Behavioral Health Billing

Billing for therapists, psychiatrists, and group practices who are tired of fighting for parity.

Time-based codes, authorization tracking, and telehealth modifiers — handled by a team that bills behavioral health every day.

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▤Therapy office or clinician

Specialty Challenges

Behavioral health billing breaks in predictable places.

Time-based code accuracy

Session length must match the code billed; documentation gaps trigger downcoding or denials.

Authorization tracking

Payers cap visits; running out mid-treatment means unpaid sessions.

Telehealth modifiers

POS and modifier rules differ by payer and change frequently.

License-level credentialing

Each provider type enrolls differently; delays mean unbillable weeks.

Parity disputes

Behavioral benefits are often processed differently from medical benefits.

High patient balances

Recurring visits with copays add up; statements need care and clarity.

Common Denials

The reason codes we see most — and how we prevent them.

CO-197

Pre-authorization absent or exceeded

Auth tracker alerts before the visit cap is hit.

CO-4

Procedure inconsistent with modifier

Payer-specific telehealth modifier rules applied at scrub.

CO-16

Missing or invalid information

Front-end edits catch rendering-provider and NPI errors.

CO-11

Diagnosis inconsistent with procedure

Coder review of DSM-to-ICD mapping before submission.

Workflow

Built around sessions, not procedures.

Intake & eligibility

Behavioral benefits verified separately from medical.

Authorization

Obtained and tracked per treatment plan.

Session coding

Time-based codes checked against documentation.

Scrub & submit

Telehealth and license rules applied per payer.

Follow-up & patient balances

Worked weekly; patient statements sent on your schedule.

Services for Behavioral Health

What we run for you

Medical Billing

Full-cycle, session-aware.

Credentialing

Per license type, per payer.

Prior Authorization

Obtain, track, renew.

Denial Management

Root cause, then prevention.

Patient Billing

Clear statements, kind calls.

FAQ

Behavioral health billing questions

Do you bill for LCSWs, LPCs, and psychologists — not just psychiatrists?+

Yes. Credentialing and payer rules differ by license type, and we track them per provider.

How do you handle authorization limits?+

We track visits used against each authorization and alert your front desk before the limit is reached, so sessions are not delivered unpaid.

Can you bill telehealth sessions correctly across payers?+

Yes. Place-of-service and modifier requirements vary by payer and change often; we keep a payer-specific rule set and update it as policies shift.

What about group therapy and IOP billing?+

We support group, intensive outpatient, and partial hospitalization billing, including per-diem and bundled arrangements. Scope is confirmed during the audit.

Find out what your behavioral health claims are really costing you.

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