy (90853, 90849), family therapy (90847, 90846), psychiatric evaluations (90791, 90792), interactive complexity add-on (90785), and psychological testing codes (96130-96146). We also handle E/M codes for psychiatrists and PMHNPs and all telehealth equivalents.
CareVixis identifies the correct behavioral health payer for every patient during the eligibility verification step, before any claim is submitted. We contact the MBHO directly when behavioral health benefits are carved out from the commercial plan and confirm exact payer routing, coverage details, and any authorization requirements. Optum, Carelon, Magellan, ComPsych, and all other major MBHOs are included in our standard process.
Denials are worked the day they arrive. Our process identifies the root cause and determines whether the correct response is a corrected claim or a formal appeal, then submits immediately. All open AR is followed up on a set cycle. Mental health payers have specific appeal windows and documentation requirements that vary by payer, missing those windows means writing off revenue that could have been collected. Tracking those windows per payer is part of the process.
Yes. CareVixis tracks prior authorization requirements and session limits for every active patient. We submit authorization requests proactively before the existing authorization expires or before session limits are reached. Your practice receives alerts when any patient is approaching a session limit so care planning can account for the payer's coverage rules. This is one of the most important, and most commonly neglected, aspects of behavioral health billing management.
CPT 90833 is the psychotherapy add-on code for individual psychotherapy performed during an office or outpatient E/M visit. CPT 90836 is the same add-on for psychotherapy performed during an inpatient or observation E/M visit. Both require the E/M service and the psychotherapy to be separately identifiable services documented in the clinical record. They are billed as add-ons to the primary E/M code, never as standalone codes. CareVixis correctly pairs these with the appropriate E/M code on every qualifying visit.
Yes. CareVixis bills individual therapy (90832, 90834, 90837), group therapy (90853, 90849), family therapy (90847, 90846), and couples therapy. Group psychotherapy is billed per patient per session, which means each group participant generates a separate claim. CareVixis handles the documentation and billing for every session type and verifies payer-specific coverage restrictions before submitting group or family therapy codes that some payers cover on a limited basis.
More Mental Health Practice Solutions
Billing is just one piece of the practice. CareVixis covers everything your behavioral health practice needs.
Mental Health Credentialing
Credentialing gaps mean lost revenue. CareVixis manages enrollment with all payers, including behavioral health carve-out organizations that most billing companies cannot navigate.
Credentialing details →Denial Management
Deep dive into how CareVixis identifies, appeals, and prevents the most common behavioral health denial categories.
Denial management details →Mental Health Billing Guide
Comprehensive article covering the full landscape of behavioral health billing: codes, payers, denials, and documentation requirements.
Read the full guide →How to Reduce Claim Denials
Practical strategies for preventing denials before they happen and keeping preventable errors out of your claim submissions.
Read the article →Billing Service vs. In-House Team
A side-by-side comparison of outsourced billing versus hiring an in-house billing team, including cost analysis and performance benchmarks.
Read the comparison →Auditing A/R by Age
An aging report sorts balances by how old they are, which tells you where to look but not what went wrong. How to re-sort the same money by cause.
Read the guide →Percentage of Which Collections?
Two billing companies can quote the same percentage and charge materially different amounts. The four bases in use, and the questions that make quotes comparable.
Read the article →Before You Hire a Billing Company
Twelve questions covering money, scope, accountability and exit, worth asking of every company on your list.
Read the article →We Don't Just Fix Rejected Claims. We Find Out Why They Happened.
Our Claim Root Cause Analysis finds the cause of a rejection, corrects the process behind it and not just the claim, then tracks whether it recurs.
Happy With Your EHR? Keep It.
Keep your EHR. We work inside Veradigm, Tebra/Kareo, Greenway Health and NextGen, and across Optum/Change Healthcare, Availity, Waystar, Cognizant TriZetto, Experian Health, Office Ally, Claim.MD, SSI, Inovalon, Stedi and PNT Data.
We take the revenue cycle off your desk and leave the rest alone. Keeping what you have is a supported outcome, not a compromise.
No sales pitch. No obligation. No BS.
Ready to Fix Your Behavioral Health Billing?
Fifteen minutes. We will review your billing setup and show you where revenue is being lost.
No credit card. No obligation.
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.