Behavioral health practices lose 12% to 18% of their rightful revenue to complex carve-out payers, down-coded psychotherapy units, and missing E/M add-on modifiers. We provide audit-proof billing built exclusively for mental health providers.
Mental health billing is not like cardiology or surgery. Payers hide behind carve-out carve-ins, session time strictness, and complex parity guidelines designed to delay mental health reimbursement.
Commercial payers routinely audit 60-minute individual psychotherapy (90837). Inexperienced billers down-code to 90834 out of fear, losing $35+ per visit. We protect your documentation with compliant start/stop time protocols.
When a Psychiatrist or PMHNP provides medical management (99213/99214) and 30 minutes of therapy (90833), payers automatically deny the add-on code without correct modifier linkage. We ensure both services are fully paid.
Post-PHE rules require accurate Place of Service coding (POS 10 for patient's home, POS 02 outside home) and modifier 95/FQ. Billing the wrong combination triggers instant clearinghouse rejection.
Whether you are a solo therapist in private practice or managing a 20-provider psychiatric group, our workflows adapt to your exact EHR and clinical rhythm.
Optimized med checks, psychiatric evaluations (90792), pharmacologic management, crisis stabilization, and collaborative care models.
View Psychiatry Solutions →LCSWs, LMFTs, LPCs, PsyDs, and PhDs. Seamless handling of 90832, 90834, 90837, family therapy (90847), and group therapy (90853).
View Therapy Solutions →Multi-state virtual therapy networks. Proper parity enforcement, out-of-network superbills, and state Medicaid telehealth enrollment.
View Telehealth Solutions →Most behavioral health practices lose between $18,000 and $65,000 per provider every year due to unbilled add-ons, premature 90834 down-coding, and unworked secondary claims.
Money lost to 90837 down-coding, unworked A/R past 90 days, and uncollected copays.
You never have to switch your EHR. We connect directly into SimplePractice, TherapyNotes, Kareo, AdvancedMD, Valant, or CharmHealth.
We analyze your top 10 denial reasons and aging A/R at zero obligation.
We set up restricted billing staff accounts with your existing software.
Every encounter is scrubbed for time, modifiers, and parity compliance.
Payments post automatically into your bank while denials are appealed in 48h.
Send us your toughest billing questions or let us analyze your worst recent denials. Our behavioral health coding experts will show you exactly why claims were rejected and how to overturn them.
Takes under 60 seconds. No credit card required.
Everything you need to know about outsourcing your behavioral health billing.
Complete this confidential inquiry and our senior behavioral health billing director will follow up with your customized analysis.