Billing for behavioral health is not general billing with a different code set. Time-based session codes and place of service, with authorization attached to almost everything.
The most authorization-dense specialty in outpatient care, and the one where Medicaid managed care plans most often sit between you and payment.
At a glance
What drives the coding
Time-based session codes and place of service, with authorization attached to almost everything.
What drives the payer behavior
The most authorization-dense specialty in outpatient care, and the one where Medicaid managed care plans most often sit between you and payment.
Coding
Assigned by certified coders from your documentation.
Reporting
Denials segmented by reason, payer, and provider.
Where behavioral health claims actually fail
- Authorization lapsed mid-course of treatment
- Session limits exhausted without anyone tracking the count
- Place-of-service mismatch on telehealth sessions
How we work it
We code from what your record documents and query you when it does not support a code, which in behavioral health is where most of the avoidable exposure sits.
Denials are worked by cause rather than in queue order, so the same failure stops recurring instead of being re-worked every month.
We work the claims. You practice medicine.
Coding, claim submission, denial management, and A/R follow-up — with nothing left for your front desk to chase.
View pricingHow It Works
Review
We look at your current behavioral health denials and aging.
Scope
A written scope and price before any work starts.
Transition
Coding and submission move across without a gap.
Report
Denial causes reported monthly, segmented by payer.
Behavioral Health Medical Billing by State
Medicare contractor, Medicaid program and managed-care structure, and no-fault rules cadence differ by state. Pick yours for a state-specific guide.
Behavioral Health — Frequently Asked Questions
Do you have coders who know behavioral health?
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Yes. All coding is performed by certified coders, and specialty assignment is deliberate — time-based session codes and place of service, with authorization attached to almost everything.
Do you guarantee we will collect more?
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No, and nobody honestly can. Payment is decided by the payer. What we commit to is the process and the six numbers we report, which you can check against your own system.
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Book a free consultation and we will tell you what your revenue cycle needs and what it costs.
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- Nationwide
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