Billing Insights for Mental Health Practices

Denial Management

5 Common Reasons Mental Health Claims Get Denied (And How to Fix Them)

Denials drain time and revenue from every practice. Here are the five most common causes we see — and the simple process fixes that prevent them.

May 18, 20266 min read
Billing Basics

CPT Codes Every Therapist Should Know: 90791 vs. 90837

Two of the most-used codes in mental health billing, explained in plain English — what they mean, when to use them, and how payers treat them differently.

May 10, 20264 min read
Insurance Verification

How to Verify Insurance Benefits Before a Client's First Session

A step-by-step look at what insurance verification actually involves, and why doing it before the first appointment saves both you and your client from surprise bills.

April 28, 20265 min read
Billing Basics

In-Network vs. Out-of-Network Billing: What Solo Therapists Need to Know

The decision to join insurance panels affects everything from your rates to your billing workload. Here's how to think about the tradeoffs.

April 15, 20267 min read
Credentialing

Credentialing 101: How Long Does It Really Take?

Credentialing timelines are one of the most common sources of frustration for new practices. Here's a realistic look at what to expect from each major payer.

April 2, 20265 min read
Operations

Why Daily Claim Submission Beats Monthly Batching

Submitting claims once a month feels manageable, but it quietly costs practices money. Here's the math on why daily submission wins.

March 22, 20264 min read
Payment Posting

Reading Your EOB: A Plain-English Guide for Therapists

Explanation of Benefits documents are dense and full of jargon. Here's how to read one in under five minutes — and what to actually pay attention to.

March 8, 20265 min read
Compliance

A HIPAA Compliance Checklist for Outsourced Billing Partners

If you're considering outsourcing your billing, here's what to look for to make sure your patients' data — and your practice — stay protected.

February 20, 20266 min read
Billing Basics

CPT Codes for Mental Health Billing: A Complete Guide for Therapists (2025)

A detailed breakdown of every CPT code used in outpatient therapy — exact session-time thresholds, documentation requirements, and the coding mistakes most likely to trigger audits and denials.

June 10, 202610 min read
Credentialing

How to Get Credentialed with Insurance as a Solo LCSW or LPC in Delaware

A step-by-step guide to credentialing with the major health plans in Delaware — including Highmark BCBS, Aetna, Cigna, United Healthcare, and DMAP — with realistic timelines and the mistakes that delay approval.

June 5, 20269 min read
Billing Basics

Superbill vs. Direct Insurance Billing: What Solo Therapists Need to Know

The choice between superbills and direct billing shapes both your revenue and your accessible patient base. Here is how each model works and a clear framework for deciding which fits your practice.

May 28, 20268 min read
Denial Management

The Most Common Mental Health Insurance Claim Denials — and How to Fix Them

A denial rate above 10% signals a systematic problem in your billing workflow. Here are the most common mental health claim denials, what causes each one, and exactly how to address them.

May 22, 20269 min read
Operations

Should You Outsource Your Mental Health Billing? (Pros, Cons & What to Look For)

For most solo therapists spending more than a few hours a week on claims, the financial case for outsourcing is usually clear. Here is how to evaluate the decision honestly and what to look for in a billing company.

May 15, 20268 min read
Compliance

Delaware Medicaid Mental Health Billing: What Therapists Need to Know

Delaware Medicaid runs on two parallel tracks — DMAP fee-for-service and Highmark Health Options managed care — and routing claims to the wrong one is the most common billing mistake Delaware therapists make.

May 8, 20269 min read