Practice Infrastructure for Psychology Practices
Psychology billing is not the same as therapy billing. Psychological testing codes, neuropsychological evaluation billing, prior authorization complexity, and the need to document services that can span multiple days require a billing partner who understands the full scope of psychology practice, not just the psychotherapy codes. CareVixis handles everything from 90832 to 96139 and everything in between.
Why Psychology Billing Requires Specialized Expertise
Psychology practices bill a broader and more complex range of services than most behavioral health providers. The coding rules, documentation requirements, and payer policies for psychological testing and neuropsychological evaluations are substantially different from therapy coding, and errors are costly.
Psychological Testing Billing Complexity
Psychological testing is billed using the 96130-96139 code family, which distinguishes between psychologist-performed services (96130, 96132, 96136) and technician-performed services (96137, 96138, 96139). Each code has specific documentation requirements about who performed the service, how long it took, and what was interpreted. A single billing error across a full testing battery can mean thousands of dollars in denied revenue. CareVixis verifies every testing claim against the documentation before submission.
Prior Authorization for Evaluations
Most commercial payers require prior authorization for psychological and neuropsychological evaluations, and the authorization process is often contentious. Payers frequently attempt to limit the number of billable hours, require peer-to-peer reviews, or deny coverage for specific test instruments. Without an experienced advocate managing the authorization process, psychologists routinely perform evaluations that are partially or fully denied. CareVixis manages the entire prior authorization process, including peer-to-peer reviews and initial denial appeals.
Mixed Service Billing Across Testing and Therapy
Psychology practices that provide both testing and therapy need to manage two completely different billing workflows under one roof. The therapy billing is time-based and uses the 90800-series CPT codes. The testing billing is service based and uses the 96100-series codes with separate time accounting. Practices that blend these two workflows without a structured billing system end up with documentation mismatches, missed services, and undercoding on some of the highest-value services they provide.
Supervision, Training, and Trainee Billing
Many psychology practices train doctoral students and pre-doctoral interns who provide services under licensed supervision. Billing for services delivered by trainees is governed by a complicated intersection of payer policies, state licensing rules, and Medicare regulations. The rules are different for each payer, and incorrect billing of supervised services can trigger audits and recoupment demands. CareVixis understands these rules and structures your billing correctly from the start.
Psychology Billing Done Right, From Day One
CareVixis understands the full scope of psychology practice billing, from the 90-minute therapy session to the five-day comprehensive neuropsychological evaluation. Every service is captured, coded correctly, and billed to its maximum allowable reimbursement.
Complete Testing and Evaluation Billing
CareVixis handles the full billing cycle for psychological and neuropsychological testing, including prior authorization, correct selection of psychologist versus technician codes, time documentation verification, interpretation and report preparation code capture, and denial management for payer attempts to limit or reduce evaluation coverage.
- Psychological testing evaluation (96130, 96131)
- Neuropsychological testing evaluation (96132, 96133)
- Psychologist test administration and scoring (96136, 96137)
- Technician administration and scoring (96138, 96139)
- Prior authorization for all evaluation services
- Peer-to-peer review management for denied authorizations
- Medical necessity documentation review before submission
Psychotherapy and Group Therapy Billing
For psychology practices that also provide individual and group therapy, CareVixis handles the complete psychotherapy billing workflow alongside testing billing. Individual therapy codes, extended sessions, group therapy billing per participant, and telehealth sessions are all captured and submitted correctly.
- Individual psychotherapy (90832, 90834, 90837)
- Extended psychotherapy (90837 plus additional time documentation)
- Group therapy per participant (90853)
- Family therapy (90846, 90847)
- Telehealth psychotherapy with correct modifiers (95, 93)
Denial Management and Appeals for Testing Claims
Insurance companies deny psychological and neuropsychological testing claims at a higher rate than most other behavioral health services. Common denial reasons include lack of medical necessity, unauthorized services, downcoding of evaluation complexity, and administrative errors. CareVixis handles every denial the same day it is received, with appeals backed by documentation of medical necessity and the published payer criteria that support coverage.
- Same-day denial identification and classification
- Medical necessity appeal letter preparation
- Peer-to-peer review coordination
- Formal level-one and level-two appeal submissions
- External review request management
Practice Reporting and Profitability Analysis
Psychology practices that mix testing and therapy services need financial reporting that separates and compares the revenue performance of each service line. CareVixis provides dashboards and reporting that show collections, denial rates, and AR aging by service type so practice owners can see exactly where revenue is coming from and where it is being left on the table.
- Revenue reporting by service type (testing vs. therapy)
- Payer performance and denial rate analysis
- AR aging by service and payer
- Per-clinician revenue reporting for group practices
- Prior authorization approval rate tracking
Complete Practice Infrastructure. One Fee.
CareVixis pricing starts at 6% of collected billing for billing services. The Complete CareVixis Solution is 8% and includes everything a psychology practice needs to run its back-office efficiently. No add-ons, no per-service fees, no surprises.
Billing and Revenue Cycle
End-to-end billing for all psychology services including testing, evaluation, therapy, and group therapy. Prior authorization management, denial appeals, AR follow-up, patient billing, and real-time eligibility verification.
Credentialing Support
Optional full credentialing and enrollment for psychologists, including behavioral health carve-out payers. Complimentary credentialing assessment for all practice partners.
EHR and Telehealth
A purpose-built mental health EHR with documentation templates for both testing and therapy services, plus a practice-branded telehealth platform. Integrate with your existing system at no extra cost.
Patient Communications
Automated appointment reminders, payment reminders, HIPAA-compliant two-way messaging, and online payment options to reduce no-shows and accelerate patient collections.
Marketing and Practice Growth
Psychology practice website, local SEO, patient acquisition campaigns, and online reputation management to build your caseload and referral pipeline.
Practice Reporting
Revenue reporting by service type, denial rate analysis, AR aging dashboards, and payer performance tracking. Separate reporting for testing and therapy service lines.
Frequently Asked Questions
Specific answers to the questions psychologists and psychology practice owners ask us most often.
Yes. CareVixis has specific expertise in psychological and neuropsychological testing billing, including the 96130-96139 code range. We understand the distinction between psychologist-administered testing (96130, 96132, 96136) and technician-administered testing (96137, 96138, 96139), the requirements for interpretation and report preparation codes, and how to document testing services to satisfy payer medical necessity requirements and avoid downcoding.
Yes. Neuropsychological evaluations are billed under the 96132 and 96133 code family for psychologist evaluation and interpretation, and 96138-96139 for technician administration. CareVixis handles the full billing cycle for these high-value evaluations, including prior authorization when required, documentation review to confirm medical necessity is established, and appeal management when payers deny or attempt to limit coverage for these services.
Many payers require prior authorization for psychological and neuropsychological testing, and requirements vary by payer and testing type. CareVixis submits all required prior authorizations, tracks approval status, manages peer-to-peer review requests when authorizations are initially denied, and ensures the supporting clinical documentation is complete and compelling. When payers attempt to limit authorized hours below what is clinically necessary, CareVixis advocates on your behalf.
Yes. Many psychology practices provide both psychotherapy and psychological testing, and the billing workflows are substantially different. CareVixis handles both within the same platform. Therapy is billed under time-based CPT codes with session duration documentation, while testing is billed using the evaluation and testing code families with their own specific time accounting and documentation requirements.
Yes. Group therapy is billed under CPT 90853 for each participant in the session. CareVixis handles group therapy billing including verification that each group member's coverage includes group therapy benefits, prior authorization where required by the payer, and correct submission of individual claims for each participant under the group therapy code.
Supervision and training practice billing is an area of significant complexity. When a licensed psychologist provides clinical supervision to a trainee who delivers services, billing depends on the payer, the nature and degree of supervision, and whether the trainee is enrolled or licensed. CareVixis understands incident-to billing rules, direct supervision requirements, and the specific payer policies that govern trainee services in psychology practices so your billing is structured correctly from the start.
How CareVixis Supports Psychology and Testing Practices
Testing practices carry a billing problem most billers never see: multi-unit, time-component codes that get downcoded or denied when the documentation does not line up.
Testing codes billed correctly
The 96130 to 96146 series is unit-based and time-based. Our billing and revenue cycle management handles the interpretation and administration components separately.
Credentialing for testing services
Some payers enroll testing separately from therapy. See credentialing and payer enrollment.
Documentation that supports the units
Testing batteries, scoring and report generation all need to reconcile with what was billed. See EHR and practice management.
When claims are denied
Medical necessity denials on testing are common and appealable. See denial management.
Let's Talk About Your Psychology Practice
Whether you are a solo psychologist focused primarily on testing, a mixed practice providing both evaluations and therapy, or a group practice with multiple providers, CareVixis has the expertise to handle your complete billing and practice infrastructure. No pressure, no obligation, just a clear conversation about what is possible.
No credit card. No obligation.