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Private Practice RCMTherapy Billing
Therapy Billingfor Private Practices
More session time. Less paperwork. More revenue.
Reclaim your clinical hours and maximize practice revenue with automated billing, proactive authorization tracking, and specialized telehealth compliance. Revix MD acts as your virtual back office — logging directly into your existing EHR to secure your earned income while you focus on patient outcomes.
By the Numbers
Private Practice Performance Benchmarks
How the average solo or small therapy practice compares against the Revix MD standard.
Matrix
Solo / Small Practice Avg.
Revix MD Advantage
First-Pass Clean Claim Rate
78%
97.4%
Days in A/R (Therapy)
45 – 65 Days
< 25 Days
Denial Overturn Rate
35%
99.1%
Authorization Tracking
Manual / Inconsistent
Automated. 100%
Your Virtual Back Office
We Work Inside Your EHR Not Outside It
Revix MD’s billing specialists log directly into SimplePractice, TherapyNotes, or TheraNest the same way your front desk does. No data migrations, no parallel systems, no lost context. You keep the software you already trust — we make it work harder.
The Three Pressure Points
Navigating the Complexity of Psychotherapy Billing
Time-Based CPT Thresholds
Payers enforce precise minute thresholds for psychotherapy. We ensure your documentation for 90834 (38–52 min) and 90837 (53+ min) includes exact start/stop times and medical necessity narratives to withstand “upcoding” audits.
NPI Hierarchy & Group Practice Scaling
Whether you’re a solo LLC or a multi-clinician group, we map your Individual Type 1 NPI and Group Type 2 NPI. Box 33a and Box 24J on your CMS-1500 stay perfectly synchronized — preventing the “Provider Not Recognized” denials that stall growth.
Telehealth Place-of-Service Accuracy
We append the correct modifiers (such as 95 or 93) for POS 02 and POS 10 (Patient’s Home) services so claims align with each payer’s current telehealth policy — preventing the “Invalid POS” rejections that surge as COVID-era waivers expire.
Specialty-Specific Patterns
Including modifiers and crisis add-ons
Every Therapy Code We Manage
90791
Psychiatric Diagnostic Evaluation (Initial Intake)
90832
30-Minute Psychotherapy
90834
45-Minute Psychotherapy
90837
60-Minute Psychotherapy
90846
Family Therapy (Without Patient)
90847
Family Therapy (With Patient)
90853
Group Psychotherapy
90839
Crisis Psychotherapy
90840
Crisis Add-on Session
+ More
Modifiers, add-ons & specialty codes
Four Core Solutions
Core Therapy Revenue Cycle Solutions
01
Eligibility Verification & Payer Carve-Out Management
Mid-month insurance changes cause most “patient owes” surprises. We perform proactive eligibility checks and navigate complex behavioral health carve-outs, confirming coverage before the session so copay and deductible collections are accurate.
Optum / UHC BehavioralCarelonMagellanEvernorth
02
Proactive Authorization & Session-Limit Tracking
We implement a proactive alert system for managed care authorizations. By tracking session caps (such as 12 or 20 visits), we ensure you never provide a session that hasn’t been pre-authorized eliminating “Exceeded Benefit” rejections.
03
Out-of-Network & Payer-Ready Superbills
For private-pay or hybrid practices, we remove the administrative weight of superbills. We automate the generation of accurate, payer ready superbills or submit OON claims directly — reducing client friction and increasing your practice’s perceived value.
04
Patient Billing & Statement Management
Therapists shouldn’t have to be debt collectors. We manage patient statements, payment plan coordination, and balance billing — ensuring high-deductible plans are managed transparently so you aren’t chasing fees months after the session.
Schedule a 15-Minute Private Practice Consultation
Practice Integrity
Audit-Proof Compliance & Practice Integrity
We act as your practice’s final line of defense against payer recoupments and regulatory hurdles — integrating compliance into every step of the revenue cycle.
Reclaim Your Time
You Trained to Help People Not to Chase Claims
The average solo therapist spends 6–9 hours per week on billing, eligibility checks, and authorization paperwork. That’s a full day of clinical hours lost — or worse, a full day of personal time consumed.
We give it back. Our team handles the entire revenue cycle in the background so you can show up fully present for your clients.
30-Day Transition
Seamless 30-Day Transition Timeline
A phased onboarding designed to recover revenue while integrating quietly behind your existing tools.
Phase One
Workflow & Audit
Deep-dive audit of your current therapy coding and aging A/R. We identify revenue leaks within seven days.
Phase Two
Secure EHR Sync
Our team plugs into your platform — Simple Practice, TherapyNotes, or TheraNest — through encrypted connections.
Integration
Configuration Optimization
Custom coding rules and session-tracking alerts are built into your billing layer for clean first-pass claims.
Phase Four
Revenue Recovery
An A/R recovery project tackles unpaid or abandoned claims from the last six months to reclaim earned income.
A Team Built for Behavioral Health
Specialized Therapy Billers Not Generalists
Every member of your dedicated Revix MD pod has been trained specifically on behavioral health coding, parity law, and the unique workflows of psychotherapy practices. We don’t service primary care on Tuesday and therapy on Wednesday — therapy is what we do.
Reclaim Your Clinical Hours
Get Your Free Therapy Billing Audit
We’ll review your last 90 days of claims, denial patterns, and authorization workflow — and show you exactly where your private practice is leaving money on the table.
FAQs
Do you work with Simple Practice, Therapy Notes, or Thera Nest?
Yes. Revix MD specializes in working directly within your existing software. We eliminate the need for messy data migrations by integrating our experts into your current digital workflow.
How do you charge for your services?
We offer a transparent, percentage-of-collections model. This aligns our success with yours — we only get paid when you get paid. There are no hidden per-claim flat fees.
Can you help with billing for pre-licensed associates or interns?
Yes. We navigate the specific rendering vs. supervising provider requirements that vary by state and payer, allowing your group practice to scale safely and compliantly.
How do you handle "No-Show" or "Late Cancellation" fees?
While insurance does not cover no-shows, we manage the patient billing process to ensure your office policies are enforced and collected — protecting your valuable clinical time.
How do you handle Out-of-Network (OON) superbills?
We automate the generation of accurate superbills for your patients or submit OON claims directly to the payer — reducing friction for your private-pay clients and increasing your practice’s perceived value.