A white-glove consulting engagement for clinicians and practices that want to stop losing revenue to credentialing gaps, miscoded encounters, denial backlogs, and audit risk. We work alongside your team to build — or fix — the revenue cycle from PECOS enrollment through paid claim.
The 2026 CMS rule changes, the redesigned E/M psychotherapy add-on workflow, and tightened telehealth modifiers have moved the goalposts again. Most clinics we see are still running 2022 workflows on 2026 rules — and the gap shows up in denials, takebacks, and unpaid 90833 add-ons.
This engagement is not a course or a webinar. It is a hands-on partnership in which Dr. Baker and the TheraPsych team work directly inside your practice to enroll the providers, fix the coding, rebuild the documentation templates, train the front office, and stand up the denials & audit workflows. You keep everything we build.
PECOS 2.0 changed the application path. New hires are working uncredentialed days; existing providers have lapsing CAQH attestations and missed re-credentialing windows.
Prescribers are documenting psychotherapy but only billing E/M. The most common single revenue leak we find — usually six figures over a year on a four-prescriber team.
Modifier 95, GT, POS 10 vs. POS 02 — payer-by-payer rules in 2026 don't match what most EHRs default to. We rebuild the rule set and test it end-to-end.
Denied claims sit in a worklist. We install a five-template appeal library, an escalation tree, and a weekly denials huddle that closes the loop within payer timely-filing windows.
We pull a representative chart sample, score it against 2026 MDM rules, and rewrite the templates so the documentation supports the level billed — before someone else does the audit for you.
We stand up a one-page weekly dashboard: clean-claim rate, denial rate by payer, days-in-AR, 90833 capture rate, credentialing status by provider. You see leakage the day it appears.
The frameworks — PECOS enrollment, CPT-aligned documentation, 2026 telehealth modifiers, denial & appeal workflows, audit defense — are the same across behavioral-health disciplines. The examples, code sets, and documentation templates are customized to your clinicians' scope of practice and your state's regulations.
If your practice is multi-disciplinary, we build one revenue-cycle system that serves all of your clinician types — not five parallel ones.
90791, 90834, 90837 workflows; collaborative documentation; supervision billing.
Medicare enrollment under the 2024 expansion, panel strategy, scope-aligned coding.
Full E/M (99202–99215), psychiatric add-ons, interactive complexity, prolonged-services.
"Incident to" rules, split/shared visits, supervision documentation, state-by-state scope.
Every engagement opens with a discovery sprint to confirm which workstreams are in scope. Most practices need six of nine. Mature practices need two or three.
PECOS 2.0, NPI Type 1 & Type 2, CAQH hygiene, panel-selection strategy, re-credentialing calendar, malpractice review.
2026 code changes, behavioral-health-specific updates, MDM scoring under the current AMA rules, time-based vs. MDM decision logic.
When the add-on applies, what the documentation must show, and how to build it into the visit template so it's captured in real time — not retro-coded.
Modifier 95, GT, POS 10 vs. POS 02 — payer-by-payer rule set, EHR configuration, and audit-ready documentation patterns for hybrid practices.
Initial eval, follow-up, psychotherapy add-on, telehealth, controlled-substance, and risk-assessment templates rewritten to support the codes you bill.
Five-template appeal library, escalation tree by payer, weekly denials huddle SOP, and a 60-day push to work the backlog before timely-filing windows close.
Representative chart audit (10–20 charts), decision tree for refund-vs-defend, response-letter templates, and a quarterly internal audit cadence to stay ready.
Real-time eligibility checks, copay collection at point of service, no-show policy enforcement, and an intake script that closes the financial conversation cleanly.
One-page weekly KPI report (clean-claim rate, days-in-AR, 90833 capture, denial rate by payer, credentialing status), and a 30-min weekly leadership huddle SOP.
Pricing is shared during the fit call so it reflects scope, team size, and timeline rather than a published menu. Every engagement begins with a written scope and a fixed fee.
A short, free conversation about where the revenue cycle is breaking, who's involved, and whether this engagement is the right tool. If it isn't, we'll point you toward what is.
If we move forward, you receive a one-page scope document defining the workstreams, the deliverables, the timeline, the team, and the fixed fee. Nothing starts until you've signed it.
Chart sample, billing report pull, credentialing status, EHR walkthrough, and stakeholder interviews. We come out of week one with a confirmed work plan and the first set of deliverables already in flight.
60- to 90-minute video sessions on a published cadence with clinicians, billers, and leadership as needed. Every session has an agenda, an outcome, and follow-up actions captured in a shared workspace.
You keep every template, SOP, dashboard, and appeal letter we build. Final week is a documented hand-off so your team owns the system — not us.
If you're a solo clinician or a small practice owner who wants the frameworks, templates, and 2026 update without the white-glove implementation, the self-paced PMHNP Foundations II · Credentialing & Billing course teaches the same material in nine modules with all 20+ templates included.
Every Credentialing-to-Collections engagement starts with a free 30-minute fit call. If it's a match, you'll receive a written scope and fixed fee within three business days. If it isn't, we'll point you toward the right resource.