Behavioral Health Billing Services

Why Behavioral Health Billing Services Require Expert Management


Behavioral‍‌‍‍‌‍‌‍‍‌ health providers encounter complicated coding and insurance requirements. Billing Care Solutions (BCS) is the main reason for claims to be processed accurately; thus, denials are reduced, and cash flow is improved. We deal with psychotherapy (CPT 90832, 90834, 90837), psychiatric procedure coding (CPT 90791, 90792), insurance verification, claim submission, and account monitoring. Your practice will remain compliant with the changing payer rules and regulatory standards through our approach. We help practices get faster reimbursements while they can still focus on patient care by taking the time-consuming administrative tasks off their shoulders. The list of our services, which have been created specifically for behavioral health practices, comprises benefits verification, correct coding of all mental health services, and the prompt resolution of claim ‍‌‍‍‌‍‌‍‍‌denials.

Our Expertise in Behavioral Health Billing

  • Patient Eligibility Verification: Ensuring patients meet coverage requirements for behavioral health services.
  • Prior Authorization Management: Streamlining the authorization process for efficient service delivery.
  • Accurate CPT Code Assignment: Expertise in coding for behavioral health services (90791, 90832, 90834, 90837, 96150).
  • Electronic Claims Submission: Efficient submission through clearinghouses to enhance reimbursement potential.
  • Meticulous Documentation: Maintaining accurate patient records to support claims and ensure compliance.
  • HIPAA Compliance: Adhering to privacy regulations to safeguard patient information.
  • Medicare and Medicaid Regulations Adherence: Compliance with funding guidelines to ensure timely reimbursement.
  • Claims Tracking and Denial Management: Proactively managing claims to reduce denials and enhance revenue cycle efficiency.

Achieve Better Outcomes with Specialized Behavioral
Health Billing Services

Performance Stats
Days in AR

< 25

Days in AR

Revenue Increase

40%

Revenue Increase

Denial & Rejection

< 5%

Denial & Rejection

Clean Claims Rate

99%

Clean Claims Rate

Client Retention

100%

Client Retention

What You Need to Know About Behavioral Health Billing Services

We provide behavioral health billing services that are fully aligned with the needs of communities and individuals affected by mental health and substance abuse conditions, and are focused on optimizing reimbursements while greatly reducing error instances. We are committed to accurate coding, documentation, and submission of claims for all services, including psychotherapy and evaluation visits, telepsychiatry sessions, collaborative care management, and intensive outpatient programs. Our dedicated team ensures all steps in the care process are pre-authorized, keeps track of claims, and deals with any opposition letters in a very proactive way to increase the money flow and stay in line with the payers’ requirements. We take care of the practice's administrative burden and give them the necessary insight and knowledge on behavioral health billing so that they can concentrate on their patients and, at the same time, be assured of the financial viability and the smooth running of their business.

Explore More Specialties

Patient Insurance Verification

Confirm patient benefits and coverage to prevent claim delays and ensure proper billing.

Behavioral Health Coding

Apply accurate CPT and ICD codes for psychiatric and therapy services to optimize reimbursements.

Electronic Claim Submission

Submit claims securely and efficiently to reduce errors and accelerate payments.

Denial Management

Monitor rejected claims and handle appeals to maximize revenue recovery.

Accounts Receivable Tracking

Keep track of outstanding claims to maintain consistent cash flow.

Prior Authorization Management

We secure necessary pre-approvals for intensive outpatient and partial hospitalization programs.

Behavioral Health Billing

Why Choose Our
Behavioral Health
Billing Solutions

Engage with specialists who are knowledgeable about the intricacies of mental health billing, who can facilitate the revenue cycles journey from billing to collection, and who can lessen the administrative burden, thus enabling your team to concentrate on quality patient care.

Behavioral Health Billing Illustration

Overcome Behavioral Health Billing Complexities with BIlling Care Solutions

We specialize in managing multi-provider sessions, complex treatment authorizations, and integrated care billing to protect your practice's financial health.

Billing ChallengeBCS Solutions
Managing coding for combined therapy and medication managementOur specialists ensure accurate CPT coding for integrated behavioral health treatment sessions.
Navigating different billing rules for licensed cliniciansWe expertly handle varying billing requirements for psychiatrists, psychologists, and licensed therapists.
Documenting medical necessity for extended treatment plansWe help maintain proper documentation to support ongoing therapy and complex case management.
Coding for group therapy and family sessionsOur certified coders accurately bill for multi-patient sessions using appropriate modifiers and codes.
Managing authorization processes for different payer typesWe streamline approvals for commercial, Medicare, and Medicaid behavioral health services.

Delivering Nationwide Support for Behavioral Health Practices

The management of claims, coding, and reimbursements in behavioral health is a complicated matter. Our team is proficient in performing these tasks for therapy, counseling, and psychiatric services, thereby giving your staff the opportunity to concentrate on patient care. Through the practice of efficient billing and full revenue management, your office will be able to enhance its cash flow and function with a higher level of ​‍​‌‍​‍‌​‍​‌‍​‍‌trust.

Why Do Healthcare Professionals Choose BCS Medical Billing Services?

rapid -response-time-billing-care-solutions

24/7 Rapid Response Time

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Practice Health Plan

error-free-billing-billing-cares-solutions

Error Free Billing

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Practice Health Audit

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Constant Revenue Boost

45%
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Claims Submission Success Rate

99%
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Fast Revenue Restoration

20 Days
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Free Consultantion Call

15 Minutes

Codes That Drive Accurate Behavioral Health Billing

Billing​‍​‌‍​‍‌​‍​‌‍​‍‌ for behavioral health depends on the use of correct CPT and ICD coding that would lead to clean claims and quick reimbursements. This part of the document gives an overview of the most frequently used codes that your staff would be able to work with confidently and in a manner that would not result in denials of their requests for payment.

Code TypeCodeDescription
CPT90791Diagnostic evaluation without medical services
CPT90792Diagnostic evaluation with medical services
CPT90832Psychotherapy, 30 minutes
CPT90834Psychotherapy, 45 minutes
CPT90837Psychotherapy, 60 minutes
CPT90839Crisis psychotherapy, initial 60 minutes
CPT90840Crisis psychotherapy, each additional 30 minutes
CPT90853Group psychotherapy
CPT99483Cognitive assessment and care planning
ICD-10F41.1Generalized anxiety disorder
ICD-10F33.1Major depressive disorder, recurrent moderate
ICD-10F43.23Adjustment disorder with mixed anxiety and depression
ICD-10F90.0Attention deficit disorder
ICD-10F31.9Bipolar disorder, unspecified

Behavioral Health Billing FAQ's

What measures do you take to avoid denial of time-based psychotherapy codes? +

We ensure that the documentation corresponds to the length of the session, that the payer rules are correctly applied, and that the units are verified prior to submission.

What steps do you take to make sure that the diagnosis codes such as F41.1 or F33.1 are billed accurately? +

We look through provider notes, treatment plans, and payer criteria in order to avoid issues of medical necessity.

What is your method of dealing with crisis session codes 90839 and 90840? +

We confirm the time, effort, and documentation that corroborate both the primary as well as the add-on codes.

What is your approach in handling the claims of evaluations and therapy sessions that are recorded together? +

We differentiate the codes like 90791 or 90792 from those of psychotherapy in order to be on the safe side with respect to conflicts and duplication.

What strategies do you use to raise the payout of the core behavioral health codes? +

We engage in keeping an eye on the coding trends, the reasons for denial, and the behavior of the payer in order to make the necessary adjustments for coding correctness.

How do you handle group therapy claims that are charged under 90853? +

It is our practice to verify group size, review session notes, and check payer rules before dispatching the claim.

In what ways do you facilitate telehealth billing for psychotherapy codes? +

We put on the right modifiers, check if telehealth is covered, and be sure that the documentation is in line with the virtual care standards.

What steps do you take to handle claims that necessitate a thorough review of documentation? +

We gather or attach the required notes and keep hounding the payers until they give the green light to the claim.

How do you go about mending the recurring code pairing denials? +

We inspect the records of the claims, fix the diagnosis and procedure inconsistency, and create prevention rules.

What measures do you put in place to support claims for cognitive assessment services under 99483? +

We take the necessary steps to accomplish that by verifying eligibility, documentation, and payer criteria for the right reimbursement.

What Our Clients Say

Trusted by healthcare professionals and organizations nationwide for accurate billing and reliable results.

Client Photo

Jennifer Aaron

Cardiologist, HeartCare Clinic

“Billing Care Solutions offers exceptional billing services with responsive and professional customer support. Their user-friendly system has streamlined our processes and reduced our workload. Any issues were resolved promptly and efficiently. Highly recommended for reliable billing solutions.”

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David Lieske

Chief Strategy Officer

“Billing Care Solutions LLC and Adnan Qamar have been assisting our organization with our billing services, and they have performed in a world class manner. Their collaboration with our Revenue Cycle Management Team and Clinical Management has been seamless and professional. Top notch!”

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Linh Tran

Chief Finance Officer, My CHN

“I have been working with Adnan and his team for more than 2 years. They are very knowledgeable in medical billing and very responsive to our needs. Adnan has good contacts with payers reps and familiar with payers’ requirements which help the works done quicker and easier ! I recommend his services to revenue cycle managers ! ”

Client Photo

Ashley Sahakian

Owner, Express Wellness LLC

“I have experienced nothing but the best service and quick results when it come to their services. They are very friendly, and professional. They have really helped me grow my business! Thank you all so much! God bless!”

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Zahid Mehmood

Manager BD, CRM

“Organised and timely completion of the task. Adnan team handled the project with utmost professionalism and made the whole process seamless from gathering the requirements till completing the enrolment process along with keeping us informed through out the process.”

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Melissa Renteria

CEO, Family Health Center

“Excellent service and quick turn around, knowledgeable and friendly. I have worked with Adnan for years and I have enjoyed it, he is punctual on his projects and very efficient. I highly recommend using his services you won't be disappointed!”

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Emily Kariuki

Owner, Home Health Agency

“Great service. Professional, friendly, people who get the job done. The best”

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Donna Taylor

Manager

“very professional and great customer service. Would highly recommend”

Client Photo

Judy Kariuki

Operations Coordination Manager

“So far, all expectations have been met. Billing Care Solutions work has resulted in fewer billing rejections and increased clients from the marketing efforts. The team has impressed the client with their rapid response and timely service delivery. Billing Care solutions communicates via email, messaging apps, and virtual meetings.”