Behavioral Health Revenue Cycle

Billing services built for behavioral health practices

You trained to treat patients — not to argue with payers about a 90837. For 15+ years, our team has handled eligibility, coding, claims, and denial appeals for mental health practices nationwide, so every session turns into payment, predictably.

Why Specialize

Mental health billing doesn't behave like general medical billing

Psychotherapy codes are time-based, E/M visits often need an add-on code attached correctly, telehealth claims live or die by the right modifier and place-of-service code, and PHP/IOP programs bill per diem under entirely different rules. On top of that, payers apply session limits, authorization requirements, and behavioral health “carve-outs” that route claims to a different company than the one printed on the patient’s card.We’ve spent 15+ years working inside these rules — payer by payer, denial by denial.
Psychotherapy codes are time-based, E/M visits often need an add-on code attached correctly, telehealth claims live or die by the right modifier and place-of-service code, and PHP/IOP programs bill per diem under entirely different rules. On top of that, payers apply session limits, authorization requirements, and behavioral health “carve-outs” that route claims to a different company than the one printed on the patient’s card.We’ve spent 15+ years working inside these rules — payer by payer, denial by denial.

Our mental health billing services

Every detail a clean claim leans on, confirmed and documented before the appointment, not excavated after the denial.

Insurance Eligibility Verification

We confirm active coverage, behavioral health benefits, copays, deductibles, session limits, and prior-authorization requirements — including carve-out plans that many front desks miss.

Medical Coding

Certified coders assign the correct codes for every encounter — from 90791 intakes and the 90832/90834/90837 set to E/M add-ons, telehealth modifiers (95, 93), and place-of-service codes.

Charge Entry

Every billable service is entered accurately and quickly — correct units, correct time, correct fee schedule — within 24–48 hours / insert your actual turnaround

Claim Submission

Claims are scrubbed against payer-specific edits, then submitted electronically on CMS-1500 or UB-04 forms as the setting requires. Rejections are corrected and resubmitted same day / insert your actual turnaround.

Payment Posting

Every ERA and EOB is posted to the right patient, session, and payer, with contractual adjustments applied correctly. We flag underpayments instead of writing them off silently.

Denial Management

A denial isn't a write-off; it's a solvable problem with a cause. We trace each one to its root, file corrected claims or appeals, and feed the lesson back into your front-end process.

Accounts Receivable Follow-Up

We work your aging buckets on a fixed schedule, get payers on the phone, resolve stalled claims, and recover balances other billers have given up on.

Patient Billing & Statements

Money conversations are sensitive in mental health care. We send clear statements, offer convenient payment options, and handle billing questions with the same respect your clinicians show in session.

Denial Management

A denial isn't a write-off; it's a solvable problem with a cause. We trace each one to its root, file corrected claims or appeals, and feed the lesson back into your front-end process.

Behavioral health is all we do

We're not a general billing mill that "also does" mental health. Psychiatry, therapy, PHP/IOP, and residential billing are our entire focus.

Certified, experienced coders

Our coding team holds insert credentials, e.g. AAPC CPC/CPB and works exclusively in behavioral health code sets.

We work inside your software

With experience across 28+ billing and EHR platforms, we adapt to your workflow — no migration, no disruption.

HIPAA-compliant by design

BAA signed before any data moves, role-based access, and minimum-necessary handling of PHI on every account.

Transparent, not a black box

You see what was billed, what was paid, what was denied, and what we did about it — every month.

Why practices choose us

We’re not a general billing mill that “also does” mental health. Psychiatry, therapy, PHP/IOP, and residential billing are our entire focus.

Certified, experienced coders

Our coding team holds insert credentials, e.g. AAPC CPC/CPB and works exclusively in behavioral health code sets.

We work inside your software

With experience across 28+ billing and EHR platforms, we adapt to your workflow — no migration, no disruption.

HIPAA-compliant by design

BAA signed before any data moves, role-based access, and minimum-necessary handling of PHI on every account.

Transparent, not a black box

You see what was billed, what was paid, what was denied, and what we did about it — every month.

Behavioral health is all we do

We're not a general billing mill that "also does" mental health. Psychiatry, therapy, PHP/IOP, and residential billing are our entire focus.

Real availability

Mon–Fri 8am–8pm, weekends 9am–6pm. Call +1 (734) 619-8238 or email info@mentalhealthbilling.us.

Results you can verify

35–50

Average A/R days for behavioral health practices using dedicated revenue cycle management.

Industry Benchmark • MGMA / HBMA

85–95%

Typical first-pass clean claim rate achieved through accurate coding and claim scrubbing.

Industry Benchmark • HBMA

10–20%

Behavioral health claims denied on first submission due to eligibility, authorization or coding issues.

Industry Benchmark • AMA / CAQH

Want to Improve These Numbers?

Our behavioral health billing specialists help reduce denials, accelerate reimbursements, improve clean claim rates, and provide complete transparency into your revenue cycle. Schedule a free consultation and see how your practice compares.

Schedule a Free Consultation →

* Industry benchmark figures shown above are for reference only and are not presented as this company's performance. Actual practice results vary based on documentation quality, payer mix, and operational workflows.

Frequently asked questions

Most practices pay a percentage of monthly collections / insert your pricing model , so our fee scales with what we actually collect for you. Request a free billing review and we'll quote your exact rate based on volume and specialty.

We've worked across 28+ platforms, including insert your top systems, e.g. SimplePractice, TherapyNotes, Tebra, AdvancedMD. If you use something else, ask — odds are we've billed in it.

Yes. We apply the correct telehealth modifiers and place-of-service codes per payer, and we track payer-specific telehealth policies as they change — one of the most common denial sources in mental health today.

Yes. A/R cleanup projects are a core service. We audit your aging report, prioritize recoverable balances before timely-filing deadlines pass, and work them systematically.

Both. We support solo therapists and psychiatrists as well as multi-provider clinics, PHP/IOP programs, and residential facilities nationwide.

We operate under a signed BAA, follow HIPAA privacy and security rules, restrict account access to assigned team members, and apply minimum-necessary standards to all PHI.