Skip to content Credex Healthcare provides focused psychology billing services all over the United States. As a company that only bills psychology services, we know the exact CPT codes, modifier rules, documentation standards, and payer policies that guide mental health reimbursement. We handle the entire billing cycle so that the revenue from your clinical work reaches your bank account reliably and on time. This includes neuropsychological testing centers, telehealth-based psychologists, solo psychologists, and group therapy offices.
We make sure the coding is right, secure the necessary pre-approvals, and help you stay in compliance with all regulatory rules, so you can focus on caring for your patients. We offer customized billing systems to help you structure and grow, whether you work alone or as part of a larger mental health group.
First-Pass Claim Acceptance Rate Across Mental Health Payers
Hrs. Average Claim Submission Turnaround After Session Documentation
Government & Commercial Insurance Payers
Telehealth Billing Compliance Across All Active Payer Contracts
When it comes to psychology claims, we don’t just code them, send them in, and see what sticks. Because psychology billing requires it, Credex Healthcare operates in a different way. Every claim that leaves our system has been through four strict checks before it can be sent. Whether it is code 90791 (intake exam), 90834 (psychotherapy session), or 90837 (full 60-minute session), we ensure the CPT code matches the time recorded in the clinical note.
We make sure that any same-day payment for an E/M service with a psychotherapy code has the right add-on code (90833, 90836, or 90838) and that separate paperwork supports each service. We double-check that telehealth claims have the right place-of-service code, and that the patient location modifier is used as required by the payer’s telehealth policy. We also make sure that time-based documentation is full for psychological testing claims under 96130 and 96131. This includes making sure that the administration, scoring, and interpretation components of the test are billed separately and correctly.
Our psychology billing services in the USA cover the following:
We prepare and electronically submit psychology claims within 24 to 48 hours of session documentation, applying the correct CPT codes, time-based modifiers, telehealth place-of-service codes, and ICD-10 diagnosis codes, all verified against the clinical record before every transmission.
We credential and enroll psychologists, licensed clinical psychologists, and neuropsychologists with Medicare, Medicaid, and commercial payers, managing recredentialing cycles and panel additions to keep billing active and uninterrupted.
Every denied psychology claim receives a root-cause review within 24 hours. Whether the denial is due to a time-documentation deficiency, a telehealth policy violation, a medical-necessity dispute, or an authorization gap, we appeal with supporting clinical evidence before the payer's deadline.
Our certified coders audit session notes, psychological testing records, and intake evaluations to confirm that billed CPT codes match the documented service time and content, and that no billable service is left uncaptured in your charge-entry workflow.
We manage prior authorization requests for psychological testing, intensive outpatient services, and any evaluation or treatment category that requires pre-approval from commercial plans or Medicaid programs before reimbursement.
From benefits verification at intake through payment posting and AR recovery, we manage your complete psychology revenue cycle with full claims visibility, so no session ages past 45 days without active follow-up.
Credex Healthcare tracks psychology billing rules by payer type, state Medicaid program, and telehealth policy update, so your claims are always submitted with the documentation and code set that the right payer requires on the right claim.
Our team knows that Medicare has its own rules regarding paperwork, and a medical necessity is needed for outpatient therapy and psychological tests. Similarly, we are up to date on the commercial payers that have their own rules about what they will cover for telehealth psychology visits, which may be very different from what the same plan pays for in-person sessions.
We apply CMS guidelines for outpatient psychotherapy, psychological and neuropsychological testing, and interactive complexity billing, including the correct use of add-on codes 90833, 90836, and 90838 when E/M and therapy services are billed on the same date.
We manage state-specific Medicaid psychology billing requirements, including session authorization limits, covered diagnostic criteria for reimbursable services, and managed care organization submission rules that vary across state programs.
We handle prior authorization, benefit verification, and claims submission for commercial psychology services under BCBS, Cigna, Aetna, UnitedHealthcare, and regional carriers, applying each payer's current mental health coverage and telehealth policies.
We bill telehealth psychology sessions using the correct place-of-service codes, patient location modifiers, and originating-site rules for each payer and jurisdiction, keeping your telehealth revenue compliant and collectible.
Most claim denials are not random. They trace back to five specific failure points that a specialist billing team prevents before a single claim leaves the practice. Credex Healthcare eliminates all these failure points through a structured pre-submission workflow built specifically for psychology billing.
We verify that every psychologist billing under the group NPI is individually enrolled with the target payer, that taxonomy codes are correctly assigned, and that Medicare and Medicaid enrollment records are current before any claim is submitted.
Our coders confirm that each CPT code is matched to the correct documented service time, that add-on codes are applied when E/M services are billed on the same date, and that psychological testing codes reflect separate administration, scoring, and interpretation components.
We audit session notes, intake evaluations, and psychological testing records to verify that time-based documentation meets the threshold for the CPT code selected and that the ICD-10 diagnosis codes establish medical necessity at the payer's required level of specificity.
We manage authorization requests for psychological testing, intensive outpatient programs, and any psychology service category requiring pre-approval, tracking approval timelines, and session authorization limits to prevent post-service denials on authorized visits.
We apply the correct POS codes, patient location modifiers, and originating site rules to every telehealth psychology claim and update our submission workflow in real time as payer telehealth policies evolve.
AR Follow-Up
All open psychology claims are tracked through a structured AR process by payer and aging bucket, with escalation protocols for any claim exceeding 45 days without payment or a formal payer determination.
The Credex Healthcare psychology billing suite is an all-in-one solution that will make billing for mental health services easier and help you earn more. We keep your business running smoothly and making money by using cutting-edge technology and mental health-trained professionals. Our billing services cut down on mistakes in coding and speed up payment for therapy sessions, tests, and evaluations. We make sure you get paid correctly for time-based counseling and psychotherapy sessions by figuring out how to get around payer rules and securing full payment for every minute you bill.
We carefully handle claims for both individual and group treatment, avoiding common coding mistakes and ensuring that all session types are reimbursed on time and in full. Our experienced psychology solution makes sure that testing and evaluations are properly documented and coded, so that complex, high-value mental health services can be paid for as much as possible.
We submit psychology claims with verified CPT codes matched to documented session time, correct add-on codes, and accurate ICD-10 diagnosis coding, targeting first-pass acceptance and eliminating the revenue lost to preventable time-based coding errors.
Our psychology coding specialists review every session note and test record to ensure CPT codes reflect the actual documented service time and content, capturing the full legitimate reimbursement your clinical work supports.
Prior Authorization Management
We initiate and track prior authorizations for psychological testing and specialty psychology services, preventing post-service denials on authorized episodes and managing session limit tracking across all active payer authorizations.
Every denied psychology claim is reviewed within 24 hours, categorized by root cause, and either corrected and resubmitted or formally appealed with supporting clinical documentation submitted before the payer's filing deadline.
We credential psychologists and licensed clinical psychologists with Medicare, Medicaid, and commercial payers, managing recredentialing cycles and new provider enrollment to ensure every session your clinicians conduct is billable from day one.
Monthly reports cover your clean claim rate by CPT code, denial breakdown by payer and root cause, telehealth billing performance, AR aging, and net collections trend, so you always know exactly where your revenue stands.
Mental Health and Psychology Revenue Cycle Expertise
Provider Enrollment Coverage for All Active Psychology Rosters
HIPAA Compliance Rate Across All Billing Operations
Dedicated Billing Support for Psychology Practices
Customized Billing Workflows for Every Psychology Practice
Licensed Psychologist
Marsh
“I had been under-coding my therapy sessions for almost two years without knowing it. I was billing 90834 for sessions I documented at 60 minutes because nobody had ever told me the time thresholds that separate it from 90837. Credex caught the trend in the first week of the audit and fixed it from then on. I wish I had called them two years earlier because the change in income was so big.”
Neuropsychological Testing Practice
Greer
“Neuropsychological testing billing is a specialty within a specialty, and there aren’t many billing companies that know the difference between 96130 and 96132 or how to correctly bill the management parts separately. Credex got it right immediately. Our testing reimbursements improved, and our denial rate on testing claims dropped from 24% to under 5% in the first quarter. They managed our billing.”
Group Therapy Practice
Connell
“Managing billing for seven clinicians across two Medicaid managed care organizations and four commercial payers was overwhelming our front office. It was hard to keep track of because each provider had different enrollment levels and session authorization limits. Credex took it all on their own. Within 60 days, our AR aging got a lot better, and we stopped losing sessions because of permission limit overruns, which we hadn’t been keeping track of properly before.”
Telehealth Psychology Practice
Kapoor
“Since telehealth is the main part of our business, getting the POS codes and telehealth policy right is very important for our billing. When the New York Medicaid changed the rules for telehealth billing, our old billing business didn’t notice at all. Before the new deadline, Credex made the changes to our process, and since then, our telehealth claim acceptance rate has stayed above 97%.”
Practice Director
Mark
“At a community mental health center, we serve a predominantly Medicaid population, and our billing volume is high. We needed a billing partner who knew the different Medicaid session limits in each state, the diagnostic criteria, and the paperwork that was needed for court-ordered psychological exams. From the start, Credex knew what kind of payers we had, and in the first two billing cycles, our rejection rate dropped from 21% to 6%. We have really been unable to help people because of this.”
Practice and Payer Mix Assessment
For psychology practices, this assessment focuses specifically on time-based coding accuracy, telehealth billing compliance, psychological testing billing completeness, and any active credentialing or enrollment gaps across your payer contracts.
Credentialing and Payer Enrollment
We verify that every rendering provider in your practice is individually credentialed and enrolled with each payer. We start the registration process right away for new providers or group practices that want to join, and we keep track of the approval process until it is complete. This way, billing can start as soon as the new provider sees their first patient.
Documentation and Authorization Workflow Setup
We work with your clinical and administrative team to set up documentation checkpoints for meeting CPT time thresholds, making sure that telehealth point-of-sale (POS) codes are correct, keeping track of prior authorizations for specialty services and psychological tests, and ensuring that ICD-10 specificity requirements are met.
Clean Claim Submission
Every psychology claim is checked to make sure that the CPT code matches the recorded session time, that all the add-on codes are filled out, that the right telehealth place-of-service and modifier codes are used, that the ICD-10 diagnosis codes are specific, and that the proper prior authorization attachment is made before the claim is sent electronically.
Denial Management and Follow-Up
Within 24 hours of receiving them, denied psychology claims are reviewed and grouped. Our denial team can distinguish among time-documentation disputes, telehealth policy violations, authorization gaps, medical-necessity denials, and payer-adjudication mistakes. They then fix each problem.
Reporting and Ongoing Optimization
Performance reports are sent to you every month and include information on your clean claim rate by CPT code, denials broken down by payer and root cause, telehealth billing performance, AR aging by payer, and net collections trend. Every month, we review this data with your leaders and make changes to the payment process to fit each payer.
Psychology billing requires a level of specialty-specific knowledge that generalist operations simply do not maintain. At Credex Healthcare, we know that 90837 needs more than 53 minutes of recorded psychotherapy time, not just a note saying that the session was therapeutic. As our team also learns, Medicare needs separate accounting for the administration and interpretation components of a psychological test under 96130 instead of bundled reporting. This means that getting full payment or leaving $300 on the table for every episode is important.
There is a 97% acceptance rate for telehealth and a 70% acceptance rate. The difference is knowing how each business payer in your market has changed their telehealth billing policy in the last 90 days.
Our billing team maintains active knowledge of psychotherapy CPT time thresholds, psychological testing billing components, telehealth compliance requirements, Medicare mental health documentation standards, and Medicaid session authorization rules across all active state programs.
You work with a named psychology billing account manager who knows your providers, your payer contracts, and your session mix. Your account manager will let you know before it changes a claim if a payer changes their telehealth policy, or a Medicaid managed care contract changes the permission requirements.
Every month, we send each client a full report that includes the number of claims by CPT code, the first-pass acceptance rate, the breakdown of denials by root cause, the performance of telehealth billing, the amount of money owed by the payer, and the net collections trend. The report also includes plain-language explanations of what the numbers mean for your practice.
Credex Healthcare handles all its psychology billing in a fully HIPAA-compliant setting that includes encrypted EHR integration, secure claim transmission, and access controls on all patient records, which are regularly audited. Privacy is not a checkbox when it comes to mental health bills.
Our certified billing specialists are available to support your psychology practice, whether you are managing telehealth sessions, group therapy, or time-based coding. From quick clarifications to urgent claim issues, our experts are just a call away.
Credex Healthcare gives approved psychology practices a free audit of their billing. The audit examines how you use CPT codes and how accurate your time-based documentation is. It also looks at your denial rate by payer and code group, how well you follow the rules for telehealth billing, any gaps in enrollment or credentialing, and your current AR aging profile. There is no obligation after the audit, and almost every practice that does it finds an income gap that can be closed in the first session. You just need to decide how long you’re willing to wait.
Selecting and verifying CPT codes, such as 90791 for psychiatric exams, is part of psychology medical billing. Other tasks include management and revenue-cycle activities for clinical service reimbursement. It includes verifying the patient’s insurance, verifying the provider’s credentials, keeping track of prior authorizations, preparing and sending claims, posting payments, managing rejections, and following up on accounts outstanding.
In the specialty of psychology, the most popular CPT codes are for evaluations (90791), psychotherapy (90832, 90834, and 90837), and psychological tests (96130 to 96133). It is not possible to bill for both treatment and the evaluation code on the same day. There are also special codes for technicians who work with psychological testing (96136, 96137). To prove medical necessity, you need accurate ICD-10 numbers. This is especially important now that payers are auditing mental health claims more often.
Five major issues must be addressed in a psychological practice to limit claim denials and avoid audits. To support the CPT code, session notes should include specific start and end times or the total face-to-face time, verify payer credentials before patient appointments, and review psychological testing prior-authorization requirements before arranging exams. Also, check telehealth billing workflows for revised place-of-service codes and modifiers. Monthly CPT code and payer rejection patterns can reveal paperwork or payer policy difficulties.
Medicare, Medicaid, and private insurers have improved their coverage for mental health treatments through telehealth since 2020. As long as Congress doesn’t act before 2025, Medicare will let people get treatment and evaluations over the internet with certain codes. Some state Medicaid programs have made changes made during the pandemic permanent while putting other limits on the program. Different commercial insurers have different rules about mental health telehealth equity. Some will pay for it all, while others will need to be approved first. To avoid having their claims denied for coding errors, telehealth psychology offices need to know how to bill each payer.
The billing industry is rapidly evolving. By the year 2025, the system and tools used
Billing companies ensure compliance with HIPAA and other regulations by being legitimate and reliable. Every
At Credex Healthcare, we know how frustrating it is when claims are denied. That is
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