AI Psychotherapy Compliance & Coding Software
Brellium audits 100% of your therapists' session notes for clinical quality and payor requirements, catching gaps before a payor or funder does.
Every intake and session note reviewed, backed by our clawback protection guarantee.
Trusted by leading therapy and mental health organizations
Every Session Note Has to Show Medical Necessity
A therapy note has to show more than attendance: payors look for medical necessity, interventions tied to treatment plan goals, measurable progress, and documented risk screening. A note that skips any of these puts the session at risk in an audit.
Your therapists write in different styles across a large contractor network, and manual review can't scale. Brellium audits 100% of session notes for quality and compliance before claims go out.
How Brellium Audits 100% of Your Session Notes
Brellium connects to your EMR and audits every chart automatically, no manual uploads or sampling, checking clinical quality and documentation against 100+ payor-specific requirements — the same standard at 50 therapists or 500.
Session Note Auditing
Audit every intake (90791) and therapy session against clinical, documentation, and payor criteria.
Safety & Risk Documentation
Flag missing or incomplete safety documentation: SI/HI screening, safety plans, PHQ-9/GAD-7 scores.
Provider-Level Scorecards
Track documentation quality by therapist, showing what each clinician does well and where risk is concentrated.
Clawback Protection
Confidence Coverage: if a documentation gap in a reviewed session note slips through and leads to a clawback, Brellium covers 100% of the cost.
Standard Deployment
- Every session note checked against clinical, documentation, and payor criteria
- Intake (90791) and treatment plan alignment checks
- Risk screening checks (SI/HI, safety plans, PHQ-9 and GAD-7)
- Copy-paste and <72-hour signature checks
- Provider scorecards
- Pre-built EMR integrations
- Session documentation covered by the clawback guarantee
Enterprise Customization
- Custom EMR integrations for tech-enabled therapy platforms
Common Psychotherapy Compliance Risks Brellium Catches
Insufficient Session Documentation
Flags session notes that skip interventions, client response, or progress toward treatment goals.
Treatment Plan Gaps
Flags sessions delivered under an expired or unsigned treatment plan, or notes that don’t tie back to its goals.
Incomplete Risk Assessments
Surfaces sessions where a positive risk screen has no safety plan or follow-up documented.
Supervision Hour Deficiencies
Spots associate and pre-licensed clinicians billing sessions without the supervision their payors require.
Late or Templated Signatures
Catches late signatures and cloned or templated session narratives that read the same visit after visit.
100+ Additional Requirements
Every note also runs against 100+ payor, regulatory, and clinical criteria that update automatically.
What Therapy Leaders Say About Brellium
Impact for therapy practices
What therapy groups see when every session note is reviewed before it reaches a payor.
Built for Psychotherapy Compliance at Scale
Mixed Payors, Different Rules
Commercial, Medicaid, and Medicare each set their own documentation requirements, often for the same clinician on the same day. Brellium applies the right rule set automatically.
Large Therapist Network
Therapy runs on many different clinicians writing in their own styles. Brellium audits every chart, catching quality and safety gaps before they reach a payor.
Where Brellium Delivers the Most Value
Brellium serves therapy groups running volume, not solo practices managing a single caseload. Coverage grows with your provider count.
Providers
Where Brellium starts adding real value.
Providers
Best fit — full workforce QA and audit coverage.
See Brellium on your own charts.
Manual review can't scale across a large therapist network. Brellium checks every chart, compliance backed by Confidence Coverage.
FAQs About Psychotherapy Compliance
When should a session be billed as 90837 instead of 90834?
90834 covers 38–52 minutes of psychotherapy and 90837 covers 53 minutes or more. The note has to record the actual session time, so a 60-minute session documented without times can’t support 90837.
What are the CPT codes for psychotherapy?
The CPT codes are:
- 90791 — intake evaluation
- 90832, 90834, 90837 — individual psychotherapy (16–37, 38–52, and 53+ minutes)
What triggers a psychotherapy compliance audit?
A psychotherapy compliance audit is typically triggered when payors see notes that don't support medical necessity, tie back to the treatment plan, or document risk screening. Brellium audits 100% of charts against these requirements.
Does Brellium write progress notes?
No. Brellium reviews session notes after your therapists write them; it doesn’t generate documentation.
What documents does Brellium review for therapy practices?
Brellium reviews intake assessments and session notes, audited against payor and regulatory requirements before a claim goes out.
Why is it important for therapy practices to proactively review notes?
Manual sampling can't cover a large clinician network. Reviewing 100% of charts before submission catches errors before they become denials or clawbacks.