Outpatient mental health & therapist billing

Mental Health Billing Services for Therapists and Group Practices

You should spend your time with clients, not on hold with payers. We handle credentialing, coding, claims and follow-up so therapists and outpatient practices get paid for every session.

The challenge

What slows therapist and practice revenue

Credentialing delays

New clinicians can wait months to be in-network. Every week of delay is sessions you can't bill.

Time-based CPT codes

Psychotherapy codes depend on session length. Documentation has to support the code billed.

Telehealth rules

Place of service and modifiers for telehealth vary by payer and change often.

Add-on codes left off

Interactive complexity, crisis and E/M add-ons are frequently missed or billed incorrectly.

Session limits and authorizations

Some plans cap sessions or require authorization after a set number of visits.

Patient balances

Copays, deductibles and coinsurance that aren't collected at the time of service turn into bad debt.

What we handle

Everything it takes to get mental health claims paid

Hand us the full revenue cycle or just the parts that are breaking. Either way, one team is accountable for the result.

  • ✓
    Credentialing and re-credentialing with commercial payers, Medicaid and Medicare
  • ✓
    Eligibility and benefits checks before first sessions
  • ✓
    CPT and modifier coding review
  • ✓
    Telehealth claim setup
  • ✓
    Claim submission and clearinghouse management
  • ✓
    Denial management and appeals
  • ✓
    Payment posting and ERA reconciliation
  • ✓
    Patient statements and payment plans
Coding

Codes we bill every day

A reference to the codes commonly used at this level of care.

CPT 90791 / 90792
Psychiatric diagnostic evaluation, without and with medical services
CPT 90832 / 90834 / 90837
Individual psychotherapy, about 30, 45 and 60 minutes
CPT 90846 / 90847 / 90853
Family psychotherapy without and with the patient present; group psychotherapy
CPT 90839 / +90840 / +90785
Psychotherapy for crisis and add-on; interactive complexity add-on
POS 02 / 10, modifier 95
Telehealth place of service and modifier (payer-specific)

Codes, units and billing rules vary by payer, contract and state. We bill to your contracts and your payers' current policies.

How it works

How we get you paid

1

Free discovery call

One hour on your program, your numbers and your goals. You leave with clear options and no obligation.

2

Custom plan and pricing

We scope what you need, from one service like VOBs or authorizations to full RCM, and price it to the project.

3

Fix, build or run

We clean up denials and A/R, build and train your team or run billing every day, with weekly KPI reporting.

FAQ

Mental Health Billing FAQ

Do you work with solo therapists?

Yes. We work with solo clinicians, group practices and multi-location outpatient clinics.

Can you help us get credentialed with insurance?

Yes. We handle credentialing and re-credentialing, and track applications until each clinician is active with the payer.

How do you bill telehealth therapy sessions?

We set up the place of service and modifiers each payer requires, and keep them current as policies change.

Do you handle patient billing?

Yes. We send patient statements, set up payment plans and follow up on outstanding balances.

See what your mental health billing is leaving on the table

Book a free one-hour discovery call. We will look at how your billing runs today and lay out your options: full RCM, consulting for your team or help with one piece, like VOBs or authorizations. Serving Utah treatment centers and programs nationwide.