From the first patient registration to the final payment reconciliation, we manage every touchpoint in your mental health revenue cycle — so nothing slips through the cracks.
We handle the full billing workflow for inpatient psychiatric admissions, including accurate DRG assignment, per diem rate billing, UB-04 claim preparation, psychiatric attending and consulting physician charges, and proper coordination between facility and professional fee billing. Our team ensures every inpatient day, procedure, and ancillary service is captured and billed compliantly.
Outpatient psychiatric billing requires careful selection of CPT codes for individual therapy, group therapy, family therapy, psychiatric evaluation, and medication management visits. We assign the correct service codes, apply appropriate modifiers, verify payer-specific session limits, and ensure every outpatient encounter is billed at the right level to maximize compliant reimbursement.
Before a patient's first appointment or admission, we verify active insurance coverage, mental health benefits, deductible status, co-insurance requirements, prior authorization needs, and network participation status. Confirming benefits upfront eliminates surprise denials after care has already been delivered and protects both the patient and the practice from billing disputes.
Inpatient psychiatric authorizations and continued stay reviews are among the most time-intensive aspects of hospital-based mental health billing. Our team manages initial authorization requests, concurrent review submissions, and peer-to-peer appeals with clinical documentation support — reducing avoidable discharge denials and securing coverage for every medically necessary day of inpatient care.
Our certified coders specialize in behavioral health coding, applying precise ICD-10-CM diagnosis codes, CPT procedure codes, HCPCS codes, and psychiatric-specific modifiers across all care settings. From complex dual-diagnosis documentation to PHP and IOP level-of-care coding, we ensure your claims are coded correctly and compliantly — reducing audit risk while maximizing legitimate reimbursement.
Every claim we submit is scrubbed for coding errors, missing information, invalid modifiers, and payer-specific edits before it ever leaves our system. We file electronically to all major commercial payers, Medicare, Medicaid, TRICARE, and behavioral health managed care organizations — minimizing first-pass rejections and accelerating payment timelines for your practice
Mental health claim denials are often driven by lack of medical necessity documentation, incorrect benefit assignment, or missed authorization requirements. Our denial management team analyzes every rejected claim, identifies the root cause, prepares clinically supported appeal letters, and resubmits with the documentation needed to overturn the denial — recovering revenue that would otherwise be lost.
We accurately post all insurance payments, patient payments, and adjustments, reconcile EOBs and ERAs, identify payer underpayments and contractual discrepancies, and maintain audit-ready financial records. Our payment posting process keeps your accounts current, prevents revenue leakage, and ensures every dollar owed to your practice is properly accounted for.
Aging AR is one of the most significant threats to a mental health practice's financial health. Our AR team proactively follows up on outstanding claims, resolves payer delays, identifies systemic billing issues, and escalates high-value accounts before they become uncollectable. We reduce your days in AR and improve your overall net collection rate through consistent, methodical follow-through.
We collect and verify complete patient demographics, insurance information, referral details, and authorization requirements at intake building a clean billing foundation before any service is rendered and preventing downstream errors that lead to costly claim rejections.
We confirm active coverage, mental health parity benefits, deductibles, co-insurance, visit limits, and authorization requirements for every patient before the first appointment or admission, ensuring every service your providers deliver is billable and reimbursable.
Our certified psychiatric coders review provider notes and translate encounters into precise CPT, ICD-10-CM, and HCPCS codes with appropriate modifiers ensuring documentation fully supports each billed service and complies with all applicable payer policies.
We submit fully scrubbed, clean claims electronically to all payers, monitor submission statuses in real time, and proactively follow up on pending, delayed, and denied claims securing the fastest possible reimbursements for your behavioral health practice.
We accurately post all insurance and patient payments, reconcile EOBs and ERAs, resolve underpayments and contractual discrepancies, and deliver transparent financial reporting keeping your accounts balanced and fully current at all times.
Mental Health Billing delivers end-to-end billing outsourcing for inpatient and outpatient psychiatric providers — eliminating administrative burden, reducing overhead costs, and ensuring your revenue cycle operates at peak performance so you can focus completely on delivering quality behavioral health care.
We document and capture every billable encounter, procedure, evaluation, and ancillary service — from inpatient psychiatric room-and-board charges to outpatient therapy CPT codes — ensuring no revenue goes uncaptured or unreimbursed across your entire practice.
Our team submits clean, compliant claims electronically and relentlessly pursues every outstanding, pending, or denied claim across Medicare, Medicaid, commercial payers, and managed behavioral health organizations — driving faster payment cycles and higher net collection rates.
We analyze denial patterns specific to your payer mix, build compelling appeal cases with clinical documentation support, and recover reimbursements that would otherwise be written off — preventing recurring denials through proactive process improvement.
We handle all prior authorization requests, continued stay reviews, real-time eligibility checks, and benefit confirmations — eliminating unexpected denials and protecting your practice from costly billing surprises after services have already been delivered.
Our certified psychiatric billing professionals stay current with CMS guidelines, state Medicaid behavioral health policies, and commercial payer requirements — keeping your practice fully compliant and audit-ready at all times.
We deliver transparent financial performance reports, live AR dashboards, denial trend analysis, and collection rate tracking — giving practice owners and administrators the data-driven insights needed to make confident decisions and grow revenue steadily.
Choosing Mental Health Billing means partnering with a team that genuinely understands the unique billing challenges behavioral health providers face — and works relentlessly to protect every dollar your practice has earned.
We work exclusively in the mental health and behavioral health space. Our team brings deep knowledge of psychiatric CPT codes, mental health parity laws, inpatient DRG billing, PHP and IOP level-of-care requirements, and managed behavioral health organization contract rules — expertise that general billing companies simply cannot offer.
We optimize your complete revenue cycle from charge entry through final payment reconciliation, meaningfully reducing days in accounts receivable and improving net collection rates so your practice maintains a healthy, predictable cash flow month after month.