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!
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!
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.
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.
The Unique Psychiatry & Mental Health Billing Challenges. A More Efficient 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
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
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
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.
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.
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.
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.
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.
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.
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.
With our detailed accounts receivable oversight, you can count on steady collections and long-term financial stability.
Health & Billing Brings
To Your Healthcare Practice
So, You can focus on what’s more important: Patient Care!
Reduced Administrative Burden | Improved Cash Flow | 100% HIPAA-compliance
Cost Efficiency | Certified medical coders and credentialing specialists | Scalable Solution