Behavioral Health
Healthcare IT and billing built for a behavioral health practice
Time-based session billing, heightened privacy controls and telehealth-first workflows for mental health practices.
Why behavioral health is different
Behavioral health billing turns on session length, service type and rendering-provider licensure, and the documentation standards are stricter than most specialties realize until an audit arrives.
Healthcare SBC supports time-based session coding with built-in timers, licensure-aware billing rules, heightened privacy controls for psychotherapy notes and substance-use records, and the telehealth workflows that now carry most behavioral health volume.
Common challenges
Where behavioral health practices lose revenue
The billing and workflow problems specific to this specialty, and the ones generic systems handle badly.
Time-based coding accuracy
Session codes are defined by time ranges, and documentation must support the exact duration billed.
Authorization limits
Many plans authorize a fixed number of sessions, and exhausted authorizations produce denials nobody sees coming.
Elevated privacy requirements
Psychotherapy notes and 42 CFR Part 2 substance-use records require access controls beyond standard HIPAA.
Licensure-based reimbursement
Payers reimburse differently by provider license type, and incorrect rendering-provider assignment causes denials.
How we address it
Built for behavioral health workflows
- Session timers that drive time-based CPT selection automatically
- Authorization tracking with alerts as session limits approach
- Segregated psychotherapy notes and 42 CFR Part 2 access controls
- Licensure-aware billing rules and supervising-provider workflows
- Integrated telehealth with correct behavioral health modifiers
Commonly billed codes in behavioral health
A sample of the codes our behavioral health coders work with daily.
- 90791Psychiatric diagnostic evaluation
- 90834Psychotherapy, 45 minutes
- 90837Psychotherapy, 60 minutes
- 90853Group psychotherapy
- 99214Medication management, moderate complexity
Codes shown for reference only. Verify against current code sets and payer policy.
FAQ
Behavioral Health, frequently asked questions questions
- Does the platform protect psychotherapy notes separately?
- Yes. Psychotherapy notes are stored separately from the general medical record with independent access controls, consistent with HIPAA's separate treatment of those notes and with 42 CFR Part 2 requirements for substance-use disorder records.
- How is time-based session coding handled?
- Built-in session timers record actual duration, and the platform suggests the corresponding CPT code with documentation of start and stop times, which is what payers request first in a behavioral health audit.
- Do you support telehealth for behavioral health?
- Yes. Integrated video visits are documented and billed in the same workflow as in-person sessions, with payer-specific telehealth modifiers and place-of-service codes applied automatically.
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