Mental health, therapy and psychiatry billing
Some payers watch how often a practice bills 90837. If the share looks high, they ask for session start and stop times months later and take back payment on notes that do not show 53 minutes. Nothing gets denied up front.
Twenty minutes. If your current billing is in good shape, we will tell you that.
Pull the last ninety days of sessions and find what share were billed as 90837. Then open five of those notes and check that each one shows a start time and a stop time that add up to at least 53 minutes.
The basics, since you will check anyway
Your lead biller is US based and has 8 to 15 years of billing experience, with a support team behind them. Invoisync has been doing this for 9 years.
Most of that comes from work nobody was doing: claims never submitted, denials never worked, and payments under the contracted rate.
We sign a Business Associate Agreement at onboarding. We work inside the EHR you already use, with nothing to install, and your data stays yours.
Contract renegotiation is an additional service we provide to new clients at no charge, as a way to raise what you are paid for the work you already do.
Each one leaves your reports looking healthy.
Timed codes paid without question, then recouped months later on an audit of the documentation.
The appointment happened and the note exists. The claim was never built, so nothing came back denied.
The payer's fee schedule says one number and the remittance says another. Nobody reconciles the two.
A client kept running long on follow-up visits. The schedule said one thing, the claim numbers said another, and the two never lined up. Our team asked about the gap.
The practice had been providing a service they did not know was covered. It was documented in the notes every time. It had never been submitted. We filed retroactively and it kept paying going forward. The level of care they wanted to provide stopped being a time cost, and growth became an option.
Step one
You check it yourself. The self-check above takes one report and about ten minutes. You do not need us for that part and you do not have to tell us what you found.
Step two
Twenty minutes on the phone. You tell us what you found and what you run on. We tell you what we would expect to find underneath it and what it takes to fix.
Step three
If you move, payer contract renegotiation is part of onboarding, at no separate fee. Rates set back when the practice was smaller are usually the second thing we find.
Not one of these is unreasonable, and how long the answers take is the answer.
What share of our sessions last quarter were billed as 90837, and is that likely to draw an audit?
Do our notes support the time on every timed code we bill?
Of the denials from the last ninety days, how many have had no activity in the last thirty?
Which payers changed their behavioral health rules this year, and what did we change?
When did someone last compare our remittances to our contracted rates?
Can you hand me a list of every open denial and what has been done to it?