Maximize revenue and reclaim valuable time with MedCare MSO’s specialized mental health billing services, designed for therapists, psychologists, psychiatrists, and behavioral health professionals. From eligibility verification to denial management, our HIPAA-compliant billing services for mental health providers ensure faster reimbursements and greater peace of mind.
Are you struggling with denied claims, slow insurance payments, claim rejections, and complicated billing tasks? These problems drain your revenue and waste your time. MedCare MSO’s mental health billing services address these challenges promptly. We work directly with payers to get you paid faster and reduce the headaches that come with insurance billing.
Here’s what we handle:
Working with our professional mental health billing companies cuts down claim denials and speeds up payment cycles. Our mental health billing services include CPT and ICD-10 coding, address prior authorization challenges, denial management, and credentialing, so you don’t have to chase reimbursements.
Mental health billing is complicated. You’re dealing with modifier applications, telehealth codes like GT and 95, and different regulations in every state. Most therapists spend over 10 hours each week on billing and admin work, time that could go to patients. And here’s the bigger problem: insurance companies consistently reimburse behavioral health services at lower rates than general medical care. That gap hits your revenue and limits what you can offer patients that generic mental health billing services can’t fill.
MedCare MSO’s medical billing for mental health services tackles these issues directly. We handle revenue cycle management and credentialing with insurance companies to get you better rates. Our mental health billing and credentialing services get providers in-network faster. We manage the details, accurate CPT codes for mental health, ICD-10 codes for mental health, insurance verification, claims submission, denial appeals, and accounts receivable follow-up. The result is better cash flow and higher collection rates.
Most mental health billing companies handle basic claims processing. That’s not enough for mental health practices. You need psychiatric billing services that understand the psychiatric coding nuances, behavioral health reimbursement, and payer & compliance requirements. That’s why you need us, a leading mental health billing company that focuses exclusively on getting behavioral health providers paid correctly and on time.
We handle your finances from the moment a patient schedules an appointment to the final payment deposit. Our revenue cycle management spots what’s slowing down your reimbursements, like prior authorization challenges, and fixes it. We review your fee schedules against what payers actually owe you, cut accounts receivable aging by an average of 35%, and catch revenue leaks before they drain your income. You get detailed financial reports that show exactly where your money is and where it’s going with our mental health billing services.
Credentialing typically takes 90-120 days and involves mountains of paperwork. We cut through that. Our best credentialing services for mental health providers handle the entire process, gathering documents, verifying credentials, submitting applications, and following up with payers. We manage your initial credentialing, re-credentialing deadlines, and CAQH profile so you can start billing insurance sooner and stay in-network without interruption.
Mental health billing has to follow HIPAA, the Mental Health Parity Act (MHPAEA), 42 CFR Part 2 for substance abuse records, state regulations, Medicare and Medicaid rules, and the False Claims Act. We keep your practice compliant with all of it. Our audits catch problems early, before you face penalties or investigations. We also stay on top of telehealth billing changes so you don’t have to worry about accidentally breaking new rules.
Wrong codes mean denied claims. Our certified coders know CPT codes for mental health inside and out, diagnostic evaluations (90791, 90792), individual therapy sessions (90832, 90834, 90837), group therapy (90853), and everything in between. We match them with the right ICD 10 codes for mental health diagnoses, add necessary modifiers (25, 59, GT, 95), and make sure your documentation backs up what you’re billing. Clean claims, Faster payments, and Fewer headaches with mental health billing services from MedCare MSO.
Therapists, counselors, and addiction specialists deal with billing issues that don’t come up in general psychiatry. We handle superbills for out-of-network billing, sliding scale pricing, EAP coordination, and the specialized requirements for addiction treatment. Our behavioral health billing services include intensive outpatient programs (IOP) and partial hospitalization programs (PHP), which need specific HCPCS codes and authorization handling.
Our practice management software, Maximus, delivers AI-powered automation for billing services for mental health practices. This cloud-based platform integrates seamlessly with your existing system, streamlining your entire revenue cycle from eligibility checks to payment posting.
Instant insurance coverage checks at patient check-in prevent claim rejections before services are rendered.
AI-powered claim scrubbing identifies coding errors and missing information before submission, achieving 98.5% clean claim rates.
Built-in validation for CPT codes for mental health and ICD-10 codes for mental health ensures accurate billing for every session type.
Unified calendar management syncs appointments with billing workflows, reducing no-shows and optimizing provider schedules.
Real-time alerts flag potential issues before claims are submitted, dramatically reducing denial rates and revenue loss.
Automated ERA posting and payment reconciliation speed up cash flow while maintaining complete A/R control.
Maximus integrates with leading EMR/EHR systems and provides real-time financial performance dashboards. Schedule a demo to see how it transforms your mental health billing.
We offer integration with your existing EHRs and PMS. Our experts are trained in coding and billing across all common psychiatry EHR systems.
Different mental health providers face different billing challenges. A psychiatrist dealing with medication management codes has completely different needs than an addiction treatment center handling IOP authorization. Generic billing services miss these nuances, but our services are built around your specific practice type, so you get billing support that actually understands what you do.
MedCare MSO did a great job with our billing and helping clean up old AR. Regular updates and good communication were very appreciated.
Co-Owner, PCP
Chief Operating Officer, MAKO MEDICAL LABORATORIES
Chief Executive Officer, CARE NOW CLINIC
Chief Operations Officer, ION DIAGNOSTICS
Co-Founder, AW Care
Working with MedCare MSO has been a game-changer for my practice. Their expertise in medical billing, AR management, and coding has significantly streamlined our revenue cycle, reduced claim denials, and improved cash flow. The team is proactive, detail-oriented, and always available to address my concerns.
Practice Owner, F&A Clinic
We have experienced tremendous improvements within our billing and claims department that we have entrusted MedCare MSO to manage.
President/CEO, RLT
I am impressed with MedCare MSO’s promptness to respond to any inquiries, with the time they dedicate to reviewing each one of the cases.
Practice Owner/FBH
Outsourcing to a mental health billing company transforms your practice operations. Professional billing services for mental health like ours free up clinical time, reduce administrative burden, and deliver measurable financial improvements that in-house teams simply can’t match.
Here’s what you gain with our services:
We keep it simple: you pay a percentage of what we actually collect. That’s it. One fee covers everything: claims submission, eligibility checks, coding, denial appeals, patient statements, payment posting, and monthly reports. No setup fees, no surprises. You only pay when you get paid with mental health billing services from MedCare MSO.
Our revenue cycle management covers the full billing process from start to finish. We handle patient registration, insurance verification, eligibility checks, prior authorizations, claims submission, payment posting, denial management, patient statements, and A/R follow-up. We also help in credentialing with insurance companies to improve your contracted rates and audit your fee schedules to catch underpayments.
Yes. Every practice is different, so we customize our services to your specific needs. Solo practitioners have different requirements than large group practices or addiction treatment centers. We can handle your full revenue cycle, or just specific pieces like credentialing, denial management, or coding support. Our pricing adjusts based on your claim volume, specialty complexity, and service level. We work with you to build a plan that fits your practice size, budget, and goals.
Maximus is our cloud-based practice management software. It automates eligibility checks, scrubs claims before submission to catch errors, validates CPT and ICD-10 codes, and posts payments automatically. With its great interoperability, it can integrate with your existing system, so you don’t need to switch platforms. You get real-time financial dashboards that show claim status, payment timelines, and revenue metrics.
Incident-to-billing lets non-physician practitioners bill under a supervising physician’s credentials and get the full reimbursement rate instead of a reduced one. In mental health settings, the psychiatrist has to do the initial evaluation, create the treatment plan, and stay actively involved in oversight. You need solid documentation of that supervision relationship. Medicare audits this closely, and without proper records, claims get denied.
It starts with checking if the patient’s insurance is active and what their benefits cover. After each session, you document what happened and assign the right CPT code (like 90834 for a 45-minute therapy session) along with an ICD-10 diagnosis code that explains why treatment is necessary. Then you submit the claim electronically to the insurance company. From there, it’s about tracking the claim, posting payments when they come in, and fighting denials when they don’t.
Hiring and training billing staff is expensive, and keeping up with payer rule changes is difficult. Outsourcing billing to mental health billing services gives you access to coders who only do behavioral health billing and know the ins and outs. These companies typically cut claim denials by 30-40% and get you paid faster. More importantly, it frees up your time. You can see patients instead of dealing with insurance companies, which is better for everyone.
Our coders work exclusively in behavioral health billing, with an average of 8+ years in mental health coding. They know CPT codes (90791-90899), ICD-10 diagnosis codes, telehealth modifiers, interactive complexity billing, all of it. We process thousands of mental health claims every day and hit a 98.5% clean claims rate on the first submission. That comes from years of handling psychiatry, psychology, therapy, and addiction treatment billing.
First, verify the patient’s insurance is active and get any prior authorizations the payer requires. Document the session well, use the right CPT and ICD-10 codes, and submit the claim within the payer’s deadline, usually 30 to 90 days. If you’re in-network, the insurance company pays you directly. Out-of-network providers typically give patients a detailed superbill they can submit for reimbursement. Either way, follow up on unpaid claims after about two weeks and appeal denials quickly to keep money flowing.
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Or call us as 800-640-6409
F&A Clinic
Working with MedCare MSO has been a game-changer for my practice. Their expertise in medical billing, AR management, and coding has significantly streamlined our revenue cycle, reduced claim denials, and improved cash flow. The team is proactive, detail-oriented, and always available to address my concerns.
I would like to take time to recognize two members of MedCare MSO specifically. Moses for his exceptional support and dedication. He is always responsive, and knowledgeable, and goes above and beyond to ensure smooth operations. His professionalism and commitment make a huge difference in our day-to-day workflow. George also for his quick feedback and recognition of what is needed most. He is extremely efficient and always available for clarification and to share his knowledge and expertise.
I highly recommend MedCare MSO to any healthcare provider looking for a reliable and efficient billing partner.
RLT
Hello,
I am writing this email to express our appreciation of the MedCare MSO’s team and all they have done for our business at RLT. In the past year, we have experienced tremendous improvements within our billing and claims department that we have entrusted MedCare MSO to manage. We went from having over $100k in uncollected/billed claims to now reaching near $100k in collection some months.
We are also happy to express our thankfulness that MedCare MSO is now helping us acquire new contracts with different insurance companies. This will in effect benefit everyone involved, allowing us to expand our services and provide more resources for our staff/business partners.
Please note special appreciation for the following:
David Lucas
Mario Ortega
Ambrose William
FBH
I have been a customer of MedCare MSO for one year. They have provided billing and credentialing services for my private behavioral health practice, and I am impressed with their promptness to respond to any inquiries, with the time they dedicate to reviewing each one of the cases, and with their willingness to educate me and my staff about the ever-changing rules of medical billing and the best use of coding. This is a company I Trust with my billing needs.
Dr. Neufeld
Practice Owner
FBH
