Time-based psychotherapy, E/M-plus-add-on visits, group sessions and telehealth all carry rules that trip up generalist billers. Helix assigns behavioral-health coders who get the time thresholds and modifiers right the first time.
Clean-claim rate
Avg. collections lift
Days in A/R
Denials overturned
Behavioral health lives and dies on documented time. Bill the wrong psychotherapy tier, forget the add-on with an E/M, or miss a telehealth modifier and a clean visit turns into a denial or an underpayment.
Helix assigns coders who work behavioral health daily, builds time-threshold edits into scrubbing, and keeps pace with each payer's shifting telehealth rules — so your documentation actually gets paid.
Correct 30/45/60-minute tiers (90832/90834/90837) by documented time.
Psychotherapy add-ons (90833/90836/90838) paired with the right E/M.
POS 02/10 and 95/GT modifiers applied per payer policy.
Psychiatrists, psychologists, LCSWs & LPCs billed under the right NPI.
These are the visits where a missed add-on or wrong time tier quietly erodes revenue. We capture the base service and every legitimate add-on.
| 90837 | Psychotherapy, 60 minutes with patient | time-based |
| 90834 | Psychotherapy, 45 minutes with patient | time-based |
| 99214 | Office E/M, established patient | +90836 |
| 90833 | Psychotherapy 30 min add-on to E/M | add-on |
| 90791 | Psychiatric diagnostic evaluation | intake |
| 90853 | Group psychotherapy (non-family) | per member |
Telehealth sessions billed without 95/GT or with the wrong place-of-service, denied or downcoded by the payer.
Helix fix: per-payer telehealth rules auto-apply the correct POS and modifier.
90837 billed where documentation supports only 90834, triggering downcodes or recoupment on audit.
Helix fix: documented-time check validates the therapy tier before submission.
Psychotherapy add-on (90833) submitted without a supportable separate E/M service.
Helix fix: E/M-plus-add-on pairing rules confirm both services are documented.
Two clinicians in one practice billing the same patient same day without distinguishing rendering NPIs.
Helix fix: rendering-provider logic routes each service to the correct NPI.
Verify behavioral-health benefits, visit limits and prior auth before the session.
Coders match the therapy tier and add-on to documented time.
POS and modifier validated against each payer's current policy.
Behavioral-health appeal templates and aged-A/R workdown.
"Half our telehealth claims were bouncing on modifier errors. Helix fixed the rules per payer and our denials basically disappeared."
A fast-growing group practice mixing in-person and telehealth across psychiatrists and therapists, with a 12% denial rate driven by telehealth modifiers and time-tier downcodes.
Helix deployed per-payer telehealth scrubbing, documented-time validation for therapy tiers, and rendering-provider routing for each credential, plus a 60-day aged-A/R recovery project.
Clean-claim rate reached 98.4%, A/R days fell to 18, and the group recovered $148K in aged claims while lifting collections 22%.
Representative composite based on Helix engagement outcomes. Individual results vary.
"I stopped chasing rejections every Friday. Claims just go out clean now."
Result: $54K recovered in the first two quarters.
"The add-on capture on our med-management-plus-therapy visits was the difference. We were leaving money on every chart."
Result: +$11K average monthly net collections.
Representative composites based on Helix engagement outcomes. Individual results vary.
Get a free audit of your psychotherapy, telehealth and add-on coding, and a clear picture of the revenue you could be recovering.