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Billing guides, CPT codes, and insurance resources for therapists.

insurance

How to Get Reimbursed for Out-of-Network Therapy

Step-by-step guide: request a superbill from your therapist, submit to insurance, and maximize your out-of-network benefits.

2026-03-22 · 8 min read

superbill

Superbill vs Invoice: What Is the Difference?

A regular invoice and a superbill look similar but serve different purposes. Understand the key differences and when you need each.

2026-03-22 · 4 min read

superbill

Required Fields on a Superbill: The Complete Checklist

Insurance companies will reject superbills missing key fields. Here is exactly what your superbill must include — with examples.

2026-03-22 · 6 min read

cpt-codes

CPT Code 90832: 30-Minute Psychotherapy Billing Guide

When to use CPT 90832, how it differs from 90834 and 90837, the add-on code 90833, typical fees, and documentation requirements.

2026-03-15 · 4 min read

cpt-codes

CPT Code 90834: 45-Minute Psychotherapy Explained

CPT 90834 covers the 45-minute therapy session. Learn when to use it, typical reimbursement rates, and how it bridges the gap between 90832 and 90837.

2026-03-14 · 4 min read

cpt-codes

CPT Code 90791: Psychiatric Diagnostic Evaluation Guide

CPT 90791 is the initial intake assessment code. Learn when to use it versus 90792, typical fees of $150–$300, and the documentation it requires.

2026-03-13 · 5 min read

cpt-codes

CPT Code 90847: Family Therapy With Patient Present

CPT 90847 covers family therapy sessions where the identified patient attends. Learn when to use it versus 90846 and how to include it on a superbill.

2026-03-12 · 4 min read

insurance

In-Network vs Out-of-Network Therapy: What's the Real Difference?

A clear comparison of in-network vs out-of-network therapy — how OON deductibles work, why therapists go OON, and how to use HSA/FSA for sessions.

2026-03-11 · 6 min read

insurance

How to Read Your Explanation of Benefits (EOB) for Therapy

Decode your EOB: understand allowed amounts, deductibles, plan paid vs member responsibility, and what to do when denial codes appear.

2026-03-10 · 5 min read

insurance

Using Your HSA or FSA to Pay for Out-of-Network Therapy

Both HSA and FSA accounts cover OON therapy. Learn the key differences, how to submit a reimbursement claim with a superbill, and FSA deadline planning.

2026-03-09 · 4 min read

insurance

Mental Health Parity Law: Your Rights as a Therapy Patient

The MHPAEA requires insurers to cover mental health at parity with medical benefits. Know your rights, what parity violations look like, and how to complain.

2026-03-08 · 5 min read

icd-10

ICD-10 F41.1: Generalized Anxiety Disorder — Billing Guide for Therapists

F41.1 is the most commonly billed mental health diagnosis code. Learn when to use it, how it differs from F41.0 and F41.9, and documentation requirements.

2026-03-07 · 4 min read

icd-10

ICD-10 F32: Major Depressive Disorder — Therapist Billing Reference

A complete reference for F32 subcodes: F32.0 through F32.9, when to use F33 (recurrent), and why severity specificity matters for insurance processing.

2026-03-06 · 4 min read

icd-10

ICD-10 F43.10: PTSD Diagnosis Code — What Therapists Need to Know

F43.10, F43.11, and F43.12 explained — how PTSD codes differ from adjustment disorder codes, CPT pairings, and prior auth considerations.

2026-03-05 · 4 min read

telehealth

Telehealth Therapy Billing: CPT Codes, Modifiers, and Superbills

How to bill telehealth therapy correctly: Place of Service 10, the GT modifier, audio-only considerations, and how to note telehealth on a superbill.

2026-03-04 · 6 min read

group-therapy

Group Therapy Billing: CPT Code 90853 and Superbill Requirements

CPT 90853 is billed per participant in group therapy. Learn how group billing works, typical fees, OON reimbursement challenges, and documentation.

2026-03-03 · 5 min read

insurance

How to Appeal a Denied Mental Health Insurance Claim

Step-by-step guide to appealing denied therapy claims — from decoding denial codes CO-4 and CO-50 to writing an appeal letter and requesting peer-to-peer review.

2026-03-02 · 6 min read

therapist-business

Private Pay vs Insurance: Which Is Right for Your Therapy Practice?

A frank comparison of private pay, in-network paneling, and OON practice — with a break-even fee calculator and tax implications for each model.

2026-03-01 · 7 min read

therapist-business

How to Set Your Therapy Fee: A Guide for Private Practice Therapists

Calculate your real hourly rate, research market rates, structure a fair sliding scale, and have the fee conversation with confidence.

2026-02-28 · 5 min read

emdr

EMDR Therapy Billing: CPT Codes and Insurance Reimbursement

EMDR has no unique CPT code — learn which codes to use, how to document EMDR phases, prior auth for PTSD treatment, and intensive EMDR billing.

2026-02-27 · 5 min read

superbill

How to Submit a Superbill to Insurance: Step-by-Step for Clients

A complete walkthrough for therapy clients: get the superbill, call member services, choose a submission method, track your EOB, and appeal if needed.

2026-02-26 · 5 min read

hipaa

HIPAA Compliance Basics for Private Practice Therapists

What HIPAA requires of solo therapists: PHI definition, physical/admin/technical safeguards, BAA requirements, breach notification, and common violations.

2026-02-25 · 6 min read

superbill

What Information Do You Need From Clients for Insurance Billing?

A complete intake checklist: client legal name, member ID, group number, provider NPI, taxonomy code, and how to verify insurance before the first session.

2026-02-24 · 4 min read

california

California Therapist Billing Guide: OON Superbills and Insurance

A California-specific guide covering LCSW, MFT, LPCC, and Psychologist billing, state parity law, telehealth rules, and major CA payers.

2026-02-23 · 5 min read

new-york

New York Therapist Billing: Superbills and OON Reimbursement Guide

NY-specific guide covering LCSW vs LCSW-R billing implications, state parity law, NYC fee ranges, and major NY payers.

2026-02-22 · 5 min read

texas

Texas Therapist Billing: LPC, LCSW, and OON Superbill Guide

Texas-specific guide for LPC, LCSW, and LMFT therapists — parity law, OON fee ranges, major TX payers, and telehealth billing.

2026-02-21 · 5 min read

insurance

Prior Authorization for Therapy: What It Is and How to Handle It

What prior authorization means for mental health, when it is required, how to request it, and how it affects out-of-network superbill billing.

2026-02-20 · 5 min read

insurance

Single Case Agreements in Therapy: What They Are and How to Get One

What a single case agreement is, when to request one, how to negotiate with the insurer, and what to do if it is denied.

2026-02-19 · 4 min read

cpt-codes

CPT Code 90853: Everything Therapists Need to Know About Group Therapy Billing

Deep dive on CPT 90853 — billing rules, documentation requirements, typical fees, and how to format a superbill for group therapy clients.

2026-02-18 · 4 min read

icd-10

ICD-10 F90: ADHD Diagnosis Codes and Therapy Billing Guide

F90.0 through F90.9 explained — which ADHD code to use, CPT codes for therapy and testing, and insurance coverage for ADHD evaluations.

2026-02-17 · 4 min read

icd-10

ICD-10 F31: Bipolar Disorder Codes — Therapist Billing Reference

Bipolar I (F31.x), Bipolar II (F31.81), cyclothymia (F34.0) — which codes to use, why specificity matters, and CPT codes for bipolar clients.

2026-02-16 · 4 min read

therapist-business

How to Become an Out-of-Network Provider: A Therapist's Complete Guide

Step-by-step guide to going OON — NPI, taxonomy code, fee setting, superbill workflow, intake disclosure, and referral sources.

2026-02-15 · 6 min read

therapist-business

Psychology Today Profile Tips for Out-of-Network Therapists

How to optimize your Psychology Today profile to attract OON clients — photo, headline, finances section, specialty keywords, and telehealth settings.

2026-02-14 · 5 min read

superbill

What Is a Taxonomy Code and Why Does It Matter for Superbills?

Taxonomy codes identify your provider specialty on insurance claims. Learn the mental health codes, how to register yours with your NPI, and why it matters.

2026-02-13 · 3 min read

npi

What Is an NPI Number? A Guide for Therapists and Therapy Clients

NPI is a required 10-digit identifier on every superbill. Learn the difference between Type 1 and Type 2 NPIs, how to get one, and how to look one up.

2026-02-12 · 3 min read

sliding-scale

Sliding Scale Therapy: A Practical Guide for Therapists and Clients

What sliding scale means, different fee models, how many slots to hold, how to talk about it at intake, and how superbills work for sliding scale clients.

2026-02-11 · 5 min read

superbill

Therapy Billing Glossary: 35 Terms Every Therapist and Client Should Know

35 essential billing terms defined — from superbill and CPT code to UCR, parity, assignment of benefits, and out-of-pocket maximum.

2026-02-10 · 6 min read

insurance

How Long Does Insurance Reimbursement for Therapy Take?

Typical timeline from superbill submission to payment check — what happens at each step, what slows things down, and when to follow up.

2026-02-09 · 4 min read

insurance

Deductible vs Copay for Therapy: What's the Difference?

Clear explanation of deductibles, coinsurance, copays, and OON out-of-pocket maximums — with a real example showing how therapy costs add up over a year.

2026-02-08 · 4 min read

cbt

Cognitive Behavioral Therapy Billing: CPT Codes and Insurance Guide

CBT is billed under standard psychotherapy CPT codes. Learn which codes to use, documentation best practices, and when health behavior codes apply.

2026-02-07 · 5 min read

telehealth

Telehealth Superbills: What Must Be Different From In-Person

POS codes, GT and 95 modifiers, audio-only billing, and documentation requirements that differ between telehealth and in-person superbills.

2026-02-06 · 4 min read

insurance

How Insurance Companies Calculate Your Therapy Reimbursement

The allowed amount, UCR rates, and why OON reimbursement is often less than expected — plus how to look up UCR rates and challenge low determinations.

2026-02-05 · 5 min read

therapist-business

Therapy Billing Software: What to Look For and What to Avoid

EHR vs standalone superbill tools — when each makes sense, what features to require (HIPAA BAA, PDF export), and what to avoid.

2026-02-04 · 5 min read