Practice Support for Licensed Therapists
LCSWs, LMHCs, LPCs, and LMFTs face a billing environment built around complexity, time-based coding, carve-out payers, credentialing gaps, and documentation requirements that trip up even experienced clinicians. CareVixis handles all of it so you can spend your time providing care instead of chasing claims.
The Challenges Licensed Therapists Face Every Day
Therapists spend years training to provide exceptional mental health care. They are not trained to be billing experts, credentialing specialists, or practice administrators, and they should not have to be. These are the specific challenges we hear from LCSWs, LMHCs, LPCs, and LMFTs again and again.
Juggling Clinical Work and Administrative Burden
A full-time therapy practice can mean 30 to 40 sessions per week. Add documentation, billing submissions, prior authorization requests, insurance follow-ups, patient billing, and credentialing renewals, and the workday stretches well past 8 hours. Therapists who try to manage all of this themselves either burn out or let revenue fall through the cracks. Usually both.
Time-Based Coding Errors and Denials
Therapy is billed by time, 30 minutes is 90832, 45 minutes is 90834, 60 minutes is 90837. The difference between these codes is not just a matter of which box you check. The documented session duration must precisely match the code billed. A session documented as 50 minutes billed as 90837 (which requires at least 53 minutes of psychotherapy) will be denied. CareVixis verifies the match before every submission.
Insurance Credentialing Complexity
Getting credentialed with insurance panels as an LCSW, LMHC, or LMFT is not just a one-time task, it is an ongoing process of applications, re-credentialing cycles, CAQH updates, and carve-out payer enrollments that most therapists were never trained to navigate. Seeing clients on a panel you are not yet credentialed with means those sessions go unpaid. CareVixis manages the entire credentialing process from initial application through ongoing maintenance.
No-Shows and Missed Revenue
In a therapy practice, a no-show is not just an inconvenience, it is a time slot that cannot be recovered. Most therapists see between 6 and 9 clients per day. Even one or two no-shows per week can cost thousands of dollars per month in lost revenue. Without automated appointment reminders and a structured communication system, no-show rates in therapy practices average 15% to 20%. CareVixis cuts that number significantly through automated reminder workflows built for therapy practices.
Built for the Specific Demands of Therapy Practice Billing
Every service in the CareVixis platform was built with therapy practice workflows in mind. We understand the CPT codes, the carve-out payers, the documentation requirements, and the credentialing complexity that define licensed therapist billing.
Revenue Cycle Built for Therapists
We handle every step of the billing cycle for licensed therapists, from verifying behavioral health benefits before the first session, through submitting correctly coded claims, through collecting from both insurance and patients. Our proprietary coding engine checks session time documentation against the billed CPT code on every claim before submission. No mismatches reach the payer.
- Time-based psychotherapy coding (90832, 90834, 90837)
- Family and couples therapy coding (90846, 90847)
- Group therapy billing (90853)
- Crisis intervention coding (90839, 90840)
- Telehealth billing with correct modifiers (95, 93)
- Behavioral health carve-out payer routing
- Prior authorization submission and tracking
- Session limit monitoring with proactive alerts
Therapist Credentialing Managed for You
CareVixis manages the full credentialing and re-credentialing process for LCSWs, LMHCs, LPCs, and LMFTs, including enrollment with behavioral health carve-out payers like Optum, Carelon, Magellan, and ComPsych that most billing companies are not equipped to handle. We track every application, every re-credentialing deadline, and every license expiration so your panel participation is never interrupted by an administrative oversight.
- Full commercial payer enrollment (Cigna, Aetna, United, BCBS)
- Behavioral health carve-out enrollment (Optum, Carelon, Magellan)
- Medicare and Medicaid enrollment by state
- CAQH profile setup and ongoing maintenance
- License and certification expiration tracking
- Complimentary credentialing assessment for all practice partners
Automated Communications That Reduce No-Shows
HIPAA-compliant automated appointment reminders sent 48 and 24 hours before each session reduce therapy practice no-show rates significantly. Add automated payment reminders, two-way secure messaging, and online payment options, and your administrative overhead drops while your collections increase. All prior consent requirements are managed by CareVixis.
- Automated appointment reminders (SMS and voice)
- Payment reminders with online payment links
- HIPAA-compliant two-way SMS messaging
- Intake form delivery and digital collection
- Session satisfaction and outcome surveys
Practice Growth and New Client Acquisition
CareVixis includes professionally designed therapy practice websites and digital marketing built to attract clients actively searching for mental health services in your area. Local SEO, patient acquisition campaigns, Psychology Today and Zocdoc optimization, and online reputation management are all included. Building your caseload is part of what we do, not a separate product you pay extra for.
- Professionally designed therapy practice website
- Local SEO for your specialty and service area
- Psychology Today and Zocdoc profile optimization
- Patient acquisition campaigns
- Online reputation and review management
Everything a Therapy Practice Needs. One Fee.
CareVixis is not a billing service that sells add-ons. Billing services start at 6% of collected billing. The Complete CareVixis Solution is 8% and covers every service listed below. One partner, one invoice, no surprises.
Billing and Revenue Cycle
Complete end-to-end billing for all therapy codes, denial management, AR follow-up every 14 days, patient billing and payment plans, and real-time eligibility verification.
Credentialing Support
Optional credentialing and panel enrollment for LCSWs, LMHCs, LPCs, and LMFTs, including all behavioral health carve-out payers. Complimentary credentialing assessment for all practice partners.
EHR and Telehealth
A purpose-built therapy EHR with session documentation templates and a practice-branded telehealth platform. Or integrate with your existing EHR at no extra cost.
Patient Communications
Automated appointment and payment reminders, HIPAA-compliant two-way SMS messaging, intake form delivery, and a business phone system for your practice.
Marketing and Practice Growth
Therapy practice website, local SEO, patient acquisition campaigns, and online reputation management to build your caseload.
Practice Reporting
KPI dashboards showing collections, denial rates, AR aging, and payer performance. Monthly reports and proactive alerts when something needs your attention.
Frequently Asked Questions
Specific answers to the questions LCSWs, LMHCs, LPCs, and LMFTs ask us most often.
Yes. CareVixis handles billing for all licensed therapist credential types, including LCSWs, LMHCs, LPCs, LPCCs, LMFTs, and similar state-specific designations. We understand the scope of practice rules that vary by license type and by payer, and we structure your billing to maximize what you can collect within your specific license and payer mix.
Licensed therapists most commonly bill time-based psychotherapy codes: 90832 (30-minute session), 90834 (45-minute session), and 90837 (60-minute session). Family therapy codes include 90847 (family therapy with patient present) and 90846 (family therapy without patient). Group therapy is billed under 90853. Crisis intervention codes 90839 and 90840 apply for acute crisis work. The documented session duration must precisely match the code billed, this is one of the most common denial triggers CareVixis prevents through pre-submission verification.
Many commercial insurance plans carve out behavioral health benefits to a separate managed behavioral health organization such as Optum, Carelon, Magellan, or ComPsych. If a claim is submitted to the medical payer instead of the carve-out, it will be denied immediately. CareVixis identifies the correct payer for every patient's behavioral health coverage before any claim is submitted and maintains current routing information for all major carve-out payers across all states.
Yes. CareVixis handles full credentialing and enrollment for licensed therapists, including with behavioral health carve-out payers that most billing companies do not know how to navigate. Credentialing is an optional add-on service, and every practice partner receives a complimentary credentialing assessment at no cost. If your credentialing is already complete, we simply verify your enrollment status and maintain it going forward.
It depends on the payer. Many commercial plans and managed Medicaid programs require prior authorization for outpatient therapy sessions beyond an initial number of visits. Some plans require authorization only for specific therapy types. CareVixis tracks prior authorization requirements for every payer in your mix, submits authorizations proactively, monitors session limits, and alerts your practice before limits are reached so care is never interrupted by an administrative oversight.
CareVixis includes HIPAA-compliant automated appointment reminders by SMS and phone as part of the standard platform. Reminders sent 48 hours and 24 hours before each session reduce no-show rates significantly. For therapy practices where a single no-show represents a complete loss of that time slot's revenue, this feature alone often pays for a substantial portion of the CareVixis fee. All consent requirements are handled by CareVixis in compliance with TCPA and HIPAA regulations.
How CareVixis Supports LCSWs, LMHCs, LPCs and LMFTs
Therapy practices lose the most revenue to time-based coding errors, session limits and authorizations that quietly expire. These are the three areas we take off your desk.
Billing built on the time thresholds
90832, 90834 and 90837 are separated by documented minutes. Our billing and revenue cycle management is built around that, not adapted to it.
Panels that stay open
Getting on a panel is one job. Staying on it is another. See credentialing and payer enrollment.
Keep your notes where they are
If your current system works, keep it. See EHR and practice management for how the billing layer connects either way.
Deeper reading
Our mental health billing guide covers codes, claims, denials and payer rules in detail.
Let's Talk About Your Therapy Practice
Tell us about your practice, your license type, your payer mix, and what you are running into right now. No sales pressure. No obligation. Just a straight conversation about whether CareVixis is the right fit, and an honest answer either way.
No credit card. No obligation. Just clarity about what is possible for your practice.