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Mental Health Billing That Understands Nuance Behavioral health billing includes therapy time tracking, telehealth codes, and evolving payer requirements.
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). |
| Let’s Talk |