Wellness Behavioral Health
Psychiatry & Counseling
A behavioral health practice improved time-based coding accuracy and reduced claim rejections by 70%.
The Challenge
Wellness Behavioral Health provides psychiatric and counseling services with multiple provider types—psychiatrists, psychologists, and licensed counselors. Time-based coding for therapy sessions and the complexity of psychiatric E/M visits created frequent billing errors.
- Complex time-based therapy coding
- Multiple provider credential types
- Add-on code and modifier confusion
- High rejection rate for psychiatric E/M
The Solution
SmartCoding.ai was implemented with behavioral health-specific logic, including time-based code calculations and provider credential rules. The system automatically suggests appropriate codes based on session duration and provider type.
- Automatic time-based therapy code calculation
- Provider credential and supervision rules
- Add-on code recommendations (90833, 90836, 90838)
- Psychiatric E/M complexity scoring
Behavioral health coding is unique, especially with time-based therapy codes. SmartCoding.ai finally gave us a system that understands how we work.
The Results
Wellness Behavioral Health dramatically reduced their claim rejection rate and improved coding accuracy for time-based services. Providers appreciated the simplified documentation workflow.
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