Billing operation & RCM
Day-to-day operation of the billing side of AdvancedMD, plus end-to-end revenue cycle ownership from eligibility to final payment.
We're a behavioral health billing team that works inside your existing AdvancedMD account, running the revenue cycle so your clinicians can stay with their clients. No system switch. No new software to learn.
AdvancedMD is a cloud-based practice management, EHR, and billing platform used widely by independent and group behavioral health practices. It unifies the front desk, the clinical note, and the billing office in one login one source of truth from the moment a client is scheduled to the moment a payment posts.
For mental health specifically, it supports the codes and workflows the specialty actually uses: psychotherapy codes such as 90832, 90834, and 90837; the diagnostic evaluation 90791; family and group therapy; add-on codes like 90785 for interactive complexity; and the telehealth place-of-service and modifier rules that dominate behavioral health billing today.
Owning capable software and getting paid consistently are two different things. A claim that scrubs clean still gets denied when a prior authorization lapses mid-treatment. An ERA posts automatically, yet a partial payment sits unworked because no one watched the worklist.
Our value isn't the software it's the trained judgment applied to it. Knowing which edits to trust, which denials to appeal, and how behavioral health payer rules differ from every other specialty.
Vendor disclaimer: Mental Health Billing is an independent medical billing and revenue cycle management company that supports healthcare providers using this software. We are not the software developer, owner, or officially affiliated with the software vendor unless explicitly stated. We operate within the AdvancedMD accounts our clients already license.
Everything below happens inside your existing AdvancedMD environment, using your setup rather than replacing it.
Day-to-day operation of the billing side of AdvancedMD, plus end-to-end revenue cycle ownership from eligibility to final payment.
Charge review, claim scrubbing through ClaimInspector, submission via the built-in clearinghouse, and lifecycle tracking to resolution.
We work the denial worklists, find root causes, correct and resubmit, and file appeals with supporting documentation.
Electronic remittance posting and auto-matched transactions, with contractual adjustments verified and deposits reconciled.
Aging buckets worked on schedule, plus the dashboards and scheduled reports that show how the practice is really performing.
We track visit limits and prior authorizations before they lapse a top cause of preventable behavioral health denials.
Help getting providers onto payer panels and enrolled for electronic claims, ERA, and EFT so the billing pipeline actually flows.
We tune AdvancedMD workflows and train the staff on the parts you keep, so the whole system runs cleaner.
Hands-on assistance configuring templates, worklists, carrier files, and role-based views inside your account.
This is where experience separates a real billing partner from a data-entry vendor. Here's where we step in to protect your revenue.
Using the overnight batch and on-demand eligibility checks, we confirm coverage, behavioral health carve-outs, copays, and remaining visit limits and flag authorization renewals before the approved units run out.
We match psychotherapy codes to documented session time (90832 vs. 90834 vs. 90837), pair E/M with the right add-on for med management, and apply accurate DSM-5 / ICD-10 diagnoses from the filtered behavioral health code lists.
Claims run through AdvancedMD's scrubbing engine against CCI, HIPAA, LCD, and carrier-specific edits. We tune and read its output, fixing issues before submission the cheapest point in the workflow.
Claims transmit electronically through the integrated clearinghouse's wide payer network, in batches, with the occasional paper payer handled by print-and-mail. Acceptance is confirmed in the adjudication log.
Every claim is monitored in the Claims Center. Rejections are corrected same-day; true denials go to structured worklists, categorized by reason and appealed when wrong using patterns specific to behavioral health.
Remittances auto-match and post efficiently but we verify. Contractual adjustments are checked against fee schedules, underpayments caught rather than posted, and EFT deposits reconciled against ERAs.
Residual copays, coinsurance, and deductibles move to statements and online bill pay handled with the sensitivity behavioral health relationships require.
We work the aging report on schedule, then use AdvancedMD reporting A/R aging, top payers, first-pass acceptance, provider performance to show practice health and guide where we push next.
A missed authorization stops a claim at step two. A time-based coding error stops it at step four. An unworked denial strands it after step eight. We keep claims moving through every step and feed what we learn at the end (reporting) back into the front (verification and coding) so the same problems stop repeating.
By catching authorization lapses, coding mismatches, and telehealth modifier errors before submission.
By using ClaimInspector deliberately instead of hoping it catches everything.
By working denials and A/R systematically rather than reactively.
Aging buckets worked on schedule so revenue doesn't stall in the 90+ columns.
Eligibility, authorization tracking, and posting taken off your staff's plate.
We work within your AdvancedMD security controls and treat behavioral health data with the sensitivity it requires.
We understand carve-outs, EAPs, parity, visit limits, supervised and associate-clinician billing, telehealth rules, and Good Faith Estimate obligations for self-pay clients.
We know where the scrubber helps, how the clearinghouse behaves, how ERAs post, and how reporting is structured so there's no learning curve on your dime.
No system migration, no ripping out what works. We secure access within your existing AdvancedMD setup and get to work.
You keep visibility into your own dashboards. We support AdvancedMD we don't pretend to be it so our loyalty is to your collections, not a software sale.
We work inside it. You keep your AdvancedMD license and account; we operate the billing workflow within it. There's no migration and no new system for your staff to learn.
No. Mental Health Billing is an independent revenue cycle company. We support practices using AdvancedMD but are not the developer, owner, or an official affiliate of the software vendor. AdvancedMD belongs to its respective owner.
We work through secure, role-appropriate user access within your existing AdvancedMD environment, consistent with your permissions and HIPAA obligations. You control access and can adjust or revoke it.
The full behavioral health range AdvancedMD supports psychotherapy codes (90832 / 90834 / 90837), diagnostic evaluation (90791), family and group therapy, add-ons like 90785 and the psychotherapy add-ons paired with E/M for medication management, and H-codes used in substance use and community settings coded to DSM-5 / ICD-10 diagnoses.
Yes, and it's one of the biggest wins in behavioral health. We track authorizations and remaining units in AdvancedMD and flag renewals before they lapse, which prevents a common and costly denial pattern.
That's the core of the engagement. We use ClaimInspector deliberately to raise first-pass acceptance, work denial worklists to root cause, and follow up on aging on a set schedule so claims don't stall.
Yes. Behavioral health is heavily telehealth-driven, and the place-of-service and modifier requirements change. We keep claims aligned to current payer rules so teletherapy sessions get paid.
Yes. Using AdvancedMD's Central Billing Office capability, we manage claims, denials, and posting across multiple providers and sites from a centralized view.
We support provider credentialing and payer enrollment getting providers onto panels and enrolled for electronic claims, ERA, and EFT so the billing pipeline is connected end to end.
Through your own AdvancedMD reporting. We rely on the platform's dashboards and scheduled reports first-pass acceptance, denial trends, A/R aging, collections, provider-level performance so results show up in numbers you can see.
Your software is capable. The question is whether it's being run by someone who knows behavioral health billing cold. If denials, aging A/R, or an overloaded front office are costing you revenue we can help, inside the account you already have.