Practice-Branded Telehealth for Mental Health Providers
Telehealth is not just a video platform. For mental health practices, it is a clinical care delivery system that requires HIPAA compliance at every layer, correct billing with the right place-of-service codes and modifiers, state licensing compliance for out-of-state patients, and a patient experience that carries your brand, not a third-party vendor's. CareVixis provides all of it, fully integrated with your billing. Included in CareVixis pricing.
Why Telehealth Billing for Mental Health Is Not Simple
Every telehealth session generates a claim that must include the correct procedure code, the correct place-of-service code, and the correct modifier, and these requirements vary by payer, by session type, by state, and by coverage year. Getting any element wrong results in a denial. CareVixis tracks every payer's current telehealth policy and applies the correct billing elements on every telehealth claim automatically.
Modifier 95 vs Modifier 93
Modifier 95 applies to real-time audio-visual telehealth sessions. Modifier 93 applies to audio-only (telephone) sessions. Using the wrong modifier results in a denial. More importantly, many payers cover audio-visual telehealth but do not cover audio-only, or cover them at different rates. CareVixis verifies coverage type before each session type is billed and applies the correct modifier automatically.
Place-of-Service Code Requirements
Telehealth claims require a place-of-service code that reflects where the patient receives the service, not where the provider is located. POS 02 is used for telehealth provided at a location other than the patient's home. POS 10 is used for telehealth provided at the patient's home. The distinction matters for reimbursement rates at many payers, particularly Medicare, which reimburses POS 02 and POS 10 differently for behavioral health services.
Payer-Specific Telehealth Coverage Policies
Telehealth coverage for behavioral health is not uniform across payers. What Cigna covers may differ from what Aetna covers, which may differ from what Optum Behavioral Health covers for the same patient's plan. Payer telehealth policies for behavioral health have also continued evolving since the public health emergency flexibilities ended. CareVixis maintains a current policy database for every payer in your mix and bills accordingly.
State Licensing for Out-of-State Patients
A therapist licensed in Florida cannot legally provide telehealth therapy to a patient physically located in another state unless the therapist also holds a license in that state (or the state participates in an applicable interstate compact). CareVixis tracks where patients are located during telehealth sessions and flags licensing compliance issues before they become regulatory problems. Crossing state lines without the correct license is a licensing board violation, not just a billing issue.
What the CareVixis Telehealth Platform Includes
The CareVixis telehealth platform is more than a video call link. It is a full care delivery environment built for therapy and psychiatry practices, integrated with your scheduling, your EHR, and your billing system.
Practice-Branded Video Sessions
Your patients join sessions through your branded waiting room: your practice name, your logo, and your domain. They see no reference to CareVixis or any third-party vendor. The session interface is clean, professional, and carries your identity. A practice-branded experience builds trust with patients and reinforces your practice's relationship with them rather than introducing a vendor into the middle of it.
HIPAA Compliance at Every Layer
Video transmission is end-to-end encrypted. Session data is stored in US-based data centers with encryption at rest. Patient scheduling information and session records are protected under the CareVixis Business Associate Agreement. No session is recorded without explicit patient consent and documented authorization. The platform meets all HIPAA technical safeguard requirements for electronic protected health information.
Scheduling Integration
Telehealth appointments are scheduled through the same scheduling workflow as in-person appointments. When a patient schedules a telehealth session, they automatically receive their session link, intake forms, and pre-session instructions. No separate link generation or manual sending required. The scheduling system tracks session type (in-person vs telehealth vs audio-only) and passes that information to billing so the correct claim elements are applied.
Integrated Telehealth Billing
Every telehealth session generates a claim automatically with the correct CPT code, place-of-service code, and modifier - 95 for audio-visual or 93 for audio-only. The billing workflow knows the session was a telehealth visit because the scheduling system flagged it. No manual modifier entry. No chance that a telehealth session is billed as an in-person visit or vice versa. The billing is as automated as the technology permits and verified by our team before submission.
Secure Patient Messaging
HIPAA-compliant secure messaging between providers and patients. Use secure messaging for pre-session check-ins, homework instructions, safety planning, and follow-up communication that is clinically appropriate outside of sessions. Unlike standard email or text, secure messaging is encrypted and logged in the patient record. All messaging requires patient consent documentation.
State Licensing Compliance Guidance
CareVixis tracks which states your providers are licensed in and provides guidance when a patient's physical location during a telehealth session creates a potential licensing compliance issue. Interstate compacts for mental health (including the Counseling Compact, MFT Compact, and Psychology Interjurisdictional Compact) are tracked so practices know which states offer compact coverage and which require independent licensure.
Telehealth Requires Billing Expertise, Not Just a Video Link
Many practices use a standalone telehealth platform and then struggle with billing telehealth sessions correctly because the platform and the billing system are separate. CareVixis integrates both so neither is done in isolation.
Video Technology
A video platform alone gives you a way to see patients remotely. It does not track payer-specific telehealth coverage, apply the correct billing modifier, or monitor state licensing compliance for each session. The technology is the starting point, not the full solution.
Billing Integration
CareVixis connects the session scheduling information directly to the billing workflow. The system knows the session was telehealth, knows whether it was audio-visual or audio-only, knows the patient's payer, and applies the correct place-of-service code and modifier without any manual step.
Policy Monitoring
Telehealth billing policies have changed repeatedly over the past several years and continue to evolve. CareVixis monitors every payer's current telehealth coverage policy and updates billing workflows as policies change, without requiring your practice to track or implement those changes.
Compliance Oversight
State licensing requirements for telehealth are a regulatory matter, not just a billing matter. CareVixis flags potential cross-state licensing issues before they become violations, tracks interstate compact participation by state, and helps practices think through licensing strategies for serving patients who have relocated.
Telehealth Questions for Mental Health Practices
Answers to the most common questions about telehealth technology and billing for therapy practices.
Modifier 95 applies to real-time audio-visual telehealth sessions, video calls where both parties are present simultaneously. Modifier 93 applies to audio-only (telephone) sessions. The place-of-service code is equally important: POS 02 for telehealth where the patient is at a location other than their home, and POS 10 for telehealth where the patient is at their home. CareVixis applies the correct modifier and POS code for every telehealth claim based on the session type and each payer's current coverage policy.
Yes. The CareVixis telehealth platform is HIPAA compliant at every layer. Video transmission is end-to-end encrypted. Session and scheduling data is stored in US-based data centers with encryption at rest and in transit. CareVixis maintains Business Associate Agreements with all practice partners. No session is recorded without explicit patient consent. The platform meets all HIPAA technical safeguard requirements for electronic protected health information in a telehealth context.
Yes. The CareVixis telehealth platform is practice branded. Your patients see your practice name, your logo, and your domain, not a third-party vendor. The waiting room, session interface, and patient-facing communications all carry your brand. This matters clinically because patients in therapy have a specific therapeutic relationship with your practice, and introducing a third-party vendor into the interface disrupts that relationship. Your brand belongs in front of your patients.
Yes, in most cases. For most mental health license types, you must hold an active license in the state where the patient is physically located during the telehealth session, not where your practice office is located. Exceptions exist through interstate compact agreements: the Counseling Compact, the MFT Compact, and the Psychology Interjurisdictional Compact (PSYPACT) each allow qualifying providers to practice across compact member states under specific conditions. CareVixis tracks compact membership by state and flags sessions where a licensing compliance issue may exist.
No. Audio-only telehealth coverage for behavioral health varies significantly by payer and by state. Many commercial payers that cover audio-visual telehealth do not cover audio-only sessions for mental health, or cover them at a reduced reimbursement rate. Medicare covers audio-only behavioral health services under specific conditions and rate structures distinct from audio-visual telehealth. CareVixis tracks each payer's current audio-only coverage policy and bills accordingly, including flagging cases where the patient's plan does not cover the audio-only session before the session occurs when possible.
More Mental Health Practice Solutions
Mental Health EHR
Telehealth integrates with the CareVixis EHR so session documentation and billing are connected in a single workflow.
EHR details →Mental Health Billing
Telehealth billing is only one part of a complete revenue cycle. See how CareVixis handles the full billing process for behavioral health practices.
Billing details →Telehealth Reimbursement Guide
Read our article on emerging telehealth reimbursement changes and how they affect mental health billing.
Read the article →Add Telehealth to Your Practice the Right Way
Not just a video link, a complete telehealth operation with practice branding, billing compliance, and HIPAA protection built in. Start with a free practice assessment and see how it fits into what you are already doing.
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