Mental Health Billing Services That Get You Paid Faster
Medi Billing delivers complete mental health billing services built for therapists, psychiatrists, and behavioral health groups across the USA.
Your Specialty Deserves a Dedicated Mental Health Billing Services
Mental health billing carries challenges that general billing services are not equipped to handle. Fee schedules vary by provider type, payer, and state. Patients often carry health insurance but hold separate behavioral health billing benefits through a Managed Behavioral Health Organization (MBHO) like Aetna Behavioral Health, Optum Behavioral, or Magellan Health. Prior authorization requirements differ by payer, plan, and diagnosis. And the volume of claim denials in behavioral health remains significantly higher than in primary care.
Medi Billing is a specialist mental health billing company that understands these complexities in full. We verify behavioral health benefits separately from medical benefits, obtain authorization numbers before treatment begins, use correct mental health CPT codes for every session type, and follow up on every denied or unpaid claim systematically. Your practice keeps its existing EHR. We handle every claim.
What We Verify and Manage for Every Patient
- Separate verification of behavioral health benefits from medical benefits
- Prior authorization obtained and tracked before services are rendered
- Correct CPT and ICD codes applied for psychiatrists, therapists, and LCSWs
- Denial management with appeal filing for every rejected mental health claim
- Dedicated account manager familiar with behavioral health payer contracts
ALL-IN-ONE SOLUTIONS
Complete Mental Health Medical Billing Services Under One Roof
Every service your behavioral health practice needs to run a healthy revenue cycle, handled by specialists who know mental health billing inside and out.
Mental Health Billing
End-to-end mental health billing from charge entry and claim submission to payment posting and patient statements. We ensure accuracy on every claim for every session type.
Eligibility Verification
We verify each patient's behavioral health benefits separately from medical benefits before every appointment, confirming coverage type, deductible status, and authorization requirements with the correct payer ID.
Prior Authorization
Many commercial payers and Medicaid programs require authorization for psychiatric services, IOP, and intensive outpatient therapy. Our team obtains and tracks every auth number, updating your PM system before claims are filed.
Medical Coding Services
A single coding error on a mental health claim triggers automatic rejection. Our medical coding services team applies the correct CPT, HCPCS, and ICD-10 codes for every service, modifier, and diagnosis code in behavioral health.
Claims Management
Accurate mental health claims submission with real-time tracking through your clearinghouse. We monitor every claim from submission to adjudication and follow up on all outstanding balances systematically.
Denial Management
Behavioral health claims are denied at higher rates than any other specialty. Our denial management team identifies the root cause within 24 hours, corrects the error, resubmits the claim, and tracks every appeal to resolution.
Mental Health Credentialing Services
A provider who is not credentialed with a payer cannot bill that payer. Our mental health credentialing services credential your therapists, psychiatrists, and NPs with all major commercial and government payers.
Revenue Cycle Management
Our complete mental health revenue cycle management covers every touchpoint from patient scheduling and eligibility to final payment collection. We streamline your entire billing workflow and deliver monthly performance reports.
Patient Billing Services
Clear and sensitive patient billing communications that protect your therapeutic relationships. Our patient billing services team handles statements, payment plans, and collections in a way that keeps your patients confident and your practice's cash flow healthy.
We Have Already Solved Your Toughest Mental Health Billing Problems
Every challenge below is one our billing team handles daily for mental health practices across the USA. We do not learn these on your account. We come prepared.
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Common Challenge
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How Medi Billing Solves It
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Fee schedules vary by provider type and payer
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We verify exact provider type during eligibility verification and apply the correct fee schedule before claim submission.
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Patient has health coverage but not mental health benefits
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We verify behavioral health benefits as a separate step, confirming covered services, session limits, and deductibles for the appointment date.
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Commercial payers use behavioral health subsidiaries
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We identify the correct subsidiary (e.g., Aetna Behavioral Health vs. Aetna Medical), verify the correct payer ID and mailing address, and document everything in your PM system.
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Medicaid and commercial payers require prior authorization
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Our team sends timely notifications for authorization requirements, obtains the auth number, and updates your PM system so every claim includes the correct authorization code.
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Incorrect CPT codes cause automatic denials
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Our coders apply correct codes such as 90837, 90834, 90847, and psychiatric add-ons 90833, 90836, and 90838 with proper E/M pairing for psychiatrists.
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Telehealth billing rules differ by payer and state
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We verify telehealth coverage per payer policy, apply correct modifiers (95, GT), and confirm the required platform meets payer standards before billing.
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Numbers That Define Our Mental Health Billing Performance
These figures reflect real outcomes from mental health practices working with Medi Billing across the USA.
Contracted Value Collected (NCPR) Denial Rate on All Mental Health Claims Average A/R Days for Behavioral Health
Top Reasons Mental Health Claims Get Denied and How We Prevent Them
Behavioral health claims face denial rates consistently higher than other specialties. Understanding the types of claim denials common in mental health billing is the first step. Preventing them before submission is how Medi Billing keeps your denial rate under 5%.
Incorrect or Missing CPT Codes
Using the wrong psychotherapy code or omitting a required add-on code for psychiatric E/M visits results in immediate rejection.
Provider Not Enrolled with Payer
Claims submitted to payers with which the provider is not credentialed are denied automatically. Credentialing must precede billing.
Billing to the Wrong Payer or Subsidiary
Patients with Aetna Behavioral Health, Optum Behavioral, or Magellan must be billed to the behavioral health subsidiary, not the medical carrier.
Missing or Invalid Authorization Number
Many payers require prior authorization for IOP, inpatient psychiatric care, and extended outpatient series. No auth number means instant denial.
Duplicate or Overlapping Claims
Submitting claims for overlapping service times or resubmitting without correction flags triggers duplicate denial codes.
Excluded or Non-Covered Service
Certain therapy modalities and group session structures are excluded under specific plans. Eligibility verification identifies these before the appointment.
Contractual Obligation Adjustments
Billing above the contracted rate without understanding the payer's fee schedule creates write-offs that reduce effective reimbursement.
Missing or Incorrect Patient Information
Name mismatches, incorrect date of birth, or invalid member ID numbers all result in rejected claims that delay payment by weeks.
HIPAA Compliant Mental Health Billing Service You Can Trust
Mental health records carry the highest sensitivity in all of healthcare. Medi Billing operates a fully HIPAA-compliant Billing environment with strict access controls, encrypted data transmission, and audit-ready record keeping. Our compliance framework is built for behavioral health billing services, where patient privacy protections under 42 CFR Part 2 (for SUD records) and standard HIPAA Privacy and Security Rules apply simultaneously.
- End-to-end encryption for all claim data and patient records transmitted or stored
- Role-based access controls limiting PHI visibility to authorized billing staff only
- Business Associate Agreements (BAA) executed with all partner entities
- Audit-ready documentation for every claim submitted, every denial appealed, every payment posted
- Compliance with 42 CFR Part 2 for substance use disorder billing records
- Regular internal audits and staff training on HIPAA Security Rule requirements
- Regular internal audits aSecure client portal for real-time visibility into billing activity and reportsnd staff training on HIPAA Security Rule requirements
We Work With Your Existing Mental Health EHR and EMR Software
You do not need to change your practice management software to work with Medi Billing. Our billing team integrates with every major mental health EHR platform currently in use across the USA.
Not seeing your platform? Contact us to confirm compatibility.
Mental Health CPT Codes We Bill Every Day
Our coding team applies the correct mental health CPT codes, modifiers, and ICD-10 diagnosis codes for every service type. Getting these right on the first submission is what drives our 98% clean claim rate.
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CPT Code
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Service Name
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Description
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90837
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Psychotherapy, 60 Minutes
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90834
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Psychotherapy, 45 Minutes
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Individual psychotherapy session of 45 minutes. Used for sessions running 45 to 53 minutes in duration.
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90832
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Psychotherapy, 30 Minutes
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Brief individual psychotherapy session of 30 minutes. Used for 16 to 37 minute sessions.
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90847
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Family Psychotherapy with Patient
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Family psychotherapy with identified patient present, 50 minutes or longer.
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90853
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Group Psychotherapy
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Group therapy with multiple patients. Each patient billed individually.
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90833
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Psychotherapy Add-On (30 min)
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Add-on code billed alongside E/M services by psychiatrists. Must pair with 99213 or 99214.
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90836
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Psychotherapy Add-On (45 min)
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Add-on for 45 minutes of psychotherapy with an E/M service.
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Psychotherapy Add-On (60 min)
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99213/99214
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Psychiatric E/M Services
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Evaluation and management codes for medication management visits. Requires thorough documentation of medical decision-making.
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Specialized Psychiatric Billing Services for Every Mental Health Provider
Our behavioral health billing services are tailored to the billing requirements of each specific provider type. CPT codes, documentation standards, and payer rules differ significantly between a solo LCSW and a group psychiatric practice.
Psychiatrists
E/M codes, add-on psychotherapy codes, medication management billing, and inpatient psychiatric billing with full compliance support.
Licensed Therapists and LCSWs
Individual and group psychotherapy billing, telehealth session billing, and insurance credentialing for licensed clinical social workers and therapists.
Nurse Practitioners in Psychiatry
Psychiatric billing services for NPs practicing independently or collaboratively, including medication management and NP-specific credentialing.
Group Mental Health Practices
Multi-provider billing for group practices of all sizes, including mixed-specialty groups with psychiatrists, psychologists, therapists, and social workers.
IOP and SUD Programs
Intensive outpatient program billing, substance use disorder billing, H-code billing, and HCPCS code management for bundled behavioral health services.
Solo Practitioners and Private Pay Practices
Billing support for small practices and solo therapists adding insurance billing for the first time, including credentialing from scratch.
Telehealth and Virtual Mental Health Practices
Telehealth billing with correct modifier application (95, GT), platform compliance verification, and payer-specific telehealth policy adherence.
Community Mental Health Centers
Complex billing for federally qualified health centers, including encounter-based billing, sliding-scale documentation, and Medicaid managed care billing.
What Makes Our Mental Health Billing Solution Different
No Long-Term Contracts
We earn your business every month: no lock-in periods, no exit fees. If Medi Billing does not deliver results, you are free to leave. That is how confident we are in our process.
Dedicated Account Manager
You will have a single point of contact who knows your practice, your payer mix, and your billing history. No rotating support staff and no re-explaining your setup every time you call.
Monthly Performance Reporting
Detailed monthly reports covering clean claim rate, denial rate, average A/R days, collections by payer, and outstanding balances. Full transparency every month.
Seamless EHR Integration
We integrate with TherapyNotes, SimplePractice, Valant, ICANotes, and all major mental health EHR platforms. Your workflow stays intact. We plug in around it.
Free Medical Billing Audit
How much revenue are you leaving on the table? Our free billing audit identifies coding errors, denial patterns, and uncollected revenue with no obligation to switch.
Accounts Receivable Recovery
Outstanding A/R from unpaid and underpaid mental health claims is recovered systematically. Our accounts receivable services team pursues every balance aged 30, 60, and 90 days with structured follow-up protocols.
We Provide Mental Health Billing Services Across All 50 States
Medi Billing serves mental health practices in every state, with knowledge of state-specific Medicaid programs, local payer landscapes, and state credentialing requirements for behavioral health providers.
Select Your Location
- Arizona
- California
- Colorado
- Delaware
- Florida
- Georgia
- Hawaii
- Idaho
- Illinois
- Indiana
- Maryland
- Massachusetts
- Michigan
- Nevada
- New Jersey
- New Mexico
- New York
- North Carolina
- Ohio
- Oklahoma
- Oregon
- Pennsylvania
- South Carolina
- Texas
- Virginia
- Washington
Mental Health Practices That Trust Medi Billing
Ready to Stop Leaving Revenue on the Table?
Get a free, no-obligation audit of your current mental health billing performance.
Frequently Asked Questions (FAQs)
Mental health billing involves a unique set of challenges that general billing services frequently miss. Patients often carry behavioral health benefits through a separate MBHO such as Aetna Behavioral Health, Optum Behavioral, or Magellan, which must be verified and billed independently from the medical plan. CPT codes for psychotherapy and psychiatric services require precise time-based selection and correct modifier application. Prior authorization requirements vary dramatically by payer and diagnosis. And the types of claim denials specific to behavioral health require specialist knowledge to prevent and appeal effectively.
No. Medi Billing integrates with all major mental health EHR platforms, including TherapyNotes, SimplePractice, Valant, ICANotes, AdvancedMD, athenahealth, Kareo, and CareCloud. You keep the software that your practice already runs on. We connect to your existing system and handle the billing workflow within it.
Our prior authorization team identifies which services require pre-authorization based on each patient's specific payer and plan before the appointment date. We submit the auth request, track its status, obtain the authorization number, and update your PM system with the auth details. For ongoing services like IOP, we monitor session limits and initiate extension requests in advance so an expired authorization never disrupts your billing.
Every denied mental health claim is reviewed within 24 hours by our denial management team. We identify the denial code, determine the root cause, correct the claim or prepare the appeal with supporting documentation, and resubmit or file the appeal within the payer's timely filing window. Nothing falls through the cracks, and no claim is abandoned without pursuing every available avenue for recovery.
Telehealth billing for mental health requires verification that the patient's payer covers telehealth services, that the platform used meets the payer's technology requirements, and that the correct modifier is applied. We use modifier 95 for synchronous telehealth and modifier GT, where required by specific payers. We verify telehealth coverage and platform compliance per payer policy before billing.
Yes. Our mental health credentialing services team handles full provider enrollment with all major commercial payers, Medicare, and Medicaid for therapists, psychiatrists, psychologists, LCSWs, and nurse practitioners. We manage the entire application process, track credentialing timelines, and notify you the moment a provider is approved to bill. For growing practices adding new clinicians, we recommend initiating credentialing 90 to 120 days before the provider's intended start date.
Our mental health billing services are priced as a percentage of collections, starting as low as 2.5% of monthly revenue collected on your behalf. The exact rate depends on your practice size, specialty mix, claim volume, and the scope of services required. There are no setup fees and no long-term contracts. We offer a free billing audit to assess your current billing performance before you commit to anything.
