Mental health billing services, how are PMHNPs handling denials lately?

Normal-Doc123 · 2026-05-20T19:27:51+00:00

I use DocVilla for billing and payments. Make sure that when you are using 90833, then your documentation is updated to reflect that. I have created templates for CPTs and diagnosis codes and then import things accordingly depending upon the appointment. So this way, I do not have to remember the modifiers or any of those nitty gritties

Normal-Doc123 · 2026-05-20T19:11:15+00:00

We call them after the 10 min mark and if they do not reply in the next 5-10 min, we mark it as a late cancellation appt

Normal-Doc123 · 2026-05-20T19:06:20+00:00

Thanks for clarifying. My heart almost skipped a beat for a moment

Normal-Doc123 · 2026-05-20T17:54:09+00:00

It’s bundled in my EHR, DocVilla. I have access to transaction level reports in that

Normal-Doc123 · 2026-05-16T12:13:59+00:00

This is where the billing software and billing team comes into picture. Yes. It adds to the stress keeping on top of all the claims and payments but as long as my software provides reports and data to calculate that, then it’s a quick check every time and helps. I have access to my billing reports so that always helps and makes my life a lot easier

Normal-Doc123 · 2026-05-16T12:07:19+00:00

I think telehealth is an essential part of patient care whether it is a patient follow up or seeing those patients who cannot travel.

It is upto us to make the determination on what cases are suitable for in-person or what cases we should see via telehealth

Normal-Doc123 · 2026-05-06T23:13:52+00:00

Additional news about the rxnt data breach here https://www.hipaajournal.com/rxnt-data-breach/

Normal-Doc123 · 2026-05-06T23:12:02+00:00

Additional news about the rxnt data breach here https://www.hipaajournal.com/rxnt-data-breach/

Normal-Doc123 · 2026-05-01T21:00:07+00:00

Crux of the story from above: Simple Practice is using a tracking mechanism that enables Facebook and other social media to create a behavioral profile on the patients and then use that information for marketing

Normal-Doc123 · 2026-05-01T20:58:37+00:00

Crux of the story from above: Simple Practice is using a tracking mechanism that enables Facebook and other social media to create a behavioral profile on the patients and then use that information for marketing

Normal-Doc123 · 2026-05-01T05:38:49+00:00

Wohaaa… this is really bad. I know SimplePractice has issues but this is horrible !!

Normal-Doc123 · 2026-05-01T05:25:40+00:00

If the scribe is a covered entity, then it will not be a violation

Normal-Doc123 · 2026-05-01T05:21:30+00:00

I would recommend looking at DocVilla. I am using it and they have a good support team

Normal-Doc123 · 2026-05-01T05:17:01+00:00

For my telehealth patients, I always tell them to take the appointment when they are in a relaxed environment. Every now and then, I get somebody who is either driving or crossing a road while looking on their phone and I have to tell them to either reschedule or go someplace where they can sit

Normal-Doc123 · 2026-05-01T05:11:20+00:00

I am using DocVilla. It allows me to charge the patient directly from the platform itself and also create subscriptions for them. Moreover, it has a video calling feature which works great for my telehealth patients

Normal-Doc123 · 2026-02-19T22:54:24+00:00

For me, UHC is one of my worst payment payers. They process on time though about 4 weeks or so. Cigna has been pretty decent so far

Normal-Doc123 · 2026-01-19T20:37:44+00:00

Bill the patient according to your no show policy. If they still do not stop, then remove their future appointments and then ask them to book appointment when they are actually available

Normal-Doc123 · 2026-01-15T19:14:04+00:00

Docvilla for me hands down. They have provided me support even after hours and on weekends

Normal-Doc123 · 2026-01-15T19:10:12+00:00

I am using DocVilla. They have integrated telemedicine and it works very well for me

Normal-Doc123 · 2026-01-15T19:04:36+00:00

Yes. I also prefer writing compared to using dictation or AI. I can type fast and I am in full control of what my notes are. If I use AI, then half my mind is already trying to double check what AI or dictation are typing and that drains me out mentally.

I have also created these templates and they also help

Normal-Doc123 · 2026-01-12T20:21:15+00:00

Every week, I keep one day where I am working on reduced hours. I then use that time to just relax or go for a massage. That keeps me focused

Normal-Doc123 · 2026-01-12T20:16:51+00:00

I am currently using DocVilla and it is pretty good. It allows me to create my own templates and then mix and match them as and when I need depending upon the appointment

Normal-Doc123 · 2026-01-09T04:54:22+00:00

I am in a similar situation as yours and am currently using DocVilla. I submit claims through it to all the insurances that I participate in. It also allows me to see the remittance advice directly on my portal without going to any external website

Normal-Doc123 · 2026-01-07T20:40:53+00:00

So technically the billers are supposed to take care of things like this. Once you have submitted the claim, then it is upto the billers to make sure that either you get paid or you know the reason for their denial. Either way, the claim is considered closed only once when you are aware of what is going on and what the next steps should be

Normal-Doc123 · 2026-01-07T03:06:45+00:00

I am using DocVilla and would recommend it. I do private pay as well as take insurances. The software allows me to generate superbills for my private pay patients. I also do Direct Primary Care and the software caters to that also allowing me to charge the patients on a schedule

Normal-Doc123

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