Therapist in session with patient

Mental Health Billing That Understands Your Practice

Between complex CPT time rules, ever-changing telehealth policies, and the unique challenges of behavioral health reimbursement, psychiatry billing requires specialized expertise. We help mental health professionals navigate these challenges—so you can focus on patient care rather than paperwork.

Last year, we helped a 15-provider behavioral health group recover $143,000 in previously denied claims by correcting therapy documentation and modifier usage. But beyond the numbers, we give you back the time and peace of mind to concentrate on your patients' wellbeing.

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Precision Behavioral Health Coding

We ensure accurate coding for all mental health services while navigating these key challenges:

Therapy Sessions

  • 90832 vs 90834 vs 90837 (time distinctions)
  • Family therapy coding (90846-90847)

Psychiatric Services

  • Initial evaluations (90791-90792)
  • Medication management (99212-99215)

Documentation Tip: For time-based therapy codes, we ensure your notes include:

✓ Start/end times ✓ Modality used (CBT, DBT, etc.) ✓ Treatment goals addressed ✓ Patient response

Telehealth Billing Without the Headache

We stay current on all virtual care requirements across payers:

Modifiers

  • 95 modifier (synchronous)
  • GT modifier (Medicaid)

Place of Service

  • POS 02 (telehealth)
  • Patient location documentation

Audio-Only

  • FQ modifier requirements
  • State-specific parity laws

Pro Tip: We maintain a state-by-state database of telehealth policies and payer-specific requirements.

Credentialing That Gets You Working Faster

Our behavioral health credentialing specialists handle:

Initial Enrollment

Medicare, Medicaid, Commercial

CAQH Management

Quarterly attestations

Recredentialing

Timely renewals

Our Credentialing Process:

  1. Verify provider qualifications and licenses
  2. Complete payer-specific applications
  3. Track submission and approval status
  4. Follow up until fully credentialed

Denial Resolution That Works

We fight back against common mental health denials:

Frequency Limits

  • Therapy session caps
  • Med check frequency

Documentation

  • Missing treatment plans
  • Insufficient progress notes

Authorization

  • Retroactive approvals
  • Session limit overrides

Our Appeal Success:

✓ 87% overturn rate for therapy denials ✓ $92,000 recovered last quarter ✓ Average 18-day resolution timeline

"Their team increased our collections for group therapy sessions by 42% by properly applying the GP modifier and documenting medical necessity. They also handle all our telehealth billing across 12 different payers—I no longer worry about whether we're compliant with each insurer's virtual care policies."

Dr. Marcus Johnson

Community Behavioral Health Associates

Ready to Simplify Your Mental Health Billing?

Get a free analysis of your last 60 days of claims. We'll identify your top opportunities to:

  • Reduce therapy denials
  • Optimize telehealth billing
  • Streamline credentialing
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