Behavioral Health Services Built Around the Complexity of Mental Health Care.
Behavioral health practices manage psychotherapy, psychiatric evaluations, counseling, group and family services, crisis care, telehealth, medication management, and specialized levels of care. Your revenue cycle needs to reflect those differences from patient access through final payment.
Our behavioral health medical billing services connect insurance verification, prior authorization, charge entry, behavioral health coding, claims submission, payment posting, denial management, accounts receivable, credentialing, and revenue cycle management.
Tell Us About Your Practice
Share your practice details and the areas of behavioral health billing, coding, or RCM support you need.
Behavioral Health Billing Connects Therapy, Psychiatry, and Care Delivery.
Behavioral health practices may bill psychotherapy, psychiatric evaluations, medication management, group or family services, crisis care, telehealth, and specialized levels of care. Each service line can create different coding, documentation, authorization, and payer considerations.
Psychotherapy
Individual, group, family, and other psychotherapy services require the billing workflow to reflect the documented service.
Psychiatric Evaluations
Psychiatric diagnostic evaluation and evaluation with medical services follow their own coding and documentation requirements.
E/M & Medication Management
Applicable E/M workflows need to remain connected to the documented encounter and any separately reported services.
Group & Family Services
Behavioral health practices may provide group psychotherapy, family psychotherapy, and other patient-centered services.
Crisis Services
Crisis psychotherapy and urgent behavioral health services can require distinct time, coding, and billing workflows.
Telebehavioral Health
Virtual behavioral health services may require attention to telehealth-specific payer, place-of-service, and modifier rules.
End-to-End Behavioral Health Billing Services Across the Revenue Cycle.
Our behavioral health billing workflow connects eligibility, authorization, charge capture, coding, claim submission, payment posting, denial management, A/R, credentialing, and reporting.
Insurance Verification
Review behavioral health eligibility, benefits, network status, visit limits, patient responsibility, and applicable requirements.
Insurance Verification →Prior Authorization
Support applicable authorization requirements for therapy, treatment programs, testing, medications, and specialty services.
Authorization Support →Behavioral Health Charge Entry
Capture services, time, providers, diagnoses, units, and other claim-ready details.
Charge Entry →Behavioral Health Coding
Support ICD-10-CM, CPT, HCPCS, psychotherapy, psychiatric, E/M, and documentation-driven coding workflows.
Medical Coding →Claims Submission
Review behavioral health claims and submit services through the appropriate payer workflow.
Medical Billing →Payment Posting
Post insurance and patient payments, contractual adjustments, denials, and remaining account responsibility.
Payment Posting →Denial Management
Review coding, authorization, documentation, time, telehealth, and payer-related denial issues.
Denial Management →Behavioral Health A/R
Follow unpaid claims, aging balances, payer responses, underpayments, and unresolved accounts.
A/R Services →Billing Support for Therapy, Psychiatry, Counseling, and Behavioral Care.
Different behavioral health services can follow different coding, documentation, time, provider, and payer workflows. Keeping the service type visible throughout the revenue cycle helps maintain a consistent billing process.
Individual Psychotherapy
Support time-based individual psychotherapy billing and documentation-driven claim workflows.
Psychiatric Evaluation
Workflow support for applicable psychiatric diagnostic evaluation services.
Psychotherapy With E/M
Review applicable psychotherapy and E/M reporting relationships according to documentation and coding requirements.
Group Psychotherapy
Support group behavioral health services, participant-related documentation, and claim processing.
Family Psychotherapy
Billing support for applicable family psychotherapy services and related documentation.
Crisis Psychotherapy
Support applicable crisis psychotherapy billing and time-based service workflows.
Counseling Services
Revenue-cycle support for applicable counseling and behavioral health treatment services.
Medication Management
Connect applicable evaluation and management, documentation, claims, and follow-up workflows.
Revenue Cycle Support for Different Levels and Models of Behavioral Care.
Behavioral health organizations can operate across outpatient, intensive, residential, substance-use, and specialized treatment models. Billing workflows should reflect the actual level of care, service structure, authorization requirements, and payer model.
Intensive Outpatient Programs
Support applicable IOP workflows including authorization, service documentation, coding, claims, and follow-up.
Partial Hospitalization Programs
Billing workflows for applicable PHP services, authorization tracking, claims, payments, and account follow-up.
Residential Treatment
Connect applicable level-of-care documentation, authorization, claims, payment, and revenue-cycle activities.
Substance Use Treatment
Support applicable substance use disorder billing, coding, authorization, claims, denials, and A/R workflows.
Medication-Assisted Treatment
Billing support for applicable MAT-related services, medication workflows, authorization, and claims.
Applied Behavior Analysis
Support applicable ABA billing, authorization, coding, units, documentation, and payer workflows.
Care Management
Support applicable behavioral-health care management, coordination, documentation, and billing workflows.
Behavioral Health Integration
Coordinate applicable integrated behavioral-health services, documentation, coding, claims, and payer requirements.
Behavioral Health Coding That Connects Time, Service, and Documentation.
Behavioral health coding can involve time-based psychotherapy, psychiatric diagnostic evaluations, E/M services, crisis services, group therapy, interactive complexity, and other specialty-specific reporting requirements.
Our behavioral health coding workflow keeps the documented service, provider, diagnosis, time, and applicable coding requirements connected before claim submission.
Explore Medical Coding Services →Connect Behavioral Health Eligibility, Telehealth, and Authorization.
Behavioral health services may be delivered in office or through telehealth, while coverage, authorization, session limits, place-of-service, and other payer requirements can vary by service and plan. Our front-end workflow keeps those details connected to the billing cycle.
Eligibility Verification
Verify active coverage and applicable behavioral health benefits before the scheduled encounter.
Behavioral Health Benefits
Review applicable copay, deductible, coinsurance, visit, and service-specific benefit information.
Prior Authorization
Identify applicable authorization requirements for therapy, testing, medications, or higher levels of care.
Telehealth Coverage
Review applicable payer requirements for virtual behavioral health services and claim submission.
Session Limits
Track applicable visit or authorization limitations when they are part of the payer or plan requirements.
Claim Readiness
Keep authorization, provider, coding, telehealth, and billing information connected before submission.
Keep Behavioral Health Claims Moving After Submission.
Behavioral health claims can face issues related to coding, documentation, time, authorization, provider information, telehealth, session requirements, or payer-specific edits. Payment posting, denial management, and A/R follow-up continue the workflow after submission.
Claim Rejections
Review claim-level errors and route appropriate corrections for resubmission.
Medical Billing →Denial Management
Analyze coding, time, authorization, telehealth, documentation, and payer-related denial reasons.
Denial Management →Payment Posting
Post insurance and patient payments, contractual adjustments, denials, and remaining account responsibility.
Payment Posting →Underpayment Review
Review payment differences against available payer, contractual, and claim information.
A/R Services →Aging A/R
Follow outstanding behavioral health claims based on payer status, aging, and next required action.
Explore A/R →Appeals & Corrections
Support eligible claims through correction, resubmission, or appeal based on the payer response.
Appeals & Denials →Behavioral Health Services for Different Practice Models and Providers.
Behavioral health organizations differ by provider type, service structure, patient population, level of care, payer model, and delivery setting. Revenue-cycle workflows should reflect the services actually provided.
Psychiatry Practices
Billing support for psychiatric evaluations, E/M services, medication management, and ongoing behavioral health care.
Psychology Practices
Revenue-cycle support for psychotherapy, psychological services, assessments, and behavioral health follow-up.
Therapy & Counseling
Billing workflows for individual, family, group, and other applicable counseling services.
Behavioral Health Clinics
End-to-end RCM support for multi-provider outpatient behavioral health organizations.
Substance Use Treatment
Support for applicable substance-use treatment programs, authorization, claims, denials, and A/R.
IOP & PHP Programs
Revenue-cycle workflows for applicable intensive outpatient and partial hospitalization services.
ABA Providers
Support for applicable applied behavior analysis billing, authorization, units, and claims.
Telebehavioral Practices
Billing support for behavioral health providers delivering applicable services through telehealth.
From Patient Access to Final Payment.
Our behavioral health revenue cycle workflow connects eligibility, authorization, service capture, coding, claims, payment posting, denial management, A/R follow-up, and reporting.
Frequently Asked Questions About Behavioral Health Services.
Common questions about behavioral health medical billing, coding, psychotherapy, psychiatry, telehealth, claims, denials, and revenue cycle management.
What are behavioral health medical billing services? +
Why is behavioral health billing different from general medical billing? +
Do you provide psychotherapy billing services? +
Do you support psychiatric diagnostic evaluations? +
Can you handle behavioral health telehealth billing? +
Do you support group and family therapy billing? +
Do you support IOP and PHP billing? +
Do you support substance use disorder billing? +
Can you manage behavioral health claim denials? +
Do you provide behavioral health A/R services? +
Do you provide behavioral health credentialing? +
Build a Behavioral Health Revenue Cycle Around the Care You Provide.
From eligibility and authorization to psychotherapy, psychiatric services, specialized programs, coding, claims, payment posting, denial management, A/R, credentialing, and complete RCM, your billing workflow should stay connected from start to finish.