Skip to content 
Psychology Billing Services
Credex Healthcare runs psychology billing for practices across the country, and only psychology. That focus means we know the CPT codes, modifier rules, documentation standards, and payer requirements that decide whether a mental health claim gets paid or bounced back. We manage the full billing cycle from session to deposit, so the money you earned in the room lands in your account, on schedule.
Whether you practice solo or lead a multi-provider group, we build a billing setup around how your practice actually works, not a generic template.
Features
What Sets Us Apart
98.5%
First-Pass Claim Acceptance Rate Across Mental Health Payers
24-48 Hrs.
Hrs. Average Claim Submission Turnaround After Session Documentation
850+
Government & Commercial Insurance Payers
100%
Telehealth Billing Compliance Across All Active Payer Contracts
Our Story
Psychology Billing Services You Can Rely On
As a top psychology billing company, we take on a lot of the administrative work so that psychologists, psychiatric billing professionals, and rehab billing specialists can focus on taking care of patients. We confirm that the time written in the clinical note matches the code 90791 for an intake exam, 90834 for a standard psychotherapy session, or 90837 for the full 60 minutes.
There must be paperwork for each service and the right add-on, 90833, 90836, or 90838, for both the E/M service and the treatment code to be billed on the same day. It is checked that telehealth claims have the right place-of-service code and the patient location tag that the payer’s telemedicine policy calls for. When we do psychological tests under 96130 and 96131, we make sure that the time-based paperwork is correct and that presentation, score, and analysis are paid separately, not all at once.
Our psychology billing services in the USA cover the following:
Claims Submission
Claims are sent out online 24 to 48 hours after the session is recorded. The CPT codes, time-based modifiers, telehealth place-of-service codes, and ICD-10 diagnoses are checked against the clinical record, not just the intake form, before they are sent.
Payer Enrollment
Under our supervision, licensed clinical psychologists, neuropsychologists, and psychologists get credentialed and signed up with Medicare, Medicaid, and private insurers. It keeps track of authorization cycles and new panel adds as well, so payment never stops while paperwork is being processed.
Denial Management
No matter what, a denied claim gets a root-cause review within 24 hours. No matter what happened lack of time paperwork, violation of telehealth policy, medical necessity disagreement, or missing authorization we build the appeal around supporting clinical evidence and file it before the payer's deadline.
Coding & Documentation Review
Coders who are certified read session notes, test records and intake evaluations line by line. The simple goal is for the paid CPT code to match what the paperwork actually shows. This way, you can be sure that nothing chargeable gets missed during the charge-entry process.
Prior Authorization
Prior authorization requests are handled before payment is even considered. This is true whether the payer is a commercial plan or a Medicaid program. This includes requests for psychological testing, intensive therapy services, and any other type of evaluation or treatment that needs to be approved ahead of time.
Revenue Cycle Management
Benefits verification at intake, payment posting, and debt recovery the whole psychology revenue cycle happens in one place, and all claims can be seen. After 45 days, no session is left alone without someone following up on it.
PSYCHOLOGY BILLING COMPANY IN USA
Nationwide Psychology Billing Services Coverage
Payer type, state Medicaid program, telehealth policy update, each one changes what a psychology claim needs to get paid, and Credex Healthcare tracks all three. That’s how your claims land on a payer’s desk with the exact documentation and code set that payer requires, not a one-size version that works for most of them.
Medicare has its own paperwork rules, and outpatient therapy along with psychological testing both need documented medical necessity to clear. Commercial payers work differently again. What one plan covers for a telehealth psychology visit can look nothing like what the same plan pays for an in-person session, and our team stays current on exactly where those lines sit.
Medicare Psychology Billing
CMS guidelines govern how we bill outpatient psychotherapy, psychological and neuropsychological testing, and interactive complexity, including getting add-on codes 90833, 90836, and 90838 right whenever an E/M service and a therapy service land on the same date.
Medicaid Mental Health Billing
Every state runs Medicaid psychology billing a little differently, session authorization limits, which diagnoses qualify for reimbursement, managed care organization submission rules, and we manage those state-specific requirements so nothing falls through a gap between programs.
Commercial Payer Billing
Prior authorization, benefit verification, claims submission, all of it gets handled for commercial psychology services across BCBS, Cigna, Aetna, UnitedHealthcare, and regional carriers, with each payer's current mental health coverage and telehealth policy applied to the claim it actually governs.
Telehealth Psychology Billing
Telehealth psychology sessions get billed with the place-of-service code, patient location modifier, and originating-site rule that the specific payer and jurisdiction call for, keeping that revenue both compliant and actually collectible.
STATS
Psychology Billing Achievements
Psychology and Mental Health Claims Processed
Average Clean Claim Submission Turnaround
Payer Enrollment Approval Rate on First Submission
Average Denial Review and Resubmission Turnaround
PSYCHOLOGY BILLING SPECIALIST
Complete Psychology Insurance Billing Services Requirements
The Right Documentation
Claim denials rarely happen at random. Trace almost any of them back far enough and you'll land on one of a handful of specific failure points, the kind a specialist billing team catches before a claim ever leaves the practice. Credex Healthcare built a pre-submission workflow around exactly those failure points, specific to psychology billing.
NPI & Credential Verification
Before a claim goes out, we confirm that every psychologist billing under the group NPI is individually enrolled with that specific payer, that taxonomy codes are assigned correctly, and that Medicare and Medicaid enrollment records are up to date.
CPT Code Review (90791, 90834, 90837, 96130)
Each CPT code has to match the documented service time, no shortcuts. Coders confirm add-on codes get applied whenever E/M services share a billing date with therapy, and that psychological testing codes separate out administration, scoring, and interpretation the way they're supposed to.
Documentation Review
Session notes, intake evaluations, and psychological testing records all get audited against two questions: does the time-based documentation clear the threshold the CPT code requires, and do the ICD-10 diagnosis codes establish medical necessity at the specificity that payer demands?
Prior Authorization Tracking
Authorization requests for psychological testing, intensive outpatient programs, and any other service category needing pre-approval get tracked from request to approval, including session limits, so an authorized visit never turns into a denial after the fact.
Telehealth Compliance
Every telehealth psychology claim carries the correct POS code, patient location modifier, and originating site rule, and when a payer updates its telehealth policy, our submission workflow updates with it, not months later.
AR Follow-Up
Open psychology claims get tracked by payer and aging bucket through a structured AR process, and any claim that passes 45 days without payment or a formal determination triggers an escalation, automatically.
Strategic Insight
Specialized Psychology Billing Company in the USA
Think of the Credex Healthcare psychology billing suite as one system that handles the whole job, mental health billing made simpler, and revenue that actually reflects the work you did. Mental health-trained billing staff and the technology behind them keep the business side running while you keep seeing patients. Coding errors drop. Payment on therapy sessions, tests, and evaluations moves faster. And because we know how payer rules bend around time-based counseling and psychotherapy codes, you get paid for every minute you actually billed, not a rounded-down version of it.
Individual sessions, group treatment, both get handled with the same attention to the coding mistakes that trip up generalist billers. Every session type gets reimbursed on time and in full. Testing and evaluations, the higher-value, more complex services in this specialty, get documented and coded properly from the start, which is exactly what determines whether they’re paid at their full worth or written down.
Claims Submission
Claims go out with CPT codes verified against documented session time, the right add-on codes attached, and ICD-10 diagnosis coding checked for accuracy. The target is first-pass acceptance, which cuts out the revenue that time-based coding errors otherwise quietly eat.
Coding & Documentation
Professionals who code for psychology look over all of your session notes and test records to make sure that the CPT code you get paid for only includes the time and material that was recorded. This way, you get the full payment for your psychological work that you deserve.
Prior Authorization Management
We start and keep track of prior authorizations for psychological tests and specialty psychology services. This way, authorized episodes don't turn into post-service rejections, and session limits are kept an eye on for all current client authorizations.
Denial Management & Appeals
Within 24 hours, a denied psychology claim is looked at again and sorted by what caused the problem. After that, it is either fixed and sent again, or an official request is made with clinical evidence sent before the payer's limit.
Credentialing & Enrollment
We manage the credentialing processes for psychologists and licensed clinical psychologists with Medicare, Medicaid, and commercial payers. This way, a new clinician's first session can be billed right away instead of having to wait for enrolment.
Revenue Reporting & Analytics
You'll always know how much money you're making with monthly reports that break down your clean claim rate by CPT code, rejections by payer and root cause, telehealth billing performance, AR ageing, and net collections trend.
12+
Mental Health and Psychology Revenue Cycle Expertise
100%
Provider Enrollment Coverage for All Active Psychology Rosters
99%
HIPAA Compliance Rate Across All Billing Operations
Credex Healthcare, Leading Psychology Billing Company
24/7 Support
Dedicated Billing Support for Psychology Practices
100%
Customized Billing Workflows for Every Psychology Practice
Specialties We are Offering
TESTIMONIAL
What Our Psychology Clients Say About Us
Licensed Psychologist
Marsh
“I had failed to code my 60-minute therapy sessions for almost two years without realizing it. During the first week of its audit, Credex found the problem with the 90834 and 90837 codes. Fixing it made a big difference in how much money I made each month.”
Neuropsychological Testing Practice
Greer
“Credex knew how complicated neuropsychological testing codes like 96130 and 96132 could be. Our reimbursements got better, and within the first quarter, denials related to testing went from 24% to less than 5%.”
Group Therapy Practice
Connell
“Our team was too busy billing for seven clinicians on a number of Medicaid and commercial plans. Within 60 days, Credex organized enrolments, kept track of authorization limits, and fixed our old accounts receivable.”
Behavioral Health Clinic
Vivian
“Claims were turned down because the billed services did not match the treatment plans and session records. Within two billing cycles, Credex fixed our documentation workflow, trained our staff, and cut down on avoidable denials.”
Psychiatric Practice
Ellis
“It was hard for us to correctly bill for medication management and therapy services that were provided on the same day. Credex fixed our process for code and modifiers, which made clean-claim files better and helped us get back money we lost.”
TIMELINE FOR PSYCHOLOGY BILLING
How Our Psychology Billing Process Works
Step 1
Practice and Payer Mix Assessment
For a psychology practice, this step zeroes in on time-based coding accuracy, telehealth billing compliance, whether psychological testing billing is complete, and any credentialing or enrollment gap sitting open across your payer contracts.
Step 2
Credentialing and Payer Enrollment
It is made sure that each rendering provider in your practice has the right credentials and is signed up with the right payers. When a new provider or practice joins the group, they are registered right away, and we make sure that the review process is finished. Because of this, payment starts as soon as a new doctor sees their first patient, not weeks later.
Step 3
Documentation and Authorization Workflow Setup
Our team and yours work together to create documentation checkpoints that make sure that CPT time limits are met, telehealth POS codes are correct, prior authorizations for specialty services and psychological tests are tracked, and ICD-10 specificity requirements are met.
Step 4
Clean Claim Submission
It is made sure that every psychology claim has the right CPT code, the right add-on codes, the right telemedicine place-of-service and modifier codes, the right ICD-10 illness codes, and the right prior authorization connected before it is sent out online.
Step 5
Denial Management and Follow-Up
When denied psychology claims come across our desk, they are looked over and put into groups within 24 hours. Our rejection team knows the difference between time-documentation disagreements, telehealth policy violations, authorization gaps, medical necessity denials, and mistakes made by payers and solves them.
Step 6
Reporting and Ongoing Optimization
A performance report is sent to your email every month. It includes information about the number of clean claims by CPT code, rejections broken down by payer and root cause, telehealth billing performance, AR ageing by payer, and net collections trend. Then we meet with your leaders to change the payment process so that it works for every payer.
Features
Ideal Psychology Billing Services
Generalist billing operations don’t carry the specialty-specific knowledge psychology billing actually demands. Take 90837. It needs more than 53 minutes of recorded psychotherapy time on file, not a note that just calls the session therapeutic. Or take 96130, where Medicare wants the administration and interpretation components of a psychological test accounted for separately, not bundled together. Miss either one and the gap isn’t small, it can mean leaving $300 on the table per episode.
The gap between a 97% telehealth acceptance rate and a 70% one comes down to one thing: whether you know how each commercial payer in your market has changed its telehealth billing policy in the last 90 days.
Psychology-Specific Billing Expertise
Psychotherapy CPT time thresholds, psychological testing billing components, telehealth compliance requirements, Medicare mental health documentation standards, Medicaid session authorization rules across every active state program, our billing team keeps current on all of it, not just the basics.
Dedicated Account Management
A named account manager who actually knows your providers, your payer contracts, and your session mix handles your account, not a rotating queue. When a payer changes its telehealth policy or a Medicaid managed care contract updates its permission requirements, you hear about it before it touches a claim.
Transparent Monthly Reporting
Each month brings a full report: claims by CPT code, first-pass acceptance rate, denials broken down by root cause, telehealth billing performance, what payers currently owe, and the net collections trend. None of it comes without context either, plain-language explanations walk through what each number means for your practice.
HIPAA-Compliant Operations
Encrypted EHR integration, secure claim transmission, access controls on every patient record, regularly audited, that's the HIPAA-compliant environment psychology billing runs through at Credex Healthcare. Mental health records don't get a checkbox version of privacy.
GET STARTED
Improve Your Psychology Revenue: Partner with Credex Healthcare
Telehealth sessions, group therapy, time-based coding questions, whatever’s on your plate, certified billing specialists are available to support your psychology practice through it. A quick clarification or an urgent claim issue gets the same answer: call, and someone picks up.
Approved psychology practices qualify for a free billing audit, no strings attached. It covers CPT code usage, the accuracy of your time-based documentation, denial rate by payer and code group, how closely your telehealth billing follows the rules, any credentialing or enrollment gaps, and where your AR aging currently sits. Nothing is owed after the audit runs. Almost every practice that goes through one finds an income gap that closes within the first session of fixing it. The only real question left is how much longer you want to wait.
FAQs
Frequently Asked Questions
What services are included in psychology medical billing?
Psychology medical billing starts with selecting and verifying CPT codes, 90791 for a psychiatric exam being one example, and extends into the full range of revenue-cycle work that gets a clinical service actually reimbursed. That covers insurance verification, provider credential checks, prior authorization tracking, claims preparation and submission, payment posting, denial management, and following up on whatever’s still outstanding in accounts receivable.
What are the most commonly used CPT codes in psychology billing?
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.
How can psychology practices reduce claim denials?
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.
Is telehealth covered in psychology billing?
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.
articles
Our Latest Blogs
Key Takeaways Insurance payers send the PR 31 denial code to inform the provider
Key Takeaways AI and automation will become the norm in 2026, driven by healthcare practices’
Billing companies ensure compliance with HIPAA and other regulations by being legitimate and reliable. Every
Schedule A Call With Our Team Today
Fill the form and someone from our team will get back to you. Or you can also call us on (833) 477-1261.