Mental Health & Psychiatry Billing

Specialty-Focused Psychiatry & Mental Health Billing Services

  • Maximize Your Revenue with Decades of Our Psychiatry and Mental Health Billing Expertise!

  • At Health & Billing, we recognize that psychiatry and mental health practices face complex billing challenges. They demand specialized knowledge and an expert’s specialty-focused attention to detail.
    For over 15 years, we’ve successfully managed the full billing and revenue cycle for our sister organization, Health & Psychiatry—a thriving, rapidly expanding leader in the mental health field, growing steadily across states.

  • Our hands-on experience provides unparalleled insight into every nuance of mental health billing. With this proven, detail-oriented expertise, we empower psychiatry and mental health practices to streamline revenue cycle management, reduce errors, and maximize revenue

  • So you can focus on what matters most: delivering exceptional patient care!

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Why Psychiatry Billing & Mental Health Billing Requires Specialized Expertise?

Psychiatry & Mental Health billing is distinctly different from general medical billing! The complexities of psychiatric diagnoses, treatment modalities, and insurance requirements demand a billing partner who understands the nuances of your specialty.

Our expert, specialty-focused, and 100% HIPAA-certified team knows exactly where to focus

to maximize your revenue while ensuring compliance with ever-changing regulations.

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The Unique Psychiatry & Mental Health Billing Challenges; We Solve:

Complex Diagnostic Coding

  • Accurate ICD-11 and DSM-5-TR diagnosis coding
  • Comorbidity documentation and coding
  • Substance use disorder billing intricacies
  • Crisis intervention and emergency psychiatric services

Specialized Treatment Modalities

  • Individual, group, and family therapy sessions
  • Psychiatric medication management
  • Psychological testing and assessment billing
  • Intensive outpatient programs (IOP)
  • Partial hospitalization programs (PHP)
  • Telepsychiatry and remote therapy sessions

Insurance Authorization Complexities

  • Prior authorization for extended therapy sessions
  • Medical necessity documentation
  • Appeals for denied mental health claims
  • Parity law compliance and enforcement
  • Medicare and Medicaid mental health regulations

Our Comprehensive Mental Health Billing Solutions

Psychiatry & Mental Health billing comes with complexities that general billing services often overlook. Our expertise in psychiatric coding, therapy modalities, and insurance regulations allows us to resolve these challenges before they impact your revenue. We offer Complete Revenue Cycle Management:

Advanced Coding and Documentation Support

Our certified coders specialize in mental health CPT codes, ensuring accurate billing for every service you provide. We focus on:

  • Psychotherapy services
  • Psychiatric diagnostic evaluations
  • Medication management
  • Crisis intervention services
  • Psychological testing
  • Add-on codes and time-based billing optimization

Insurance Credentialing and Network Management

We handle the complex credentialing process for mental health providers, including:

  • Primary insurance panel enrollment
  • Credentialing with EAP (Employee Assistance Programs)
  • Specialized mental health networks
  • State Medicaid behavioral health programs
  • Medicare provider enrollment and PECOS management
  • Ongoing credential monitoring and renewals

Prior Authorization and Medical Necessity

Our team excels at securing authorizations and demonstrating medical necessity:

  • Streamlined prior authorization submissions
  • Comprehensive treatment plan documentation
  • Outcomes tracking and reporting
  • Appeals and peer-to-peer reviews
  • Medical necessity letter preparation

Patient Financial Management

We understand the sensitivity required in mental health patient interactions:

  • Compassionate collection practices
  • Sliding scale fee coordination
  • Payment plan establishment
  • Insurance benefit verification and explanation
  • Transparent cost communication

Advanced Analytics and Reporting

Our reporting systems provide insights specific to mental health practices:

  • Provider productivity analysis by therapy type
  • Payer mix optimization recommendations
  • Authorization approval rate tracking
  • Revenue per patient analysis
  • Compliance scorecards and alerts

HIPAA-compliance and Confidentiality Protection

Mental health practices face stringent regulatory requirements. Our compliance monitoring includes:

  • Enhanced privacy safeguards for mental health records
  • Substance abuse treatment compliance
  • State confidentiality law adherence
  • Secure communication protocols

Billing Compliance Monitoring

  • Real-time claim scrubbing and validation
  • Fraud prevention and detection
  • Audit preparation and support
  • Documentation improvement recommendations

Parity Law Enforcement

We help ensure you receive fair reimbursement under mental health parity laws (MHPAEA):

  • Parity violation identification and reporting
  • Appeals based on parity regulations
  • Reimbursement rate analysis and negotiation support

EHR Integration and Optimization

  • We provide seamless integration with the most widely used mental health EHR systems, ensuring that your practice runs smoothly and efficiently. Our specialty-focused team helps optimize your templates for greater billing accuracy, while automated charge capture eliminates missed revenue opportunities.

  • To further support your workflow, we also implement real-time eligibility verification so you always have clear, up-to-date information before services are rendered.

Let’s Discuss!
health and billing ehr emr system
telepsychiatry health and billing

Telepsychiatry Billing Support

  • As telepsychiatry and remote therapy continue to expand, medical billing for these services has become more complex.

  • Our solutions cover every aspect, including coordination for multi-state licensing and billing requirements. We ensure that your technology platforms integrate smoothly with billing processes, apply the correct telehealth modifiers, and navigate the challenges of cross-state insurance billing with precision.

Let’s Discuss!

How Our Revenue Optimization Strategies Help You Practice?

Every Psychiatry & Mental Health practice faces billing barriers that are unlike any other specialty. We know where these challenges arise, and we have the experience to turn them into opportunities for steady revenue growth.

We Maximize Your Reimbursement Rates

With two decades of mental health billing experience, we know exactly where practices lose revenue and how to prevent it.
Our team ensures accurate time-based billing to capture the full value of each session, applies complexity modifiers appropriately, and optimizes billing for coordinated care. We also support negotiation for value-based care contracts, helping you secure fair reimbursement for the comprehensive services you provide.

We Reduce Your Claim Denials

Claim denials can significantly disrupt your cash flow, which is why we focus on proactive solutions. Our experts manage prior authorizations in advance, provide enhanced training for accurate documentation, and use real-time claim validation to catch issues before submission.
When denials do occur, we move quickly with rapid resolution and thorough appeals to protect your revenue stream.

We Improve and Increase Your Cash Flow

Healthy cash flow is essential for every mental health practice. We accelerate clean claim submission to reduce delays, conduct strategic payer contract analysis to strengthen reimbursement rates, and optimize patient responsibility management to avoid revenue gaps.
With our detailed accounts receivable oversight, you can count on steady collections and long-term financial stability.

Health & Billing Brings

Hope, Health & Harmony

To Your Healthcare Practice
So, You can focus on what’s more important: Patient Care!

Reduced Administrative -compliance
Cost Efficiency | Certified medical coders and credentialing specialists | Scalable Solution