Mental & Behavioral Health Billing
Navigate the complex landscape of psychotherapeutic codes, session units, and authorizations.
Psychiatry, psychology, and behavioral health billing requires a gentle yet highly precise coding approach. We specialize in handling complex interactive complexity codes, add-ons, and recurring treatment authorizations.
Mental and Behavioral Health practices face highly specific billing challenges. Payers frequently limit therapy sessions, mandate rigorous prior authorization schedules, and heavily scrutinize CPT time-based codes (such as 90837 for 60-minute sessions).
Our specialized billing team has spent years mastering behavioral health billing. We understand the regulatory rules regarding interactive complexity, family psychotherapy, group sessions, and PHP/IOP billing codes. We ensure your documentation matches the exact CPT code descriptors.
We take the burden of insurance authorizations off your shoulders. We monitor each patient's authorized session counts, alert you before authorizations expire, and handle the tedious clinical summary submissions to secure new approvals.
What you get
- Psychiatry & Therapy Specialists
- Experts in handling specific codes like 90834, 90837, and pharmacological management add-ons.
- Session-Limit Monitoring
- We track authorization lifespans and authorized session limits to prevent unpaid, out-of-bounds therapy visits.
- Out-of-Network Assistance
- Provide detailed superbills and manage out-of-network claims for private therapy practices.
How it works
- 1
Intake and Auth Log
We verify mental health benefit details and record maximum session counts in your system.
- 2
Time-Based Coding Review
Psychotherapy CPT codes and add-on modifiers are checked to ensure strict adherence to documented session durations.
- 3
Claim Scrubbing & Rules
Specialty rules are applied to prevent common therapist/psychologist claim rejections.
- 4
Patient Ledger Audits
We process co-pays, sliding scale records, and insurance write-offs to keep patient ledgers immaculate.
Common questions
Do you bill for telehealth therapy sessions?
Yes, we are experts in telehealth modifiers (such as GT, 95) and place-of-service codes to ensure full telemedicine reimbursement.
How do you manage authorization tracking?
We utilize specialized tracking sheets in your PM software and notify clinicians when a patient is within 2 sessions of their limit.
Do you bill for intensive outpatient (IOP) services?
Yes, we handle billing for PHP, IOP, substance abuse rehab, and ABA therapy services.
See what your practice is leaving on the table.
Send us a recent aging report and denial summary. We will show you where the money is stuck and what it would take to collect it.