- E/M leveling and modifier logic specific to your procedures
- Documentation feedback written in your clinical language
- NCCI edit and MUE awareness by code family
CPTICD-10-CMHCPCSModifiers 25 · 59 · 26/TC
Specialty billing
Psychiatric E/M, medication management, and therapy billed together correctly. Mindlox AI pairs mental health-aligned coders and denial specialists with intelligent automation, so the details that decide mental health reimbursement are handled before they become denials.
Mental Health playbook
Billing challenges
- Psychiatric E/M + psychotherapy add-on rules
- Collaborative care and integrated care billing
- Payer carve-outs to behavioral health vendors
Common denial types
- Carve-out payer misdirection
- Add-on billed without primary
- Frequency limits on evaluations
Specialty-aligned coders · denial specialists · payer rules kept current
The Mental Health playbook
Five things every billing partner should be able to tell you about your specialty before you sign anything.
01
Billing challenges
- Psychiatric E/M + psychotherapy add-on rules
- Collaborative care and integrated care billing
- Payer carve-outs to behavioral health vendors
02
Coding complexity
- E/M + psychotherapy add-on selection
- Collaborative care (99492–99494)
- Psychiatric diagnostic evaluation (90791/90792)
03
Common denial types
- Carve-out payer misdirection
- Add-on billed without primary
- Frequency limits on evaluations
04
RCM workflow
- Carve-out payer identification
- Service combination validation
- Collaborative care time tracking
- Patient responsibility clarity
05
How Mindlox AI solves it
- Carve-out routing intelligence
- Combination-code validation
- Integrated care billing support
Specialty-first
Three things a generalist billing queue cannot do — and the reason specialty-aligned teams recover more with less rework.
Services
Start with one stage or engage end to end — the same mental health-aligned team either way.
FAQ
Specific to your specialty. If it's not here, an RCM specialist will answer it directly.
The mental health denials we work most often are carve-out payer misdirection, add-on billed without primary, and frequency limits on evaluations. Each one is categorized by root cause, prioritized by recoverable value and timely-filing risk, and fed back into prevention at the front desk and in coding.
More specialties
30+ specialties, each with its own playbook, under one set of dashboards.
A structured review of your mental health denials, A/R aging, coding patterns, and underpayments — findings are yours to keep, whether or not we work together.
- · Findings you keep, whether or not we work together
- · No patient information requested
- · A named RCM specialist, not a sales queue
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