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Complete Revenue Cycle Management for Mental and Behavioral Health Practices

Built for therapists, psychiatrists, PMHNPs, psychologists, and behavioral health groups across all 50 states.

Mental Health Billing Services (MHBS) delivers end-to-end revenue cycle management for behavioral health practices — covering eligibility verification, certified coding, claim submission, denial appeals, payer credentialing, AR recovery, and patient billing. We handle the daily operational complexity of behavioral health revenue so your clinical team can stay focused on patients, not paperwork. Every service below is built specifically for the carve-out routing, time-based coding, and authorization rules that define mental health billing.

Eligibility and Verification of Benefits (VOB)

We verify mental health coverage specifics before every session, checking carve-out routing (Optum, Carelon, Evernorth, Magellan), behavioral health visit limits, copay/deductible status, and prior authorization requirements so claims never bounce.

Certified Medical Coding (AAPC/AHIMA)

Our AAPC and AHIMA certified coders match documented session time to the correct CPT code — 90791, 90832, 90834, 90837, 90846, 90847, 90853 — with state-specific telehealth modifiers (95, GT, FQ) and POS codes (02, 10).

24-Hour Fast Claim Submission Service

Documented clinical sessions become clean claims within one business day. Our team scrubs every submission for missing modifiers, taxonomy codes, place of service errors, and authorization mismatches before the claim ever hits the clearinghouse.

Denial Management & Appeals Service

Simple denials are corrected and resubmitted within 24 hours. Appeal-worthy claims go out with the right clinical notes, codes, modifiers, authorization proof, and medical necessity documentation attached. Worked by payer, code, reason, and balance.

Credentialing & Provider Enrollment

We get your clinicians paneled with Aetna, Cigna/Evernorth, UHC/Optum, Anthem/Carelon, BCBS, Medicare PECOS, and state Medicaid in 60-90 days. Full CAQH ProView setup, 120-day re-attestation, and behavioral health carve-out routing included.

Prior Authorization Management Service

We secure prior authorizations for therapy session limits, psychiatric medication management, ABA hours, IOP/PHP admissions, and TMS treatment courses. Active session count tracking inside your EHR alerts your clinical team before visits run out.

AR Follow-Up & Recovery Service

30, 60, 90, and 120+ day AR worked separately. High-balance claims prioritized first. Every stuck claim assigned a next action — not left open-ended. Write-off risk identified before claims become unrecoverable past timely filing.

Payment Posting & Reconciliation Service

Patient Statements & Collections Service

Patient statements go out only after the balance is clean, traceable, and tied to the correct copay, deductible, coinsurance, or non-covered service. HIPAA-compliant patient billing with online payment options and respectful collections workflows.

Revenue Cycle Reporting & Analytics

Monthly performance reports tracking first-pass clean claim rate, days in AR, denial reasons by payer, collection ratio, and clinician productivity. We deliver the financial visibility behavioral health practice owners need to make growth decisions.

Telehealth Behavioral Health Billing

We track telehealth parity laws and payer-specific modifier rules across all 50 states. Correct POS codes (02 for non-home, 10 for home), modifier 95/GT/FQ application, and audio-only billing handled so virtual sessions clear without delay.

Revenue Cycle Management (RCM)

End-to-end revenue cycle management for behavioral health — from patient intake through final payment. We integrate eligibility, coding, claims, denials, AR, and reporting into one continuous workflow that maximizes your collections and reduces days in AR.

Out-of-Network Billing & Reimbursement

We help out-of-network behavioral health practices maximize patient reimbursement. Superbill generation, claim submission on patient’s behalf, OON benefit verification, single case agreements, and gap exception requests

Virtual Medical Assistant (VMA) Service

HIPAA-trained virtual medical assistants for behavioral health practices — handling appointment scheduling, intake forms, insurance verification calls, prior auth follow-up, and patient communication. Fewer no-shows, faster intake, more clinical hours back to your clinicians.

Customer Feedback That Makes Us Proud

Dr. Mitchell Licensed Mental Health Counselor

“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.”

R. Collins Practice Administrator

“We struggled with delayed payments and constant insurance issues before partnering with this team. Their expertise in mental health billing and credentialing made the entire process smooth and stress-free. Communication is always clear, and their support team is incredibly responsive.”

Emily, PMHNP-BC Psychiatric Nurse Practitioner

“I highly recommend their billing services to any behavioral health practice looking to grow. They helped reduce claim denials, improved our collections, and allowed us to focus more on patient care instead of paperwork. Professional, reliable, and extremely knowledgeable.”