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Psychiatry & Behavioral Health

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Psychiatry & Behavioral Health

Mental Health Billing That Understands Nuance Behavioral health billing includes therapy time tracking, telehealth codes, and evolving payer requirements.

QuantumX offers:

  • Support for psychiatry, therapy, counseling, and group sessions
  • Time-based CPT codes and telehealth billing compliance
  • Prior authorisations for high-risk patients or long-term care
  • Clean claim handling for Medicaid/Medicare and private payers

 

Navigating therapy sessions, tele-health services, and evolving payer rules is complex. We provide accurate coding and billing solutions tailored to mental health services.

 

Billing Challenge QuantumX RCM Solution
Incorrect E/M Coding for Therapy (90837 vs. 90834) AI audits session notes to validate time (53+ mins for 90837) and documentation depth.
Medication Management Errors (99214 vs. 90863) Flags conflicting E/M + psychotherapy codes and enforces modifier -25.
Telehealth Compliance Gaps Auto-applies modifiers (-95, GT) + POS 02 for virtual visits (per payer rules).
Missing Collaborative Care (CoCM) Codes (99492-99494) Tracks monthly care team minutes and patient consent.
Prior Auth Denials for TMS/Ketamine Submits FDA criteria + peer-reviewed studies (e.g., TMS for TRD: F32.9 + G40.909).
Inadequate Documentation for Prolonged Services (99358) Logs non-face-to-time time (e.g., chart review, care coordination).
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