Billing for therapists & counselors
Billing services for therapists and counselors
Insurance billing for LCSWs, LPCs, LMFTs, LMHCs and group therapy practices. We submit your sessions, follow every unpaid claim and explain client balances, so your evenings are yours again.
Prefer to talk? Call (817) 396-6663
- Solo & group practices
- Telehealth sessions
- Superbills & out-of-network
Sound familiar?
You became a therapist, not a claims department
You finish your last session, write notes, then open your billing queue. A claim rejected for a missing authorization number. An ERA that doesn’t match what you expected. A client asking why their deductible applied again in January.
Insurance makes your practice accessible to more clients, but it also adds hours of unpaid admin each week. Many therapists respond by dropping panels, which narrows who they can see.
We take that work on. You document your sessions in your EHR as usual. We submit claims daily, work every denial, track session limits and authorizations, answer client billing questions and send you a clear monthly summary.
Where revenue gets stuck
What we take off your plate
Daily claim submission
Sessions billed as soon as notes are signed, with the right code for the documented time.
Benefits & limits
Coverage, copays, deductibles and session limits checked before intake.
Denials & resubmissions
Rejected and denied claims corrected, resubmitted or appealed.
Client balances
Statements and answers for clients, so billing conversations don’t come into session.
Superbills
Superbills prepared for clients using out-of-network benefits.
Credentialing
Panels joined and kept current, including Medicare for LMFTs and counselors.
Codes we work with every day
Therapy codes we bill most
Psychotherapy coding is mostly about time. Here are the codes and the errors we catch before claims go out.
90791908329083490837908469084790853908399084090785
| Code(s) | What it covers | Where it goes wrong |
|---|---|---|
| 90791 | Initial diagnostic evaluation | Billed more often than the payer allows; billed alongside therapy on the same day |
| 90832 | Psychotherapy, 16–37 minutes | Used for sessions under 16 minutes, which aren’t billable |
| 90834 | Psychotherapy, 38–52 minutes | Session time not recorded in the note |
| 90837 | Psychotherapy, 53 minutes or more | Used for 50-minute sessions; some payers review frequent use |
| 90846 / 90847 | Family or couples therapy without / with the client | Billed under a family member who isn’t the identified client |
| 90853 | Group psychotherapy | Group billed once instead of per member |
| 90839 / 90840 | Crisis psychotherapy | Billed for long sessions that weren’t crises |
Authorizations & session limits
Never find out about a session limit from a denial
Many plans limit sessions per year or require authorization after an initial number of visits. We track both for every client.
Benefits mapped at intake
Visit limits, authorization rules and carve-out administrators recorded before the first session.
Counts tracked per client
Sessions used against the limit and the authorization, updated as claims go out.
Renewals flagged early
Your team hears about an expiring authorization before the last approved session, not after.
Concurrent reviews
Requests for updated treatment information routed to the clinician with what the payer needs.
Telehealth
Telehealth claims that match each payer’s rules
Telehealth is now routine in behavioral health, but the billing rules aren’t uniform. The same session can need a different place-of-service code or modifier depending on who pays for it.
Place of service
Medicare and many commercial plans use POS 10 when the client is at home and POS 02 when they’re somewhere else. Others still want the office place of service with a modifier. We keep a rule for each payer.
Modifiers
Modifier 95 for synchronous video visits, and audio-only modifiers such as 93 or FQ where a payer covers phone sessions. Using the wrong one is a common reason telehealth claims deny or pay at the wrong rate.
Licensure across state lines
Clients who travel or move create claims in states where a clinician may not be licensed or credentialed. We flag those before the claim goes out.
Documentation
Notes should show the session was delivered by telehealth, the modality used, and where the client and clinician were. We’ll tell you if a payer wants something specific.
Self-pay & out-of-network
Clear answers for clients outside your panels
Not every client uses in-network insurance. Some pay privately, some use out-of-network benefits, and some are in between. Each needs a slightly different process.
Superbills
We prepare superbills with the codes, diagnoses and provider details clients need to claim reimbursement from their plan.
Good Faith Estimates
The No Surprises Act requires a Good Faith Estimate for uninsured and self-pay clients. We help you set up a template and a routine so every client who needs one gets one.
Out-of-network claims
If you choose to submit out-of-network claims for clients, we can handle submission and follow-up so reimbursement reaches them faster.
Solo or group
The same care for a solo therapist and a 20-clinician group
Flat monthly pricing starts at $250 for practices collecting up to $5,000 a month, so solo therapists aren’t priced out.
- Works in SimplePractice, TherapyNotes, Jane and more
- Every clinician’s sessions billed the same way
- Associates and supervision rules checked per payer
- Reporting by clinician for group practices
The Cure MB difference
What changes for your therapy practice
Cleaner claims
Codes, modifiers and payer rules for therapy checked before every submission.
Denials worked, not written off
Each denial is read, corrected or appealed, and the cause tracked.
Stronger collections
Aging claims followed by phone and portal until they’re paid or closed with a reason.
Reports you can read
A monthly view of collections, denials and A/R for your therapy practice.
Client stories
What practices say about working with us
Behavioral health
I used to dread the end of the month. Now I open one report and I know what was billed, what was paid and which claims are still being worked. When a denial comes in, someone has usually already called the payer before I hear about it.
Dr. Rachel MorenoPsychiatrist, solo practice · Austin, TX
Physical therapy
I’m a clinician, not a biller. They understand timed codes and plan-of-care rules, they answer email the same day, and for the first time I actually understand my A/R report.
Megan Carlisle, PT, DPTClinic owner · Denver, CO
Pediatrics
Switching billers mid-year felt risky. The handover was organized, the old A/R got cleaned up, and nothing slipped through the cracks while we kept seeing patients.
Dr. Alicia BrooksPediatrician · Atlanta, GA
Editing note (hidden on the live site): these six testimonials are SAMPLES that show the finished design. To publish a real one, edit the quote, name, role and city, then delete the classes cmb-placeholder and cmb-sample (Block → Advanced → Additional CSS class). Delete any sample you do not replace. The whole section stays hidden on the live site until at least one real testimonial is in.
Free consultation, no obligation
Running a therapy practice? Let’s talk numbers.
Tell us how billing works today. We’ll show you what we’d fix first and what it would cost.
Services for therapy
Everything your practice needs
Therapist credentialingEligibility & authorizationsMedical billing & codingDenial managementA/R follow-upVirtual assistants for intake
FAQ
Therapy billing questions
Short answers to what practices ask us most.
How much does billing cost for a solo therapist?
Practices collecting up to $5,000 a month pay a flat $250 a month. Fees step up with volume to $700 for practices collecting up to $20,000, then 2.99% of collections above that.
What’s the difference between 90834 and 90837?
90834 covers 38 to 52 minutes of psychotherapy and 90837 covers 53 minutes or more. The code must match the time documented in the note.
Do you work with SimplePractice?
Yes. We also work with TherapyNotes, Jane, Valant, Tebra and other EHRs, and you keep documenting the way you do now.
Can you bill for pre-licensed associates?
Only where the payer allows it. Some accept billing under a licensed supervisor, many don’t. We check each payer’s policy first.
Can you help me get on insurance panels?
Yes. Our therapist credentialing service covers CAQH, commercial plans, Medicaid and Medicare, and we follow each application through to an effective date.
Will you talk to my clients about their bills?
If you’d like us to. We can answer statement questions so billing conversations stay out of your sessions.
Other specialties
Billing for other specialties
Mental & Behavioral HealthPsychiatryPsychologyPhysical TherapyChiropracticAcupunctureUrgent CareWound CareInternal Medicine & Primary CareAll specialties
Talk to a billing specialist
Talk to a specialist about therapy billing
Tell us about your practice: license type, solo or group, EHR and the payers you’re in network with. We’ll reply within one business day.
- Call(817) 396-6663
- Emailsupport@curemb.com
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