Industries / Behavioral Health

Behavioral Health

Auth-heavy, time-based, parity-protected — behavioral health billing that doesn't fight the clinicians.

Where the revenue leaks.

01

Units run out silently

Care continues past the authorized visits, and everything after is free — involuntarily.

02

Time-based coding traps

90832 vs 90834 vs 90837 — minutes documented wrong become revenue coded wrong.

03

Parity on paper only

Coverage that should mirror medical benefits gets quietly denied until someone pushes back.

How GetMax runs it.

Authorization tracking by units

Remaining visits tracked in real time, renewals filed before care outruns approval.

Time-based coding, documented

Session codes matched to documented time — defensible to auditors, fair to revenue.

Parity denials pushed back

Denials that violate coverage terms appealed with the rules attached, not accepted quietly.

Questions, answered.

Do you track authorization units across sessions?+

Yes — remaining units and visits are tracked continuously, with renewal requests triggered before authorization runs out.

Do you handle telehealth sessions?+

Yes — telehealth behavioral visits are billed with correct place-of-service and modifiers per payer policy, which shifts payer by payer.