Your clinicians chose this field to help people, not to decode insurance policies. Behavioral health billing is particularly complex, and most billing teams get it wrong. We manage the CPT codes, authorizations, appeals, and follow-up, so your team saves time.
Mental health billing has gaps that other specialties don’t face. Payers apply stricter scrutiny to behavioral health claims than almost any other specialty. These are the specific problems practices bring to us.
Getting prior auth for therapy sessions, and medication management each requires separate processes.
Billing 90833 or 90836 alongside E/M codes gets noticed unless documentation explicitly supports both services.
Insurers need measurable functional impairment in clinical notes to approve ongoing care. Vague notes are the main reasons for denial.
Group sessions billed with the wrong code or incorrect number of participants result in underpayment across every session.
We handle the full range of psychotherapy and psychiatry codes. Every claim we submit matches the right provider credentials.
We keep a running count of every patient's authorized sessions, expiration dates, and payer-specific limits.
Specialized coding for IOP, PHP, residential treatment, MAT programs, and SBIRT services, including HCPCS H-codes and bundled day-rate.
We identify when payers apply non-quantitative treatment limitations unfairly and file parity-based appeals.
We review your current billing, find exactly where revenue is walking out the door, and give you a clear picture before you commit to anything.