Simplify Reimbursements. Minimize Denials. Maximize Revenue.
Mental Health Billing Service
Mental health professionals face unique billing challenges compared to other specialties. From tracking therapy session limits to managing multiple CPT codes for varied treatment types, therapists and psychiatric providers must navigate a highly nuanced reimbursement process. Without expert billing support, mental health practices risk claim denials, delayed payments, and compliance issues.
We offer dedicated billing solutions tailored specifically for mental health professionals—whether you’re a solo therapist, part of a counseling group, or a psychiatric clinic. Our end-to-end services help you stay compliant, improve collections, and give you more time to focus on your patients.
Why Mental Health Billing Is Different
Unlike general medical billing, mental health billing involves time-based sessions, prior authorization requirements, and diagnosis-to-procedure compatibility checks. Therapists often juggle multiple payers with different policies on telehealth, progress notes, and session frequency.
We understand these complexities and help navigate them seamlessly by ensuring:
Accurate code selection (e.g., 90837 vs. 90834)
Modifier use (e.g., GT for teletherapy)
Insurance verification and benefit eligibility
Tracking of session caps and frequency limits
Common CPT Codes for Mental Health Billing
| CPT Code | Description | Typical Use Case |
|---|---|---|
| 90791 | Psychiatric diagnostic evaluation | Initial assessment, no medical services |
| 90834 | 45-minute individual therapy session | Weekly individual therapy |
| 90837 | 60-minute individual therapy session | Extended therapy sessions |
| 90853 | Group psychotherapy | Group therapy (e.g., addiction recovery) |
| 90847 | Family psychotherapy w/ patient present | Family involvement in treatment plan |
| 99417 | Prolonged service code (add-on) | For sessions >60 mins with 90837 |
Benefits of Our Mental Health Billing Services
✅ HIPAA-compliant billing and secure claim handling
✅ Real-time eligibility checks before every session
✅ EHR integration for seamless documentation and billing
✅ Support for private practices, nonprofits, and group clinics
✅ Detailed reporting and analytics on collections and denials
✅ Prior authorization and appeals management
Insurance Verification & Pre-Auth Made Easy
Mental health coverage varies significantly between payers. We handle insurance verification before appointments, ensuring that the number of approved visits, co-pays, deductibles, and authorizations are confirmed ahead of time. This reduces claim rejections and increases payment predictability.
Telehealth and Hybrid Therapy Billing Support
Since COVID-19, teletherapy has become a standard delivery method. Our billing experts ensure accurate usage of telehealth modifiers and location codes (POS 02/10), helping you stay in line with Medicare, Medicaid, and private payer rules.
Billing Challenges vs. Our Solutions
| Challenge | Our Billing Solution |
|---|---|
| Payer limits on session frequency | Automated tracking & alerts |
| Incorrect CPT usage (e.g., time codes) | Coding audits & ongoing education |
| High denial rates | Denial trend analysis + appeal submission |
| Late claim filing | Daily charge entry & timely submission |
| Confusion with telehealth policies | Updated modifier/POS tracking per payer |
Specialties We Serve
Licensed Professional Counselors (LPCs)
Psychiatrists and Psychiatric Nurse Practitioners
Clinical Social Workers (LCSWs)
Marriage and Family Therapists (LMFTs)
Psychologists (Ph.D., Psy.D.)
Behavioral Health Clinics and IOPs
Focus on Your Clients. We’ll Handle the Revenue.
When your revenue cycle is smooth, you can dedicate more attention to improving your clients’ lives. Our mental health billing service eliminates the administrative burden, ensuring faster payments and fewer denials so you can focus on healing, not paperwork.
MyMedicalBillingService.com is a trusted medical billing company managing everything from coding to claims and payment follow-ups. We specialize in resolving billing challenges for practices of all sizes and specialties, letting you focus on exceptional patient care while we handle the complexities of your revenue cycle.
