The credentialing and billing course PMHNP school skipped. PECOS 2.0, 2026 CPT updates, combined-visit billing, denial appeals, telehealth modifiers, audit defense — built reference-first so you'll come back to it every time something breaks.
This course exists because PMHNP programs don't teach the business side of practice. Most clinicians arrive on this page because something specific is broken — or about to break. Sound familiar?
PECOS keeps returning your application. You don't know why. Three months in, your start date is slipping and you don't know who to call.
90791 vs 90792, missing modifiers, time documentation gaps, MDM that doesn't support the level. Each denial is a different fix and you're guessing.
Med review plus therapy is 99214 + 90833 — not 99214 alone. The difference is real money per visit, multiplied across hundreds of visits per year.
Modifier 95 vs 93. POS 10 vs 02. Audio-only coverage by payer. State licensure for telehealth across state lines. The rules changed again in 2026.
High percentage of 99214s. Frequent 90837s. Identical-looking notes. The patterns that make sense clinically are also the patterns that get audited.
NPI types, LLC structure, payer mix strategy, EMR setup, A/R management. You don't have time to figure out each piece from scratch.
Credentialing and billing content goes stale fast. This course is rebuilt every year against the current CPT cycle, current CMS guidance, and current payer policy. Here's what's new.
Each module is structured as both a sequential lesson and a stand-alone reference. Most learners complete the course in 6–8 weeks; many return to specific modules years later when something specific breaks.
License vs credential vs privilege vs enroll. NPI Type 1 & 2. CAQH. The timeline reality. What to gather first.
PECOS 2.0 walkthrough. Medicare opt-out option. State Medicaid and behavioral-health MCOs. Commercial payers. Closed panels.
Re-credential cycles. CAQH 120-day attestation. Adding a group, locum work. Telehealth across state lines. Hospital privileging.
Diagnose the stalled application. The most common errors. Practice transitions. Disclosable events — malpractice, license actions, NPDB.
90791 vs 90792. New 2026 E/M MDM table. Standalone psychotherapy. Crisis codes. G2211. APCM. Decision tree included.
The four non-negotiable rules. Add-on selection by therapy time. Modifier 25. Two-section note structure that defends both codes.
Modifier 95 / 93. POS 10 / 02 / 11. Audio-only coverage by payer. Ryan Haight & DEA telemedicine flexibilities. Multi-state licensure.
MDM walkthrough. Time-based billing. Audit triggers to know about. Responding to a record request without making it worse.
Reading A/R aging. Top denials. Appeal-letter templates. Negotiating contracts. When to fire a payer. The monthly RCM rhythm.
The course is reference-first by design. Every module ships with downloadable templates, decision trees, and checklists you'll use long after you complete the course.
Build your timeline working backward from your start date.
Catch the errors that cause 'Returned' status before you submit.
One spreadsheet with every renewal date and reminder.
Visual flowchart for selecting the right code every time.
Every code that matters to a PMHNP, with current rate.
Two-section structure that defends 99214 + 90833.
Where was the patient? What modality? Output: correct claim.
Medical necessity, missing modifier, time documentation, eligibility, authorization.
Five tasks. 30 minutes a month. Saves your A/R.
Track denial rate, days to pay, contracted rates by payer.
What to do (and not do) the day an audit notice arrives.
Four phases. Every step from EIN to first claim submitted.
A few objections that come up before purchase. We'd rather address them directly than dance around them.
Because you're still legally responsible for the codes attached to your name. A biller follows your direction; if you don't know what's right, the biller can't fix it. Audits land on the clinician's name and license. The course makes you the informed director of your billing function — not a passenger.
No. Every example is PMHNP-specific. The 90791 vs 90792 confusion. Combined E/M plus psychotherapy. Crisis codes. Audit patterns specific to psychiatric practice (high 99215 use, 90837 frequency, retroactive note edits). Multi-state telehealth. Built around the actual scenarios PMHNPs hit.
The course updates annually with each new CPT cycle. Active learners receive update modules at no charge for 12 months from enrollment. Modules 5 and 6 (CPT and combined visits) get refreshed each January. Other modules are reviewed quarterly for material policy changes. The "updated for 2026" badge is real, not marketing.
Probably not. The course is for anyone responsible for credentialing or billing oversight in their practice — including established clinicians who never got formal training in this. Even experienced PMHNPs typically learn 3–5 specific things that pay back the tuition. If you're a CPC or specialized medical coder, this isn't the course for you. For everyone else, there's something here.
Yes — wait until your final 6 months. The course assumes you have clinical training and are now responsible for the business side. If you're early in your program, focus on clinical content. Bookmark this and come back when you're 6 months from graduation, or after your first denied claim — whichever comes first.
Standalone enrollment, alumni discount, or member rate. All three include the same content, the same templates, and the same 12 months of access.
For three or more enrollees from the same practice or organization. Group of 3–9 at $397 per seat. Group of 10+ at $297 per seat. Residency programs and hospital systems: custom pricing for 10–50 seats with optional cohort calls and customized content.
Most credentialing and billing courses are recorded once and quietly age out. Codes change. Payer policies shift. Regulatory frameworks update. By Year 2, half the content is wrong. We don't do that.
Each January, Modules 5 and 6 (CPT codes and combined visits) are refreshed against the new CPT cycle and the new Medicare conversion factor. Quarterly, we review every module for material policy changes — DEA telehealth flexibilities, payer policy shifts, regulatory updates — and patch as needed.
Active enrollees receive the update modules at no additional charge for 12 months from enrollment. After that, course access continues with the version current at your enrollment, or you can opt into a renewal at member rates.
This is the only credentialing course we know of that publishes a Recent Updates log inside the course itself, so you can see exactly what's changed since your last visit.
Most learners complete the course in 6–8 weeks at a pace of about one module per week. The longest module is 70 minutes; the shortest is 45. You'll come back to specific modules later as a reference — that's by design. Maximum completion window for the certificate is 180 days; you have access to recordings and templates for 12 months.
CE accreditation is in progress through AANP for individual activity approval. Once granted, learners will receive 9 contact hours. We don't claim AANP approval until it's officially granted — you'll be notified before your access period ends whether AANP credit is confirmed for your enrollment cycle.
Full refund within 14 days of enrollment if you've completed less than 25% of the course content. After that, no refunds — but you can transfer your enrollment to a colleague one time. We're confident in the course; if it's not for you, we'd rather refund quickly than have you stuck.
No. The course is valuable for senior PMHNP students within 6 months of graduation, new PMHNPs entering practice, established clinicians taking on credentialing or billing oversight, and anyone starting their own practice. The capstone is structured around a practice-launch scenario, so it's directly relevant to anyone in transition.
The course is built on federal and national-level frameworks (Medicare, AMA CPT, AANP guidance) that apply nationally. State-specific elements — Medicaid programs, MCO contracts, state telehealth registries, scope-of-practice details — are addressed with framework guidance and resources to find your state's specific rules. The course gives you the structure; you'll fill in your state-level specifics.
Yes. Group rates start at 3 seats. Residency programs and hospital systems can purchase 10+ seats at custom pricing with optional cohort discussion calls and content tailored to your setting. Reach out via the group-quote button above.
No. This is not a coding-certification course. It's the practical billing knowledge a PMHNP needs to operate a practice, defend their codes, supervise their billing function, and avoid audit exposure. If you're aiming to become a CPC, you'll want different training. For everyone else, this is the right depth.
After the first 50 enrollments, standard tuition applies. Updated for 2026, with annual update modules included for 12 months. Recoup the tuition with one prevented denial.
Join the wait list → 14-day refund within 25% completion. No questions.