Expert Behavioral Health Billing Services for Mental Health Practices
Behavioral Health Billing Solutions360 offers behavioral health billing for US mental health practices, from individual therapists to multi location groups. Our billing experts know the coding and payer rules for authorization, telehealth, time based CPT codes and every other billing rule for behavioral health.We make sure every session turns into a paid claim.
Why You Need Behavioral Health Billing
Most visits bill by length of time, if a visit is 40 or 55 minutes it needs different codes and failing to do that can seem to be upcoding. Many services also need preauthorization and you may need a continuance for every service as treatment continues. Add payer rules that vary by state and plan to plan and one mistake can lead to a claim denial.
- Time Based Coding
- Pre-authorization & Visit Restriction
- Medical Necessity Per Session
- Level of Complexity of Telehealth Encounters
Services We Handle
We take care of every step of your revenue cycle from verifying eligibility and obtaining prior authorization to coding and charge entry. We then scrub your claims, submit them and post the resulting payments.
When your claims are denied, we handle the appeal and continue to collect on your accounts receivable as well as billing and statements for your patients. Credentials, payer enrollment and reports on revenue cycle are the rest of what we do for you.
Why Choose Us?
Coding Specific to Behavioral Health
Simple Reporting
Virtual Visits
Less Denials
Faster Payments
Integrates Seamlessly With Your Current EHR
HIPAA compliant
Our Performance Metrics
Providers
Procedures We Support
We allow your billing for the entire spectrum of behavioral health care services, which include comprehensive assessments and subsequent therapies with medications. Our coders utilize the time based code as per the duration of a session and the appropriate modifier for virtual health visits. We also enable your billing of group therapy, intensive outpatient programs and SUD.
- Psychiatric Diagnostic Evaluations
- Individual Psychotherapy (30, 45 and 60-minute Sessions)
- Group Psychotherapy
- Family Psychotherapy
- Medication Management Visits
- Intensive Outpatient Programs (IOP)
- Partial Hospitalization Programs (PHP)
- Substance Use Disorder (SUD) Treatment Billing
- Collaborative Care Management services
- Telehealth and Telepsychiatry Visits
Common Behavioral Health Billing Challenges
Time Entry Problems
Session notes that do not reference or support the minutes billed.
Missing Telehealth Modifiers
Forgetting -95 or the correct place-of-service code for virtual sessions.
Per Session Medical Necessity Gaps
Notes do not make the case for ongoing care.
Prior Approval Expires
Treatment keeps going after certificates expire.
Billing, Group vs Individual Conflict
Billing both on the same day for the same patient when payers don't permit it.
State and Payer Rule Differences
Coverage and documentation requirements that are highly variable and location and plan-specific.
SUD Record Confidentiality
Additional consent is required before substance use disorder records can be disclosed to payers.
Our Billing Process
Step 1
Practice Assessment
We review your billing workflow to identify inefficiencies, errors, and revenue gaps.
Step 2
System Integration
We connect with your EHR and practice management systems for seamless data exchange.
Step 3
Coding & Claim Management
We ensure accurate coding, clean claim submission, and timely claim follow-up.
Step 4
Payment Tracking
We track every claim through payment, resolution, or necessary follow-up.
Step 5
Issue Resolution
We quickly address denials, payer issues, and outstanding balances.
Step 6
Optimization & Reporting
We monitor performance and provide clear reports to continuously improve your revenue cycle.
Frequently Asked Questions
What is the cost of billing services for behavioral health?
Most companies will take a percentage of collections, a set fee or a combination of the two.
How quickly can I change to an outsourced billing partner?
It varies by your practice size and how the records are kept. A good partner will plan the switch so claims never stop.
What is a Business Associate Agreement (BAA) and Do I Need One?
This is an agreement to which you must consent in order for a practice to store your patient information and is signed before any information is shared.
Is it possible to retrieve old, unpaid behavioral health claims?
Is it possible to retrieve old, unpaid behavioral health claims?
Want to Stop Losing Money on Sessions You've Already Given?
Have your billing professionals take a look at your recent claims and show you where dollars are being lost. No long term contracts, no sales pitches, just straightforward information on how to get paid for what you have earned.