Therapy Session Coding
Correct time thresholds and add-on codes for individual, group, and family therapy. 90834 vs 90837 handled accurately every time.
About Cosentus
Cosentus is a healthcare revenue cycle management company combining specialty-trained experts with AI-native technology. With 25+ years of experience, we manage the full revenue cycle for behavioral health practices in Fresno and across California through our SiMed division. From coding to collections, every step is connected through Zeus AI, which runs 23 modules, and managed by people who stay in behavioral health.
98%
Net Collection Rate
48hrs
Charge Lag
99%
Clean Claim Rate
<15%
AR Over 90 Days
Local Expertise
Fresno is the largest city in California’s Central Valley and serves as the primary behavioral health hub for the region. Community Medical Centers, Saint Agnes Medical Center, and Kaiser Fresno support behavioral health practices alongside community organizations serving a population with high Medi-Cal enrollment. The payer mix in Fresno is heavily weighted toward Medi-Cal managed care, making expertise with government-sponsored behavioral health billing essential for practices in this market.
Cosentus, through our SiMed division, provides full-cycle behavioral health billing and revenue cycle management for practices in Fresno and across the Central Valley. Our team handles coding for psychiatry, therapy, IOP/PHP, medication management, and telehealth with the Medi-Cal expertise this market demands. Session limits are tracked, authorizations are managed, and every claim is coded by behavioral health specialists who know the Central Valley payer landscape.
What We Manage for Behavioral Health Practices in Fresno
- Behavioral health coding: psychiatry, therapy, IOP/PHP, medication management, telehealth
- Session limit tracking and authorization management by payer
- Eligibility verification across commercial, Medicare, Medi-Cal, and EAP
- Claim scrubbing and same-day submission to 1,400+ payers
- Denial management with root cause review
- Appeals with clinical evidence and payer escalation
- AR follow-up and aging management
- Live analytics by provider, modality, payer, and denial category
Complete Behavioral Health Revenue Cycle
Psychiatric & Medication Management
Capture both psychiatric and E/M components when clinically appropriate. No missed revenue on dual-service visits.
IOP & PHP Billing
Manage payer-specific bundling and per-diem vs per-service differences. Each payer has its own rules. We track all of them.
Telehealth Billing
Correct place-of-service codes and modifier usage across payers. Rules change often. Our team stays current.
Authorization Management
Tracking ahead of time, submission, and follow-up on every authorization. Expirations caught before they become write-offs.
Crisis & Add-On Services
Accurate capture of crisis interventions, prolonged services, and behavioral health add-on codes.
Patient Billing & Support
Cindy handles patient balances empathetically in over 50 languages. Behavioral health patients need clear, sensitive communication.
Ai AGENT: CINDYAnalytics & Reporting
Dashboards showing revenue per provider, session type, authorization status, and denial patterns.
Why Local Knowledge Matters
We Know California Payers
Fresno’s behavioral health payer environment is dominated by Medi-Cal managed care alongside commercial and Medicare plans. The SiMed team tracks session limits, authorization protocols, and documentation requirements for every Medi-Cal plan and commercial carrier active in the Fresno and Central Valley market.
Dedicated to Behavioral Health
SiMed by Cosentus is dedicated exclusively to behavioral health billing. Our team understands every modality: psychiatry, individual therapy, group therapy, IOP, PHP, medication management, and telehealth. We track session limits, manage authorizations, and code every encounter with the specificity this specialty requires.
National Reach. Local Focus.
We manage behavioral health revenue cycles across the country, but your SiMed team knows Fresno and the Central Valley. They understand the local health systems, the Medi-Cal dynamics, and the community behavioral health needs that shape this market.
Frequently Asked Questions
Know Exactly Where Your Revenue Is Going.
Wherever your revenue cycle needs to go, we can help.
- STEP 1
Connect
Tell us about your organization, your specialty and where revenue is getting stuck.
- STEP 2
Diagnose
We run a No-Cost Financial MRI on your revenue cycle and show you exactly what it finds.
- STEP 3
Recover
Together we fix the causes, and the revenue you were missing starts arriving.