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Many therapists prefer to take care of payment up front, or to have clients pay for several sessions in advance; that way, both therapist and client avoid the awkward experience of having to discuss payment after a particularly difficult session.
Be polite but firm when asking for payment. Bringing up payment can be difficult, especially after an emotional session, but it's important to follow your policy. Include a note in your fee policy about unpaid sessions. For example, will you stop providing therapy after two unpaid sessions?
Bring it up at the beginning of the session. Whether you are raising your fee, or perhaps you are going off your client's insurance panel, bring up the money conversation before the client starts talking about how they are doing, otherwise, it's prone to get lost, or not having enough time to process.
1. Work Out a Payment Plan. Creating a payment plan is one option for gradually reducing the size of a debt over time. Work collaboratively with the client to identify an additional amount they could reasonably pay weekly or monthly to begin chipping away at the overdue balance.
CPT Codes 90832-90838 represent psychotherapy. Psychotherapy without medical evaluation and management services are reported as 90832, 90834 and 90837.