Behavioral Health Billing Services
Behavioral health billing services from The Ashez Group help psychiatrists, psychiatric nurse practitioners, psychologists, therapists, counselors, and behavioral health practices manage complex insurance billing and revenue cycle workflows.
Our behavioral health medical billing support includes eligibility verification, prior authorization, claim submission, payment posting, denial management, A/R follow-up, credentialing, payer enrollment, and revenue cycle reporting.
Whether you’re a solo mental health provider or a growing behavioral health group practice, our team can support your complete revenue cycle or specific billing functions based on your practice’s needs.
Behavioral Health Billing for Mental Health Providers
Support for psychiatric evaluations, E/M services, medication management, psychotherapy add-on services, telehealth, and other applicable psychiatric billing workflows.
Billing and RCM support for PMHNP practices, including psychiatric evaluations, medication management, psychotherapy when applicable, and payer-specific requirements.
Insurance billing support for therapists, counselors, social workers, and other eligible behavioral health professionals.
Support for psychological services, psychotherapy, evaluations, and applicable testing workflows. Centralized billing, credentialing, denial management, A/R follow-up, and reporting across multiple providers.
Complete Behavioral Health Revenue Cycle Management
Verify active coverage and benefits before services are rendered to help prevent avoidable eligibility-related denials.
Track authorization requirements and help practices manage payer approvals before treatment when required.
Claims are reviewed for billing errors and submitted through appropriate clearinghouse and payer workflows.
ERA/EOB payments, contractual adjustments and payment activity are posted and reconciled.
Our team investigates denied claims, identifies the reason for denial and works appropriate corrections, resubmissions and appeals.
Outstanding insurance balances are actively followed rather than being allowed to disappear into aging A/R.
Credentialing support can include CAQH management, payer enrollment, recredentialing and related provider enrollment processes.
Practices receive visibility into collections, denials, outstanding A/R and other revenue-cycle activity.
Support your practice with virtual assistance for scheduling, patient communication, insurance verification, authorizations, referrals, and other administrative tasks.
Common Behavioral Health Billing Codes
| CPT | Common Use |
|---|---|
| 90791 | Psychiatric diagnostic evaluation |
| 90792 | Psychiatric diagnostic evaluation with medical services |
| 90832 | Psychotherapy, 30 minutes |
| 90834 | Psychotherapy, 45 minutes |
| 90837 | Psychotherapy, 60 minutes |
| 90846 | Family psychotherapy without patient present |
| 90847 | Family psychotherapy with patient present |
| 90853 | Group psychotherapy |
| 90785 | Interactive complexity add-on |
| 90833 | Psychotherapy add-on with E/M, 30 minutes |
| 90836 | Psychotherapy add-on with E/M, 45 minutes |
| 90838 | Psychotherapy add-on with E/M, 60 minutes |
Code selection should be based on the service performed, documentation, current coding guidance, and applicable payer requirements.
“We align our Behavioral Health Billing practices with the American Psychiatric Association coding resources to ensure accuracy and compliance.”
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Why Behavioral Health Billing Is Different
Behavioral health billing can involve requirements that differ significantly from other medical specialties.
Psychotherapy coding can depend on documented time and the specific service performed.
Psychiatric practices may provide an E/M service with an applicable psychotherapy add-on service, creating additional coding and documentation considerations.
POS, modifiers, coverage requirements, and billing policies can vary by payer and service.
A patient's behavioral health benefits may be administered differently from their general medical benefits, making eligibility verification especially important.
A patient's behavioral health benefits may be administered differently from their general medical benefits, making eligibility verification especially important.
Behavioral Health Payer Complexity
Behavioral Health Telehealth Billing
Telehealth is particularly important for behavioral health practices.
POS 02
POS 10
Modifier 95 where applicable
payer-specific telehealth requirements
patient location
documentation
eligibility
authorization
Our team reviews applicable payer billing requirements when supporting behavioral health telehealth claims, including relevant POS and modifier requirements.
Behavioral Health Insurance & Payer Billing
Behavioral health benefits may involve commercial health plans, behavioral health administrators, Medicare, Medicaid, and other payer arrangements.
Depending on the provider and plan, billing workflows may involve organizations such as:
Optum Behavioral Health
Carelon Behavioral Health
Cigna/Evernorth
Aetna
UnitedHealthcare
Blue Cross Blue Shield plans
Medicare
State Medicaid programs
Compliance with CMS mental health billing guidelines and American Psychiatric Association coding resources
Common Behavioral Health Billing Denials
Eligibility & Coverage Issues
Missing Prior Authorization
Coding or Modifier Issues
Documentation / Medical
Necessity Issues
Credentialing or Enrollment
Issues
Timely Filing
Duplicate ClaimsPayer Routing Issues
Effective behavioral health denial management goes beyond correcting individual claims. Recurring denial patterns can help identify workflow issues involving eligibility, authorization, credentialing, documentation, coding, or claim submission.
Why Behavioral Health Practices Choose The Ashez Group
Behavioral Health Experience
Billing support designed around mental and behavioral health revenue-cycle workflows.
Complete RCM Support
Eligibility, authorization, billing, payment posting, denials, A/R, credentialing, and reporting.
Provider Credentialing
Coordinate behavioral health credentialing and payer enrollment alongside billing.
Telehealth Billing Support
Support for payer-specific behavioral health telehealth billing workflows.
Denial & A/R Focus
Dedicated follow-up on denied, unpaid, and aging insurance claims.
Flexible Support
Services for solo providers, independent practices, and growing behavioral health groups.
Nationwide Service
Remote behavioral health billing and RCM support for practices throughout the United States.
FAQs About Behavioral Health Billing
Behavioral health billing services help mental health providers manage insurance claims, payment posting, denials, A/R follow-up, eligibility verification, prior authorization, credentialing, and other revenue-cycle functions.
The Ashez Group supports psychiatrists, psychiatric nurse practitioners, psychologists, therapists, counselors, social workers, and behavioral health group practices.
Common codes include 90791, 90792, 90832, 90834, 90837, 90853, and applicable psychotherapy add-on codes such as 90833, 90836, and 90838. Code selection depends on the service, documentation, and payer requirements.
Yes. We support telehealth billing workflows while considering applicable payer requirements, modifiers, place-of-service codes, eligibility, and authorization requirements.
Yes. Credentialing support can include CAQH management, Medicare, Medicaid, commercial payer enrollment, recredentialing, and application follow-up.
Yes. We support solo providers, independent practices, and growing behavioral health groups with complete or customized billing and RCM services.
Yes. Practices can discuss targeted support for denial management, A/R follow-up, credentialing, eligibility verification, or other revenue-cycle functions without necessarily outsourcing the entire billing operation.
Pricing depends on provider count, claim volume, specialty, payer mix, services required, and the scope of revenue-cycle support. Practices should compare both pricing and which services are included.