Mental Health Medical
Billing Services
Mental Health Billing Challenges We Help You Address
Frequent claim denials and payment delays
UHC says no auth. Anthem says medical necessity missing. Cigna pays $40 less than billed. A therapist in Ohio told us 12 claims denied last month for same reason. Authorization. No one tracked it. We fix that pattern.
Frequent claim denials and payment delays
UHC says no auth. Anthem says medical necessity missing. Cigna pays $40 less than billed. A therapist in Ohio told us 12 claims denied last month for same reason. Authorization. No one tracked it. We fix that pattern.
Insurance eligibility and verification issues.
Patient says coverage active. But plan changed. Deductible not met. Session limit hit at 20 visits. If you don't check before session, you eat the denial. We check.
Growing accounts receivable and unpaid claims.
AR over 60 days keeps climbing. No one works old claims. Old claims die. One clinic had $18k sitting over 90 days. Nobody touched it. We work oldest first. Every day.
Time-consuming billing and admin tasks
Your biller handles eligibility, coding, posting, appeals, patient statements—and the front desk. If she quits, billing stops. Sound familiar? Our outsourced mental health billing gives your clinic a full team, not just one person.
Our Mental Health Medical Billing Services
Insurance Eligibility and Benefits Verification
- Verify active coverage, copay, deductible, coinsurance
- Check session limits, auth required, telehealth benefits
- Log results in your EHR so front desk sees before visit
- Prevents 40% of denials at source
Mental Health Medical Coding and Claim Submission
- Review provider documentation for time, medical necessity
- Accurate coding: 90791, 90834, 90837, 90847, 99213 + 90836
- Check CPT, ICD, modifiers 95, GT, U1, place of service
- Scrub against payer edits, NGS, CMS behavioral health rules
- Submit clean claims within 24 hours
Denial Management and Appeals
- Same-day denial work, not next week
- Identify reason: CO-50, CO-197, CO-16, MA120
- Fix cause: add auth, fix modifier, attach notes
- Resubmit and appeal with payer-specific letter
- Track appeal to final payment
Payment Posting and Accounts Receivable Management
- Post ERA/EOB same day
- Reconcile remittances, flag underpaid claims
- One therapist had Cigna underpay $30 per session for 3 months. We caught it.
- Sort AR by payer and age, work 90+ days first
- No claim sits 90 days with no action
Mental Health Revenue Cycle Management
- Coordinate end-to-end workflow from registration to payment
- Monitor outstanding claims daily
- Provide monthly reporting in plain English
- Identify revenue cycle leaks and fix at source
- One team, one contact, your own data
What We Do
Psychiatrists
E/M + psychotherapy add-on, med management, 99213 + 90836, auth for meds. Need best mentor altuck billing services for psychiatrists who know combo rules.
Psychologists
Testing codes 96130, intake 90791, 90834/90837, time-based, medical necessity, session limits.
Therapists and Counselors
LCSW, LMFT, LPC - 90834, 90837, 90847 family, 90846. Need affordable mental health billing services for therapists without hiring staff.
Behavioral Health Clinics
Group practice, multiple providers, group NPI, taxonomy, credentialing, different payers. Needs mental health billing services for private practices.
Telehealth Mental Health Providers
POS 02 vs 10, modifier 95, GT, U1, payer telehealth policy changes monthly. We track.
Why Choose PrimeCore Billing for Mental Health Medical Billing?
Specialized billing workflow support.
We’re not general medical billing company doing mental health on side. We are a mental health billing company. Psychiatric billing services and behavioral health medical billing is what we do daily.
Attention to claim accuracy and payer requirements.
UHC needs auth after 20 sessions. Anthem needs modifier. Cigna needs medical necessity note. We check before submission. Clean claims go out.
Consistent denial and A/R follow-up.
Filing easy. Follow-up hard. We work denials same day, AR oldest first. Daily. Not month end.
Transparent communication and reporting.
Every claim, denial, payment in portal daily. Monthly report in plain English. Collections, denial by reason, AR by age. Real person answers.
Flexible support for different practice sizes.
Solo therapist to 15-provider clinic. We offer affordable mental health billing services for therapists, mental health billing services for private practices, outsourced mental health billing services for clinics. Month to month. No setup fees.
Appropriate patient data privacy and security practices.
BAA signed first. No work without it. Access controls. Encrypted storage. Secure channels. Staff HIPAA trained. HIPAA-conscious workflows. No fake HIPAA certified claim.
How Our Mental Health Medical Billing Process Works
Step 1
- You send last 30 days billing + AR report
- We audit 90 days denials by payer and reason
- Show where money stuck, free
Step 2
- Establish responsibilities, communication, reporting
- Connect to EHR and clearinghouse
- Work inside your system, set up portal
- Define who does what
Step 3
- Eligibility checked daily
- Claims coded, scrubbed, submitted within 24 hours
- Payments posted same day
- Denials worked same day, AR oldest first
Step 4
- Track outstanding claims
- Identify opportunities to improve
- Monthly report + call to review
- Fix repeat cause at source
Still have
questions?
Our team is here to help. Get in touch and we’ll be happy to answer your questions or help you find the right solution for your practice.
Frequently Asked Questions
Yes. We support psychiatrists, psychologists, therapists, counselors, behavioral health clinics, telehealth providers. We handle psychiatric billing services and behavioral health medical billing including E/M + psychotherapy, 90837, 96130, telehealth modifiers, session limits per payer.
Yes. Our mental health medical billing services and insurance claims management includes same-day denial identification, correction, resubmission, and appeals. We log every denial by payer and reason, fix root cause, attach auth or notes, call payer, track to final payment.
Improve Your Mental Health Practice’s Billing Workflow
If you’re tired of chasing auths and denials, talk to us. We are PrimeCore Medical Billing, a mental health billing company that does mental health billing services daily. We’ll show you where money stuck and how we fix it. No obligation.
Our mental health medical billing services and insurance claims management gives you full team without hiring full team.