Your clinicians already chart in AdvancedMD. Our billing team picks up at the signed note, checks the diagnosis and session time against the code, and stays with the claim until the payment posts.
Mental Health Billing is an independent billing company. We have no affiliation with AdvancedMD and work remotely through user access that your practice sets up and controls.
AdvancedMD gives therapists more than 275 configurable behavioral health notes, sub notes, and intake forms built on DSM-5 criteria. That is a lot of clinical detail. Billing still depends on a person reading the signed note and confirming that the start and stop times, the diagnosis, and the rendering provider all match what goes on the claim.
Once a visit is documented, the EHR suggests an E&M level and offers a picklist of mental health ICD-10 codes. Those suggestions help. They can also be wrong for a particular payer, so we check them before the charge reaches billing.
Some practices hand us the whole revenue cycle. Others only want help with group charges, denials, or a stubborn A/R backlog. Either way, your practice keeps its AdvancedMD subscription, its clinical records, and every decision about client care.
See our full billing servicesHow we fit into your AdvancedMD setup
AdvancedMD keeps scheduling, charting, billing, and the client portal in one database with a single login. We work inside each stage your subscription includes and stay out of the clinical side.
eEligibility runs batch checks on upcoming appointments, and we follow up on coverage gaps or expired authorizations.
Charges flow from the EHR or quick charge entry. We compare codes, minutes, and modifiers with the documentation.
ClaimInspector edits are reviewed one by one, real errors get fixed, and the batch goes to the clearinghouse.
ERAs are posted, deposits reconciled, and unpaid or denied claims are worked from A/R Control Center lists.
Larger groups with several locations can add the Central Billing Office (CBO) module and bill from one place. Modules differ by contract, so we map your exact setup during onboarding.
Most claim trouble in behavioral health accounts starts well before submission. It usually begins in a template, a payer setup, or a note that never got finalized.
The wrong payer picked for a behavioral health carve-out, outdated subscriber IDs, and authorization counts nobody updated after the last approval.
A 90837 billed for a 50-minute session, a group note missing for one member, or a supervisor listed where the rendering clinician belongs.
Clearinghouse rejections sitting untouched, ERA adjustments posted without a look at the reason code, and denials left past the appeal window.
When the same rejection shows up on five claims, we fix the template or carrier setting behind it, so the sixth claim goes out clean.
Each service below works on its own or as part of a full revenue cycle arrangement. We put the agreed scope in writing before anyone logs into your account.
Daily charge review, claim submission, posting, denial work, patient balances, and monthly reporting, run by one team that knows your payers.
Medical billing servicesWe read the batch results, call payers when mental health benefits are carved out, and note copays, deductibles, and visit caps.
Eligibility verificationApproved visits, units, and end dates are tracked per client, so your team hears about renewals before the last authorized session.
Session minutes, add-on codes with E/M visits, interactive complexity, diagnosis pointers, and rendering provider details are checked against the signed note.
ClaimInspector checks claims against CCI, HIPAA, LCD, and carrier rules. We trace each flag to its cause instead of overriding it to release the claim.
Claim submissionAdvancedMD pushes one group note to every member's chart. We confirm each client's attendance, 90853 charge, and payer before billing.
Bad payer IDs, NPI and taxonomy mismatches, and subscriber errors are corrected at the source record, then resubmitted within filing limits.
Accepted claims are tracked through adjudication. Anything that stalls past normal payer turnaround gets a status call or a portal check.
Remittances are posted with adjustment codes reviewed, deposits are matched to bank records, and short payments go on a separate list.
Payment postingWe read the CARC and RARC codes, fix what was wrong, pull supporting notes, and file appeals only where the record backs one up.
Denial managementAging buckets and denial worklists in A/R Control Center are worked daily, oldest and largest balances first, with filing deadlines watched.
A/R follow-upCopays, deductibles, and coinsurance are reconciled before statements go out through the portal or AdvancedMD Pay text and email alerts.
CAQH upkeep, commercial and Medicaid applications, Medicare enrollment for marriage and family therapists and mental health counselors, plus ERA and EFT setup.
Where it is part of the scope, we audit carrier files, fee schedules, charge templates, and user roles that keep producing the same errors.
Separate rendering providers, supervision rules, location-level reporting, and CBO module support for groups that bill several sites together.
A claim the clearinghouse rejects never reached the payer, so it gets corrected and sent again. A denied claim was processed and refused. That one needs a corrected claim, a reconsideration, or a formal appeal, depending on the reason code.
AdvancedMD's mental health library lets clinicians score screening questionnaires with a click and build treatment plans by disorder. Those plans matter to billing too. Many commercial plans and Medicaid programs want a current treatment plan before they approve more sessions, and an outdated one is a common reason an authorization request gets turned down.
We read the note and the plan the way a payer reviewer would. If the diagnosis on the claim does not match the plan, or the plan has lapsed, the clinician hears about it before the claim goes out.
Each service line has its own codes, time rules, and payer habits, so our review changes with the service. A psychiatric medication check and a family session get checked very differently.
90832, 90834, and 90837 billed by documented minutes, plus 90791 intake evaluations.
E/M visits with 90833, 90836, or 90838 psychotherapy add-ons, plus 90792 psychiatric evaluations.
96130 through 96139 testing codes, billed by the hour and often needing authorization first.
State scope rules, collaborative agreements, and payer credentialing that differ for nurse practitioners.
90846 without the client present and 90847 with the client, both tied to the identified patient's diagnosis.
IOP billed under H0015 or S9480 depending on the payer, with 42 CFR Part 2 consent handling.
90839 and 90840 crisis codes, plus collaborative care codes billed from primary care settings.
Video and audio-only sessions with place of service and modifiers matched to each payer's policy.
AdvancedMD telemedicine connects to charting, scheduling, reminders, and billing, so a video session creates its charge like any office visit. The claim is where things change. Place of service, modifier, and the client's location all depend on the payer.
Medicare covers mental health telehealth in the client's home and accepts audio-only care in some situations. Commercial and Medicaid rules vary by plan, so we check the written policy instead of guessing.
Telehealth claim checks
Software can flag a problem. Somebody still has to fix it, call the payer, and post the payment. Handing that work to a billing team gives your front desk and clinicians more of their hours back for clients.
A coder reviews charges and edits before anything reaches the clearinghouse.
Session counts and end dates are watched, so renewals get requested in time.
Setup errors are corrected once instead of on every claim.
Each denial is worked until it is paid, appealed, or written off with your approval.
Monthly reports show aging A/R, denial reasons, and collections by payer.
Therapists spend fewer evenings on billing questions and payer calls.
No billing company can honestly promise a set collection rate or a fixed drop in A/R days. Results depend on your payer mix, documentation habits, claim volume, and how old the backlog is.
Our work centers on behavioral health providers, and our billers spend their days inside systems like AdvancedMD.
Therapy, psychiatry, testing, and SUD billing make up our caseload, including time-based codes, carve-outs, and level-of-care authorizations.
Our billers work in ClaimInspector, Claims Center, A/R Control Center, eEligibility, and the CBO module where clients have it.
Automated edits catch format problems. A coder catches a 45-minute session coded as 90837, or a group note that was never written.
We sign in with role-based logins you create, and you can pull that access at any time without asking us.
Start with A/R cleanup or with full billing. Plenty of practices add services once they see how the first few months go.
Monthly reports cover claim status, denial reasons, payer turnaround, and aging A/R in plain numbers.
All work happens through secure remote access, with a named contact and an agreed way to reach us.
A Business Associate Agreement is signed before access, and SUD records covered by 42 CFR Part 2 get extra consent checks.
Short answers to what practice owners usually ask before giving an outside billing team access to their AdvancedMD account.
Yes. Your administrator creates user roles for our team, and we work only with the permissions you assign. You can change or remove that access at any point.
Usually not. Therapists keep their DSM-5 notes and templates. If one template keeps leading to denials, such as a note with no start and stop times, we explain the issue and suggest a fix.
AdvancedMD sends one group note to each attending client's chart. We confirm attendance, check that every client has a 90853 charge with the right payer, and correct anyone billed by mistake.
Yes, where those tools are in your subscription. We review each ClaimInspector flag, correct supported errors, and work rejected and outstanding claims in the Claims Center within the agreed scope.
Yes. We review eEligibility batch results, confirm mental health benefits when a plan carves them out, and track approved session counts. A clean eligibility response still does not guarantee payment.
Yes. We set the place of service and modifier each payer expects, confirm the chart notes video or audio-only, and follow up on any telehealth denials.
Yes. ERAs are posted with adjustment codes reviewed, EFT deposits are matched to the bank, and underpayments are listed for follow-up with the payer.
Yes. If your contract includes the CBO module, we bill centrally across locations. Without it, we keep provider and location setup consistent so reporting still makes sense.
Yes, if it is in your agreement. That covers CAQH, payer applications, Medicare enrollment for LMFTs and counselors, and ERA and EFT enrollment. Payers set their own approval timelines.
Yes. Some practices start with old A/R or denials only. Others hand over the full cycle, from eligibility to client statements. We put the scope in writing either way.
AdvancedMD offers its own billing service through the software vendor. An independent company like ours is a separate business working in the same account. Compare who handles credentialing, how often you get reports, who picks up when you call, and how well each team knows mental health codes.
If group claims keep bouncing, authorizations run out mid-treatment, or the 90-plus day A/R bucket keeps growing, send us a request. We will look at your rejections, denial reasons, payer enrollment, and posting accuracy, then tell you what we found.
Important: Mental Health Billing is an independent billing company. We are not affiliated with, endorsed by, or sponsored by AdvancedMD, Inc. AdvancedMD, ClaimInspector, and related product names belong to their owners. Features in any account depend on the subscription, modules, configuration, and user permissions. Our service scope is confirmed during onboarding and written into the service agreement.