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 San Diego 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
San Diego’s behavioral health market is shaped by both civilian and military demand. Scripps Health, Sharp HealthCare, and UC San Diego Health anchor the civilian market, while the region’s large military population creates significant TRICARE volume for behavioral health services. Psychiatry, therapy, IOP/PHP, and telehealth all see strong utilization, and the payer mix requires billing teams that can manage TRICARE alongside commercial, Medicare, Medi-Cal, and EAP programs.
Cosentus, through our SiMed division, provides full-cycle behavioral health billing and revenue cycle management tailored to the San Diego market. Our team manages TRICARE behavioral health billing alongside commercial, Medicare, Medi-Cal, and EAP claims. Every session is coded by behavioral health specialists who understand session limits, authorization rules, and documentation requirements for each payer in the region.
What We Manage for Behavioral Health Practices in San Diego
- 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
San Diego behavioral health practices work with TRICARE, commercial carriers, Medicare, Medi-Cal, and EAP programs. Each has different session limits and authorization requirements for behavioral health services. The SiMed team knows these requirements for every major payer in San Diego, including TRICARE’s specific behavioral health billing rules.
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 San Diego. They understand the military healthcare network, the community behavioral health landscape, and the payer dynamics 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.