In today’s evolving healthcare landscape, precision in billing is essential — especially when it comes to behavioral medicine. Accurate application of Current Procedural Terminology (CPT) codes ensures timely reimbursements, regulatory compliance, and improved revenue cycle performance.

Commonly Utilized Behavioral Medicine CPT Codes:

90791 – Psychiatric diagnostic evaluation (no medical services)

90792 – Psychiatric diagnostic evaluation with medical services

90832 / 90834 / 90837 – Individual psychotherapy (30, 45, 60 minutes respectively)

90846 / 90847 – Family or couples therapy (without/with the patient present)

96130 / 96131 – Psychological testing evaluation services

96136 / 96137 – Test administration and scoring by professional staff

Occupational health professionals operate at the intersection of clinical medicine, workplace safety, and organizational psychology—making their billing needs both specialized and complex. Managing administrative tasks such as claim accuracy, regulatory compliance, and reimbursement tracking often diverts attention from patient care, leading to claim denials, payment delays, or under-coding. Our certified billing experts are proficient in advanced platforms like Epic, Cerner, and NextGen, ensuring accurate use of CPT, HCPCS, and ICD coding standards. From initial claim submission to denial resolution, we optimize each step to reduce :

• Accelerated Revenue Cycles: Efficient claims processing with reduced errors and faster payments.
• Operational Efficiency: Freedom for providers to concentrate on workforce health and wellness outcomes.

Added Value:

Our streamlined billing workflows enhance the patient experience, strengthen provider referral networks, and create opportunities for clinical research and program development within the field of occupational medicine.

Rehab billing, a complex segment of behavioral health, faces challenges such as unclear insurance coverage and frequent partial reimbursements. Providers must navigate stringent procedural rules, where errors often result in delayed or denied claims.

Gedeihen Healthcare streamlines this process through comprehensive rehab billing solutions—from precise insurance verification to claim submission and follow-up—reducing denials and accelerating payments. We offer flexible service models tailored to optimize workflows and revenue management, whether as an in-house enhancement or fully outsourced solution.

• Improved accounts receivable management
• Customized billing strategies aligned with rehab facility needs

Mental health billing demands meticulous attention to avoid issues like insufficient documentation, non-covered services, and medically unnecessary claims. Compliance requires detailed records of treatment goals, symptoms, and outcomes.

Gedeihen Healthcare leverages extensive expertise in managing claims for therapies, medication management, and related services. Our team expertly navigates ICD-10, CPT coding, and payer requirements—including Medicare, Medicaid, and private insurers—while handling authorizations, referrals, and workers’ comp claims to enhance revenue cycles.

Key Benefits:

• Minimized denials through precise coding and thorough documentation
• Specialized billing for psychotherapy, psychological testing, and EAP visits