Service
Medical & Behavioral Health Billing Services
Billing Expertise That Lets You Focus on Care
Running a Behavioral Health Facility means your time should go toward patients — not chasing denied claims or untangling payor rules. Our billing team brings deep, hands-on experience across Medicare, Medicaid, and commercial insurance, with a particular specialization in behavioral health billing — one of the most complex and frequently changing areas in all of healthcare reimbursement.
Behavioral health claims come with their own rulebook: time-based behavioral health codes, add-on codes for extended sessions, telehealth modifiers, same-day medical/behavioral billing restrictions, prior authorization requirements that vary by payor and by service type, and documentation standards that differ from general medical billing. We know this world well, and we build every claim to meet it.
What We Bring to Your Practice
Medicare Billing
We manage the specific coverage rules, documentation requirements, and coding conventions Medicare applies to behavioral health and medical services alike — including the nuances around covered diagnoses, session limits, and provider qualifications that trip up many billing teams.
Medicaid Billing
Medicaid billing rules shift not just by service but by state, and behavioral health carries some of the most detailed requirements in the entire Medicaid system. We stay current on state-specific behavioral health carve-outs, managed care plan variations, and the prior authorization and documentation standards Medicaid reviewers expect to see.
Commercial Insurance Billing
From major national carriers to regional plans, we understand how commercial payors structure behavioral health benefits differently from general medical benefits — including separate deductibles, visit limits, and network requirements — and we bill accordingly to reduce denials and delays.
Behavioral Health Specialization
This is where we do our deepest work. Individual and group therapy, psychiatric evaluation and medication management, intensive outpatient and partial hospitalization programs, substance use treatment, and telehealth-delivered behavioral care all require precise, current coding and payor-specific know-how. We specialize in exactly this space, so your claims are built right the first time.
Automatic Claim Verification
Benefit verification isn't an occasional check for us — it's built into our process. Every time we submit a bill, our software automatically verifies the patient's benefits. That means confirming active coverage. The result: fewer denials, fewer surprises for your patients, and faster, more predictable reimbursement for your practice.
Why It Matters for Your Practice
- Fewer denials and rejections, thanks to accurate, payor-specific coding and automatic benefit verification on every claim
- Faster reimbursement, so cash flow stays healthy and predictable
- Reduced administrative burden, freeing your clinical staff to focus on patient care instead of paperwork
- Specialized behavioral health expertise, not a generic billing approach applied to a specialty that deserves better
Let us handle the complexity of Medicare, Medicaid, and commercial billing — so you can stay focused on what you do best.