Psychology

The Psychology Revenue Reality

Psychology reimbursement is time-based and unit-sensitive. Small recurring time errors compound significantly across patient panels.

• Incorrect psychotherapy time reporting
• Psychological testing unit miscalculations
• E/M add-on misalignment (where applicable)
• Telehealth modifier errors
• Authorization expirations
• Frequency limit denials
• Documentation deficiencies for medical necessity
• High-volume recurring AR

Psychotherapy & Testing Unit Precision (CCP)

• Psychotherapy time documentation
• Testing code unit accuracy
• Telehealth modifier governance
• Add-on code integrity checks
• Documentation-to-code alignment

Target Outcome: Reduced time-based and testing-related denials.

Authorization & Coverage Controls (FIO + EAE)

• Real-time eligibility verification
• Authorization tracking and renewal alerts
• Frequency monitoring
• Coverage confirmation for testing services

Target Outcome: Fewer mid-treatment payment disruptions.

High-Volume AR Optimization (AAF)

• Structured follow-up on aging balances
• Payer-specific denial appeal workflows
• Self-pay segmentation strategies
• AR > 90 monitoring by CPT category

Target Outcome: Faster collections and improved receivable turnover.

Behavioral Health Reimbursement Intelligence (PRL)

• Denial clustering by session length
• Testing reimbursement variance
• Telehealth underpayment trends
• AR aging concentration by payer

Target Outcome: Clear visibility into recurring psychology revenue leakage.

Measurable Performance Targets

• 8–18% increase in net collections
• 15–30% reduction in time-based denials
• 25–40% reduction in AR > 90
• 95–98% first-pass claim acceptance
• Faster resolution of testing-related appeals

Compliance & Infrastructure

• HIPAA-compliant workflows with BAA signed prior to PHI exchange
• Integration with major EHR platforms including Epic, Cerner, Athenahealth, NextGen, eClinicalWorks and others
• Cybersecurity oversight via Redfort Technologies
• U.S.-based nationwide operations