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Mental Health Billing Services (MHBS) provides behavioral health billing, coding, credentialing, and revenue cycle management for providers in all 50 US states. We work exclusively in behavioral health, psychiatry, psychotherapy, substance use, ABA, and every level of care from outpatient to residential. Each specialty below has its own codes, payer carve-out routing, and authorization rules. Choose your discipline, condition, or care setting to see how we bill it correctly the first time.
The foundation page covering how behavioral health claims differ from standard medical billing: MBHO carve-out routing through Optum, Carelon, Evernorth, and Magellan; mental health parity (MHPAEA); master’s-level taxonomy codes; and session-limit and prior-authorization rules unique to behavioral health. Start here, then drill into your specialty.
Every behavioral health discipline bills under its own NPI taxonomy code, license-specific templates, and panel structure. Submitting a master ‘s-level clinician under a physician template or a prescriber under a single panel triggers denials. We bill each provider type the way payers expect it.
Psychiatric nurse practitioners credentialed and billed across both medical and behavioral health panels for medication management and psychotherapy. We handle state scope-of-practice and collaborative-practice rules, ANCC certification, and DEA-tier coverage. Taxonomy 363LP0808X.
Dual-panel billing for MD/DO psychiatrists:
Medication-management E/M codes 99213–99215 on the medical side and psychotherapy add-ons 90833/90836/90838 through the behavioral health carve-out. Includes ABPN and DEA verification. Taxonomy 2084P0800X.
Billing for PhD/PsyD clinical psychologists across psychotherapy (90832/90834/90837), diagnostic evaluation (90791), and psychological and neuropsychological testing (96130–96139) — including the unit-based prior authorizations testing that almost always requires. Taxonomy 103T00000X.
LCSW and LICSW billing using license-appropriate templates, not physician ones. Medicare-eligible at 75% of the Physician Fee Schedule, with HETS verification, session-limit tracking, and supervised-hours documentation. Taxonomy 1041C0700X.
LMFT billing for conjoint and family therapy codes 90846 (without patient present) and 90847 (with patient), now Medicare-billable under the 2024 expansion. We handle plan-specific conjoint exclusions and separate family-therapy visit caps. Taxonomy 106H00000X.
Billing for licensed professional counselors and mental health counselors, LCPCs in Illinois newly Medicare-billable at 75% of MPFS under the 2024 expansion. We manage state license-title variation and 90837 prior-auth patterns. Taxonomy 101YM0800X.
Condition-specific behavioral health services run on their own code sets, authorization rules, and specialty networks. Autism, substance use, and testing claims rarely route like general psychotherapy. We bill each condition through the correct network with the documentation those programs require.
Billing across ASAM levels of care with 42 CFR Part 2 consent handling. Covers H0001–H0005 assessment and counseling codes, group and individual sessions, and LADC/CADC providers. SAMHSA-aligned. Taxonomy 101YA0400X.
Unit-based autism billing across the full 97151–97158 family — assessment, 1:1 treatment, protocol modification, and family training — with the universal prior authorizations and approved-hour caps ABA requires. BCBA and RBT supervision documentation included. Taxonomy 103K00000X.
Billing for opioid use disorder treatment: methadone, buprenorphine, and naltrexone, including OTP weekly bundled billing and J-codes. We manage SAMHSA OTP certification requirements and 42 CFR Part 2 confidentiality for medication-assisted programs.
Billing for eating disorder treatment across outpatient, IOP, PHP, and residential levels, combining behavioral health psychotherapy with medical nutrition therapy (97802–97804) and the level-of-care authorizations these programs hinge on.
Billing for pediatric and adolescent mental health, including EPSDT and Medicaid coverage, family and collateral sessions, and school-based services. We handle the documentation and consent rules specific to treating minors.
Billing for crisis services: psychotherapy-for-crisis codes 90839/90840, mobile crisis (H2011), and crisis stabilization within the 988 and community crisis system. We manage the time-based and place-of-service rules for crisis claims demand.
Billing for transcranial magnetic stimulation for treatment-resistant depression: planning (90867), delivery (90868), and re-planning (90869), with the prior-authorization and medical-necessity documentation TMS coverage requires.
The same diagnosis is billed differently depending on where care is delivered. Facility levels run on revenue codes, per diems, and level-of-care authorizations rather than office visit codes. We bill every setting — from a solo office to a residential program under the correct structure.
Office and clinic-based billing (POS 11) for individual, group, and family psychotherapy, with session-limit tracking and the eligibility verification that prevents the most common outpatient denials.
Intensive outpatient and partial hospitalization billing on revenue codes and per-diem structures (S9480, H0035) with daily level-of-care authorizations and step-down documentation that facility claims require.
Residential behavioral health billing on per-diem revenue codes with ASAM 3.x level-of-care authorizations, length-of-stay management, and the concurrent-review documentation that residential payers demand.
Acute inpatient psychiatric billing with split facility (DRG/per-diem) and professional (99221–99223, 99231–99233) claims, admission certification, and the daily documentation tied to inpatient reimbursement.
Addiction rehabilitation and detox billing across ASAM 3.5–4.0, including withdrawal management and residential rehab, with SAMHSA-aligned documentation and 42 CFR Part 2 confidentiality.
Multi-state teletherapy billing with correct place-of-service (POS 02 vs POS 10), modifier 95, and audio-only rules. We track post-PHE coverage parity payer-by-payer so telehealth sessions bill clean the first time.
Billing for CMHCs and community behavioral health programs: H-code services, case management and wraparound, and the Medicaid and grant-funded structures under which community programs operate.
“Working with this billing team has completely changed the way we manage our practice revenue. Their attention to detail, fast claim submissions, and follow-up on denied claims helped us improve reimbursements within the first few months. I finally have peace of mind knowing our billing is handled professionally.”
Simplifying mental health billing with accurate claims, faster reimbursements, and seamless revenue cycle management.
info@mentalhealthbillingservice.com
(860) 500-1471
403, Port Washington Road
