medical billing for mental health

Medical Billing for Mental Health Services

Specialized Revenue Cycle Solutions for Behavioral Health. Eliminate revenue leakage, reduce admin burden, and focus on patient care.

✓  Time-Based Coding
        Expertise in 90834 vs 90837
✓  Telehealth Mastery
        Modifier 95 & GT Compliance
✓  Prior Authorization
       Secure approvals before sessions

Why Mental Health Billing Demands Specialized Expertise

Running a successful mental health practice demands your full attention on patient care, not wrestling with insurance companies. Yet for countless therapists and psychiatrists, medical billing has become an exhausting drain on time and revenue.

If your practice battles recurring therapy claim denials, frustrating prior authorization delays, or chronically underpaid claims, you’re facing challenges shared by mental health providers nationwide. Mental health billing operates under distinctly different rules than standard medical billing.

Behavioral Health CPT Coding Complexities

Mental health services depend heavily on time-based CPT codes requiring meticulous documentation. Failing to meet documented time requirements triggers downcoding and audits.

90834: Psychotherapy, 45 mins

90837: Psychotherapy, 60 mins

90847: Family Psychotherapy

90832: Psychotherapy, 30 mins

Telehealth & Modifier Risks

Modifier errors are a top cause of rejections. Incorrect usage of Modifier 95 for telehealth can trigger immediate rejection. We ensure every claim includes the correct Place of Service (POS) and Telehealth modifiers.

Comprehensive Mental Health Billing Services

AIE Medical Management delivers end-to-end billing services for mental health addressing every revenue cycle stage.

  • Prior Authorizations :  We verify eligibility and secure required authorizations before the initial session to prevent denials.

  • Clean Claim Submission :  We prepare and submit clean claims promptly, monitoring status proactively to accelerate your cash flow.

  • Denial Management : Our specialists analyze rejection reasons and craft compelling appeals supported by clinical documentation.

  • Compliance Support : We maintain strict HIPAA compliance and provide documentation guidance to protect your practice during audits.

Evolving Teletherapy Billing Requirements

The rapid expansion of telehealth has introduced new complexities. Place of service codes (POS 02 vs 10), originating site requirements, and varying state regulations make virtual care reimbursement challenging without specialized support.

Mental Health Providers We Serve

  • Licensed Therapists & Counselors (LCSW, LPC, LMFT)
  • Psychiatrists & Psychiatric Practices
  • Behavioral Health Clinics
  • Telehealth-First Mental Health Groups

Business Impact of Partnering with AIE

Engaging specialized mental health billing services transforms your practice’s financial performance:

  • Increased revenue per session through accurate time-based coding.
  • Higher first-pass acceptance from clean, compliant submissions.
  • Decreased administrative burden freeing clinical staff for patient care.
  • Greater financial predictability supporting practice growth planning.

Frequently Asked Questions

How does mental health billing differ from medical billing?

It relies heavily on time-based codes (90834/90837) and strict authorization limits on visit counts, unlike procedure-based medical billing.
 

How much do mental health billing services cost?

Typically a percentage of collections (4% to 10%). AIE provides transparent, customized pricing based on your practice’s specific volume.
 

How do you handle telehealth billing?

We ensure correct use of Modifier 95 or GT and POS 02/10 based on specific payer policies (e.g., BCBS vs UHC).
 

Do you work with solo therapists?

Absolutely. We support providers of all sizes, from solo practitioners to large behavioral health groups.

Free Billing Audit

Are you being underpaid on 90837 codes? Let us audit your last 50 claims for lost revenue.

Key Expertise

Why Choose AIE?

We are a dedicated partner, not an impersonal call center. We fight for every dollar your practice earns.

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