We help therapy centers navigate compliance requirements, optimize operations, and grow sustainably — from FQHC program requirements to private practice startup and everything in between.
HRSA Program Requirements
HIPAA Updates In Effect
Compliance-Focused
States Covered
Our Specialties
Whether you're an FQHC managing federal compliance, a therapist launching a private practice, or a clinic seeking operational improvement — we have you covered.
Comprehensive consulting for Federally Qualified Health Centers navigating HRSA's 19 program requirements, behavioral health integration, billing optimization, and site visit preparation.
From idea to thriving practice. We guide therapists through every step of launching and managing a compliant, profitable private practice — credentialing, billing, HIPAA, telehealth, and more.
Strategic consulting to help therapy practices grow revenue, reduce denials, improve staff retention, and operate more efficiently without sacrificing clinical quality or compliance.
Compliance Management
Therapy practices face an ever-expanding web of federal, state, and payer requirements. We simplify the complex so you can focus on patient care.
2026 brings stricter enforcement of Security Risk Analyses, updated Notice of Privacy Practices requirements, and new 42 CFR Part 2 alignment for substance use disorder records. We ensure your practice meets every standard.
2026 DeadlineInitial and re-credentialing with commercial payers, Medicare and Medicaid provider enrollment, CAQH profile management, and NPI registry compliance. We handle the paperwork so you see patients.
CoreTreatment plans, progress notes, intake assessments, and discharge summaries that meet payer audit standards and protect your license. We train your clinicians on documentation that gets claims paid.
CoreCorrect CPT/HCPCS code selection, modifier usage, E/M coding for behavioral health, new 2026 G-codes for interprofessional consults, and digital therapeutics billing. We reduce denials and increase revenue.
RevenueInterstate licensure compacts, audio-only billing rules, HIPAA-compliant platforms, informed consent requirements, and the evolving CMS telehealth waivers through 2027. Stay compliant across state lines.
EvolvingStates are expanding mandated reporter definitions, narrowing reporting timelines, and requiring new training. We keep your clinicians current on child abuse, elder abuse, and human trafficking reporting obligations.
State-SpecificState-specific requirements for clinical supervision of pre-licensed therapists — documentation, co-signing, CE requirements, and supervision disclosure forms. We ensure your supervision program is audit-ready.
OperationsCompliance plans, exclusion screening, anti-kickback awareness, Stark Law basics for therapy referrals, and false claims prevention. Protect your practice from audits and investigations.
CoreFQHC Consulting
FQHCs serve 30+ million patients nationwide and face unique compliance demands. Our FQHC consulting team specializes in behavioral health integration, billing optimization, and HRSA program compliance.
HRSA's 19 program requirements touch every aspect of health center operations. For behavioral health specifically, the compliance landscape includes clinical integration, billing complexity, and quality reporting unique to FQHCs.
HRSA Program Requirements
CY2026 Telehealth Rate (G2025)
Rural FQHCs Offering MH Telehealth
Patients Served Nationally
SUD Record Protections
In-Person MH Visit Requirement
Private Practice Consulting
Starting a private practice is exciting — but the compliance, credentialing, and business requirements can be overwhelming. We guide you from concept to thriving practice.
Entity selection (LLC, PLLC, S-Corp, sole proprietorship), state registration, EIN, NPI acquisition, business banking, and professional liability coverage. We build your foundation right from day one.
CAQH profile creation, commercial payer applications (Aetna, Cigna, UnitedHealthcare, Blue Cross, Optum), Medicare and Medicaid enrollment, and contract negotiation for higher reimbursement rates.
Privacy policies, security risk assessments, Notice of Privacy Practices (NPP), Business Associate Agreements (BAAs), breach notification procedures, and staff training protocols aligned with 2026 requirements.
Selecting HIPAA-compliant EHR platforms (SimplePractice, TherapyNotes, TheraPlatform), practice management systems, secure telehealth platforms, compliant payment processing, and encrypted communications.
State-by-state licensure requirements, PSYPACT and counseling compacts for interstate practice, platform compliance, informed consent templates, and CMS telehealth billing rules through the 2027 extension.
Clinical documentation templates, CPT code selection for therapy sessions (90834, 90837, 90847), E/M coding for psychiatric evaluations, modifier usage, superbill creation, and denial management workflows.
Informed consent forms, cancellation and no-show policies, confidentiality agreements, mandated reporting procedures, crisis protocols, and record retention schedules by state.
Adding clinicians, supervision structures for pre-licensed therapists, W-2 vs. 1099 compliance, multi-state licensing, administrative staffing, and culture-building for sustainable group practice growth.
Psychology Today profile optimization, Google Business presence, referral network development, ethical marketing guidelines per your licensing board, and website compliance (ADA, privacy policy).
Business Consulting
Clinical excellence alone doesn't ensure practice viability. We bring business strategy, operational efficiency, and financial optimization to therapy organizations of every size.
End-to-end claim lifecycle optimization — from eligibility verification and prior authorization through charge capture, claim submission, payment posting, and denial management. We find the revenue leaks and fix them.
Build dashboards tracking collections rate, days in A/R, denial percentage, cost per visit, clinician productivity, no-show rates, and payer mix. Data-driven decisions replace guesswork.
Rate analysis, fee schedule comparison, contract term review, and negotiation strategy for better reimbursement. We benchmark your rates against regional medians and advocate for higher payment.
Compliance training programs, onboarding protocols, clinical supervision frameworks, CE tracking, burnout prevention strategies, and compensation benchmarking to reduce turnover.
Streamline intake, scheduling, authorization, documentation, billing, and follow-up workflows. Identify bottlenecks, eliminate redundancy, and implement automation where appropriate.
Market analysis, location selection, staffing models, regulatory compliance across jurisdictions, centralized vs. distributed operations, and financial modeling for sustainable growth.
Build a comprehensive compliance program with written policies, designated compliance officer, regular auditing, corrective action procedures, and staff training that satisfies OIG guidance.
Due diligence on therapy practice acquisitions, valuation guidance, license and credential transfer, payer contract assignment, and post-acquisition integration planning.
EHR workflow optimization, reporting configuration, telehealth platform integration, patient portal activation, automated appointment reminders, and secure communications setup.
2026 Compliance Checklist
Use this checklist as a starting point. If you have gaps, we can help you close them before regulators find them first.
Regulatory updates, billing tips, practice management strategies, and FQHC compliance alerts.
Get In Touch
Whether you're an FQHC preparing for a site visit, a therapist launching a private practice, or a clinic seeking operational improvement — tell us where you are and where you want to be.
carmencounselingpllc@gmail.com
litherapycenter.com
Within one business day
Schedule a 30-minute consultation and we'll review your current compliance posture, identify gaps, and recommend a prioritized action plan — at no charge.