JotPsych Blog

Insights, guides, and news for behavioral health professionals

Press Coverage

Podcast Appearances

Hear the JotPsych team talk behavioral health, AI documentation, and the future of clinical practice.

JotPsych Notes Aug 24, 2026

JotAudit checks the note before the payer does

The Centers for Medicare and Medicaid Services (CMS), the American Psychiatric Association (APA), and the major commercial payers each publish the...

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JotPsych Notes Aug 24, 2026

From a signed note to a paid claim

JotBill is the billing engine built into JotPsych. It turns a signed note into an insurance claim, submits the claim, posts the payment, and works...

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JotPsych Notes Aug 24, 2026

Patients book their own appointments now

Before self-scheduling, a patient could book only one way: call the practice and wait for someone to answer, during business hours. Now they book...

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JotPsych Notes Aug 24, 2026

PDMP checks in the chart

PDMP stands for prescription drug monitoring program, the state database that logs every controlled-substance prescription a patient has already...

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JotPsych Notes Aug 24, 2026

Prescribe where you document

Prescribers finish their notes, then open a second system to send prescriptions. JotRx puts the prescription in the same chart.

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JotPsych Notes Aug 24, 2026

Templates that match your format. Notes you edit by typing.

Most note software makes the clinician switch to its format. JotPsych starts from the format already in use, then changes any note from typed...

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JotPsych Notes Aug 24, 2026

Video visits in the chart

JotMeet holds the telehealth visit inside the patient's chart. The patient joins from one link, nobody installs anything, and the session ends...

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JotPsych Notes Aug 24, 2026

A patient's history, assessment trends, and medications, in one place

History, assessment trends, and medications, all in view the moment the chart opens.

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JotPsych Notes Aug 14, 2026

From Medicaid heavy to commercial ready

A practice concentrated in Medicaid carries that program's entire policy calendar at once. Diversifying into commercial payers is the hedge, and...

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JotPsych Notes Aug 14, 2026

Medicaid documentation that survives scrutiny

Work requirements mean more eligibility reviews. When a state or federal reviewer opens a Medicaid chart, the note decides whether the visit...

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JotPsych Notes Aug 14, 2026

The recoupment window

A payer that already paid a claim can still take the money back later. How much later depends on the state and the payer, and three paths carry no...

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JotPsych Notes Aug 14, 2026

Two ways a payer says no

A denial happens before a payer pays a claim. A recoupment happens after, sometimes years later, and it can start from a handful of sample claims...

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JotPsych Notes Aug 14, 2026

What your 90791 actually pays: Medicare's 2026 rate, by payer

Every new patient starts with an intake. Medicare's rate for the psychiatric diagnostic evaluation rose only 3.9% for 2026, the smallest increase...

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JotPsych Notes Aug 14, 2026

What your 90792 actually pays: Medicare's 2026 rate for the prescriber intake

Same new-patient visit, a different code, meaningfully more money, when a prescriber does the intake and the medical elements are actually there...

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JotPsych Notes Aug 14, 2026

What your 90832 actually pays: Medicare's 2026 rate for a 30-minute session

The 30-minute psychotherapy code is the shortest standalone session Medicare recognizes. It pays the least of the three time bands, and a high...

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JotPsych Notes Aug 14, 2026

What your 90833 actually pays: Medicare's 2026 rate for the add-on prescribers forget

A prescriber who does 20 minutes of real psychotherapy inside a medication visit can bill for it separately. Medicare raised the rate 12.0% for...

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JotPsych Notes Aug 14, 2026

What your 90834 actually pays: Medicare's 2026 rate for the 45-minute hour

The 45-minute session is the workhorse of outpatient therapy, the code behind what most patients think of as their weekly hour. Medicare raised it...

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JotPsych Notes Aug 14, 2026

What your 90836 actually pays: Medicare's 2026 rate for the 45-minute add-on

The middle add-on code covers a full standard therapy block layered onto a medication management visit. Medicare raised it 11.6% for 2026, and it...

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JotPsych Notes Aug 14, 2026

What your 90837 actually pays: Medicare's 2026 rate, and the audit flag that comes with it

The 60-minute session pays the most of the three psychotherapy time bands, and Medicare's own auditors have a specific number in mind for how...

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JotPsych Notes Aug 14, 2026

What your 90838 actually pays: Medicare's 2026 rate for the longest add-on

The longest psychotherapy add-on covers a full hour of therapy layered onto a medication visit. It shows up in an unexpected place: multi-hour...

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JotPsych Notes Aug 14, 2026

What your 90853 actually pays: Medicare's 2026 rate for group therapy

Group psychotherapy pays the least per patient of any code in this series, by a wide margin. It is also the code where the per-clinician-hour math...

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JotPsych Notes Aug 14, 2026

What your 99212 actually pays: Medicare's 2026 rate, and why the code is rare

The level-2 established-patient visit is the shortest, lowest-paying code in the office-visit family. Medicare raised it 8.1% for 2026. Most...

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JotPsych Notes Aug 14, 2026

What your 99213 actually pays: Medicare's 2026 rate, and the downcode connection

The level-3 established-patient visit is the most common office-visit code in all of medicine. In behavioral health it plays a second role: it is...

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JotPsych Notes Aug 14, 2026

What your 99215 actually pays: Medicare's 2026 rate for the highest E/M level

The level-5 established-patient visit is reserved for the most complex medication-management encounters: multiple unstable conditions, high-risk...

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JotPsych Notes Aug 14, 2026

What your G2082 actually pays: Medicare's 2026 rate for Spravato induction

Esketamine visits do not look like any other code in behavioral health: one code covers the drug, the administration, and two hours of required...

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JotPsych Notes Aug 14, 2026

What your G2083 actually pays: Medicare's 2026 rate for the higher Spravato dose

The higher-dose esketamine code pays more than any other single code in this series, more than eight times what a standard 60-minute therapy...

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JotPsych Notes Aug 14, 2026

Who loses Medicaid in 2027

You already know which patients are on Medicaid. The new work requirement does not test that. It tests whether a patient can prove their status in...

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JotPsych Notes Aug 13, 2026

What a certified claim is, and what it changes

Cigna, Optum, and Aetna each publish the rules their reviewers use. Nobody reads your note against those rules. Then a reviewer opens it years...

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JotPsych Notes Jun 30, 2026

The denial surge

Claim denials are rising across all of commercial insurance. Behavioral health starts from a worse baseline than the rest of medicine, and the 2025 data...

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JotPsych Notes Jun 30, 2026

How AI is changing payer decision-making

A growing number of states now require a clinician to sign off before a payer's algorithm can deny care. More are moving that way. Most states still...

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JotPsych Notes Jun 30, 2026

The telehealth cliff

Medicare will soon require an in-person visit for new behavioral-health telehealth patients. Start them on or before December 31, 2027 and they stay exempt...

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JotPsych Notes Jun 30, 2026

Medicaid in retreat

Work requirements take effect January 1, 2027. For a behavioral health (BH) practice carrying 30% or more Medicaid census, that is not a policy deadline...

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JotPsych Notes Jun 30, 2026

Read the denial, win the appeal

More than 80% of appealed Medicare Advantage (MA) prior authorization (PA) denials are overturned. Most practices never appeal. The denial code tells...

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JotPsych Notes Jun 30, 2026

Survive the Audit

The Office of Inspector General flagged 58 cents of improper payment in every dollar billed for Medicare psychotherapy in its last major audit. The...

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JotPsych Notes Jun 30, 2026

The Payer-Proof Practice

Payers do not openly fight you. They quietly bleed you: through underpayments you do not notice, denials you do not appeal, and documentation gaps you...

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JotPsych Notes Jun 30, 2026

What's hitting behavioral-health practices in 2026

Five payer-side changes landed in a six-month stretch. The biggest one hasn't hit yet. Here is the timeline, what each one means, and the one move...

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JotPsych Notes Jun 30, 2026

The Medicare fee schedule, decoded

The number that sets every Medicare payment fell five years straight. In 2026 it finally reversed, and behavioral health got the largest...

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JotPsych Notes Jun 30, 2026

The silent commercial cut

Commercial payers routinely pay behavioral health at rates far below what comparable medical specialties earn. New federal enforcement rules that...

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JotPsych Notes Jun 30, 2026

What your 99214 actually pays: ten years of rates, by payer

The level-4 office visit is the workhorse of behavioral-health medication management. Over a decade its Medicare rate quietly eroded, jumped on a...

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Comparisons Mar 29, 2026

JotPsych vs. Eleos

Eleos builds AI agents for documentation, compliance, and revenue cycle inside large community behavioral-health organizations. JotPsych does the...

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Comparisons Mar 29, 2026

JotPsych vs. Freed

Freed is a general-medical AI scribe built to cover more than 30 specialties at once. Behavioral health is one of them. JotPsych is built for...

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Comparisons Mar 29, 2026

JotPsych vs. Heidi Health

Heidi Health is a general clinical AI scribe used across medicine, nursing, dentistry, and veterinary care, with mental health listed as one...

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Comparisons Mar 29, 2026

JotPsych vs. mdhub

mdhub is the closest thing to a platform in this comparison: intake, notes, e-prescribing, telehealth, and billing, built only for behavioral health.

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Comparisons Mar 29, 2026

JotPsych vs. Nabla

Nabla is an ambient documentation tool built for large health systems running Epic and other major electronic health records (EHRs), across every...

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Comparisons Mar 29, 2026

JotPsych vs. Upheal

Upheal has grown into a real electronic health record (EHR) for therapists: notes, scheduling, telehealth, insurance billing, and a compliance...

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General Feb 27, 2026

How UCH's 2026 Policy Updates Affect Behavioral Health Billing

For behavioral health clinicians, documentation is already one of the most time-intensive parts of the job. UnitedHealthcare's upcoming 2026 updates deserve attention.

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Note Template Aug 19, 2025

E/M & Psychotherapy Template

Psychiatric care often requires a dual focus: medication management and psychotherapy. This template covers both.

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Note Template Aug 19, 2025

Psychiatric Progress Note Template

A complete psychiatric progress note template designed for medication management and follow-up visits.

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Note Template Aug 19, 2025

Psychiatric Intake Template

A comprehensive psychiatric intake template covering the initial evaluation, history, and treatment planning.

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Note Template Aug 19, 2025

Addiction Assessment Template

A specialized addiction assessment template for substance use disorder evaluations and treatment planning.

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General Aug 18, 2025

State of AI In Behavioral Health [2025]

A comprehensive look at how AI is transforming behavioral health documentation, billing, and clinical workflows in 2025.

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General Aug 11, 2025

The Hidden Costs of Behavioral Health Documentation

Documentation burden goes beyond time. Explore the hidden financial, clinical, and personal costs affecting behavioral health providers.

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Guide Jul 18, 2025

How to Write Better AI Prompts

Get more out of AI documentation tools by learning how to write effective prompts that produce better clinical notes.

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Comparison Apr 14, 2025

Top AI Scribes for Behavioral Health [2025]

A comprehensive comparison of the top AI scribes available for behavioral health professionals in 2025.

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Comparison Apr 8, 2025

JotPsych vs Suki

Side-by-side comparison of JotPsych and Suki for behavioral health documentation.

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