Session length picks the code
Psychotherapy codes 90832, 90834, and 90837 map to roughly 30, 45, and 60 minutes. The start and stop times in the note have to support the code billed.
Every session claim worked, even the small ones
Counseling practices send many small, time-based claims, and one credentialing or eligibility gap can stall a month of them. Taiga works with mental health practices. It drafts codes from your notes for clinician approval, submits and scrubs claims, and works every denial and appeal.
Book a demoWhat makes counseling billing different
The visits look simple. The rules around them are not.
Counselors now enroll in Medicare
Since January 1, 2024, licensed mental health counselors and marriage and family therapists can enroll in Medicare and bill independently. Each clinician still needs enrollment and payer credentialing before claims will pay.
Self-pay clients need estimates
Under the No Surprises Act, uninsured and self-pay clients are entitled to a good faith estimate. Practices that mix insurance and private pay need a clear rule for who gets one.
Splitting the work with Taiga
Your clinicians focus on sessions. Taiga's team takes the claim work that follows.
What your practice keeps
Clinical notes, treatment plans, and approval of each code before it goes out. Intake and fee conversations with clients stay with you.
What Taiga takes on
Claim submission and scrubbing, eligibility checks, patient statements, and follow-up on every denial and appeal, including the small ones that are easy to write off.
What needs a decision
Agree on who handles new-clinician credentialing, good faith estimates, and out-of-network superbills before the first claim.
Questions for a counseling fit call
Bring de-identified examples of a typical week. Keep client details off the booking form.
Who is licensed and enrolled?
List each clinician's license type and the payers they are credentialed with, including pending applications.
What is your payer mix?
Break out commercial plans, Medicare, Medicaid, employee assistance programs, and self-pay so the work can be sized honestly.
Where do notes and schedules live?
Name your EHR. Taiga works alongside it, and there is a SimplePractice guide if that is your system.
Who this fits
Group and solo counseling practices that bill insurance and want a team working denials instead of a clinician doing it after hours. Onboarding takes about two weeks to the first claim.
One limit to know
Medicare's counselor benefit has its own rules on assignment, settings, and incident-to services. This page describes the billing landscape and does not decide coverage for any client.
Questions about mental health counseling billing
Does Taiga work with counseling practices?
Yes. Taiga works with mental health practices, including counseling. Bring your license types and payer mix to confirm the details.
Can a licensed mental health counselor bill Medicare directly?
Yes. Since January 1, 2024, qualifying counselors can enroll in Medicare and bill independently, as long as they accept assignment and meet the licensure and supervised-experience requirements.
Do we need good faith estimates for self-pay clients?
Under the No Surprises Act, providers must give uninsured and self-pay patients a good faith estimate of expected charges. Decide who owns that step at intake.
Do we have to change EHRs to work with Taiga?
No. Taiga works alongside your existing EHR, and onboarding takes about two weeks to the first claim.
See how Taiga handles counseling claims
Book a demo with your payer mix and weekly session volume in hand.
System guides show possible billing handoffs, not proven specialty compatibility.