We Handle the Billing. You Handle the Healing
Behavioral health billing is fundamentally different from standard medical billing because psychotherapy services are time-based, documentation-driven, and governed by strict payer-specific mental health and substance use disorder regulations.
We eliminate these challenges with BH-specific coders, documentation alignment tools, payer-rule engines, and structured denial prevention workflows.
Our outsourced behavioral health billing services manage the complete revenue cycle from eligibility verification and authorization to coding, clean claim submission, payment posting, and denial appeals.
Initial diagnostic evaluation (90791)
Individual therapy (90832, 90834, 90837)
Family therapy
Group therapy (90853)
Crisis psychotherapy
Add-on psychotherapy with E/M
Psychiatric diagnostic
E/M + psychotherapy combination billing
Medication management sessions
Incident-to billing for NP/PA workflows
MAT visits
Counseling integrated with MAT
SUD assessments
Toxicology screening billing
Case-management services (when allowed)
Daily group therapy
Individual therapy
Treatment-plan alignment
Per-diem billing workflows
Multi-modal therapy capture
Clinical documentation validation
Program-day compliance requirements
Psychological testing
Neuropsych testing
Cognitive assessments
Screening tools (PHQ-9,
GAD-7, AUDIT, DAST)
Covers 15–30 minute tests → ensures correct coding, medical necessity, and bundling accuracy.
Lacerations, fractures, burns → auto-apply correct complexity levels + documentation mapping.
Short E/M visits → automated MDM/time
validation + POS accuracy.
Handles after-hours codes, urgent-care POS, and payer-specific weekend rules.
Employer forms, injury documentation, panel
rules → dedicated workflow.
Automatic differentiation between POS 20 vs 11 for correct reimbursement.
Every BH claim goes through a multi-step accuracy pipeline
Verify documentation + minutes
Map DSM-5 diagnoses to ICD-10
Validate psychotherapy time thresholds
Apply payer-specific telehealth rules
Run NCCI edit checks
Confirm medical necessity criteria
Submit clean claim
Monitor payment + correct denials
Appeal when required
Our Fix: Documentation-verification engine + clinical alignment.
Every claim is coded, checked, and validated with precision.
Every claim is coded, checked, and validated with precision.
Every claim is coded, checked, and validated with precision.
Every claim is coded, checked, and validated with precision.
CO-50
CO-16
CO-119
CO-97
CO-167
Not medically necessary
Missing info
Benefit limitation
Bundled service
Invalid service
Therapy notes incomplete
Time not documented
Frequency limit for counseling
Incorrect add-on psychotherapy
Telehealth billed without correct
POS/modifier
Add progress note + goals
Document minutes + session details
Verify eligibility + adjust schedule
Validate correct E/M + psychotherapy pairing
Apply POS 10/02 + modifier 95
Consult behavioral health billing specialists skilled in time-based
coding, authorizations, and telebehavioral compliance.
Coding, billing, documentation validation, telehealth compliance, SUD billing, and denials/appeals for therapy and psychiatry.
Because sessions are time-based, documentation is specific, and therapy rules vary across payers.
Yes, including MAT, daily group sessions, documentation checks, and per-diem workflows.
Yes, we ensure progress notes align with billed time and methods.
Yes, all providers, therapists, psychiatrists, and SUD programs.
