A dedicated billing and coding team for psychiatry, therapy, and behavioral health practices. Based in Michigan and supporting providers nationwide.
Psychiatry, therapy, PHP, IOP, residential, and inpatient behavioral health billing is the work we focus on every day.
We started as a dedicated behavioral health billing team because general medical billers kept missing the details specific to this specialty.
Behavioral health billing involves time-based psychotherapy codes, session-count authorizations for IOP and PHP, telehealth place-of-service rules that can vary by payer, and additional confidentiality considerations for substance-use records under 42 CFR Part 2.
Since 2021, behavioral health billing and coding has been the only kind of billing we do. That specialization allows our team to understand the documentation, coding, authorization, payer, and follow-up issues that affect behavioral health claims.
Many behavioral health claim problems come down to details that can be identified before submission.
A denied behavioral health claim does not necessarily mean
treatment was not covered. The issue may be a missing
start/stop time, an authorization that expired during an
episode of care, or a telehealth modifier paired with the
wrong place of service.
Those details matter. Our approach is built around
identifying these issues before the claim reaches the payer,
rather than waiting for the remittance advice to reveal them.
Claims are reviewed for the appropriate CPT time bracket, modifiers, and level of care before submission.
PHI is handled through HIPAA-aligned, 42 CFR Part 2-aware workflows, with a signed BAA before access begins.
Our work stays focused on psychiatry, therapy, PHP, IOP, residential, and inpatient behavioral health billing.
Each practice works with the same account lead who knows its payer mix and billing workflow.
Our workflow is designed to keep eligibility, authorization, coding, claims, payments, and A/R follow-up connected.
We review your payer mix, current workflows, and aged claims while confirming access under a signed BAA.
Coverage, session limits, and authorization requirements are checked before visits, with authorized units tracked against approved counts.
CPT and ICD-10 codes are assigned against the clinical documentation and claims are reviewed against applicable payer requirements.
Payments are posted line by line, denials are followed up, and aged claims are worked on a weekly cadence until resolution or documented closure.
Your practice receives a weekly report covering key revenue-cycle activity so important issues do not sit unseen.
Based in Canton, Michigan, with specialized knowledge of the payer environment Michigan behavioral health practices work with.
Our deepest expertise is in the payers Michigan practices actually deal with, including Michigan Medicaid Health Plans and the PIHP/CMHSP behavioral health carve-out.
That specialization also supports practices across the country, from solo therapists and psychiatrists to multi-provider clinics, IOP and PHP programs, and inpatient psychiatric units.
Behavioral health records require careful handling. Our workflows are designed around privacy, access control, documentation, and secure handling of protected information.
A signed Business Associate Agreement is executed with every client and subcontractor before access.
Substance-use records are handled with workflows designed around applicable confidentiality requirements.
PHI is not sent through personal email and is handled through secure communication processes.
Access is limited to assigned coders and billers, with access logged and reviewed.
Staff complete documented annual HIPAA training as part of our internal compliance process.
A documented breach notification procedure is provided as part of client onboarding.
Specialized billing support for providers and organizations across the behavioral health spectrum.
See what specialized coding, authorization tracking, and denial follow-up can look like for your behavioral health practice.