Expert Mental Health Billing Services for Therapists & Private Practices

Maximize revenue and reclaim valuable time with MedCare MSO’s specialized mental health billing services—designed for therapists, psychologists, psychiatrists, and other behavioural health professionals. From eligibility checks to denial management, our HIPAA-compliant solutions ensure faster reimbursements and greater peace of mind.

Result-Oriented Mental Health Billing Services

First Pass Clean Claims Rate
0 %
Reduction in A/R
0 %
Collection Ratio
0 %

Streamline Your Practice with Comprehensive Mental Health Billing Solutions

Partner with us for seamless mental health billing solutions, allowing you to prioritize patient care effortlessly and improve access to efficient mental health insurance billing strategies.

Higher, Faster & Better Reimbursements

Are you struggling with denied claims, slow insurance payments, claim rejections, and complicated billing tasks? Efficient claim submission is crucial in overcoming these challenges. Consider MedCare MSO’s mental health billing services as a solution. We work with payers to optimize your reimbursement process.

Revenue Cycle Management

Insurance Contract Negotiations

Compliance and Regulatory Support

Mental Health Credentialing Services

Insurance Verification

Coding and Documentation Review

Claims Submission

Claims Follow-up and Analysis

Account Receivable Management

Revenue Cycle Management

The Challenges of Managing Mental Health Insurance Billing

Most behavioral health and mental health procedures require providers to secure prior authorization before starting treatment. Dealing with the challenges of mental health billing involves addressing the complexities of insurance policies and their impact on financial processes. It is crucial to verify eligibility and perform benefits verification to avoid issues with claims processing and ensure providers are aware of patient benefits before services are rendered. CMS recommends including specific documentation.

 

This includes timesheets, encounter notes, service details, and proof that a care team created the treatment plan with the patient and their family. All of these factors make the process challenging. As one of the leading mental health billing companies, we will help you with:

Limited Patient Insurance Coverage

Insurance plans often limit mental health services, like the number of therapy sessions or types of treatment. It’s crucial to verify eligibility and patient benefits, including mental health benefits, before submitting claims, as many may only have general health coverage. We help patients by explaining coverage details, guiding pre-authorizations, and assisting with claims to ensure patients get the most out of their insurance coverage benefits through accurate benefits verification.
Patient Insurance Coverage
Insurance Reimbursement

Insurance Reimbursement Rates

Mental health services often have lower reimbursement rates due to their long-term nature, unlike short-term medical or surgical procedures. MedCare MSO addresses this by negotiating with payers and getting maximum insurance disbursements for the services rendered. Our experts also help uncover hidden costs that could be affecting your financial performance.

Prior Authorization & EHR Integration

Billing can be a huge hassle, with all the tasks like prior authorizations, insurance billing, and handling claims taking up valuable time. This is especially tough for solo practitioners who spend a significant amount of time on tasks that are not directly related to patient care. MedCare MSO simplifies this by taking care of these tasks for you and using EHR systems that streamline both billing and clinical notes, allowing mental health service providers to focus on their core responsibilities and deliver superior experiences.
Prior Authorization

Complex Coding

Accurate coding for mental health services is crucial to avoid billing errors and denied claims. Understanding fee schedules is essential to ensure proper billing and payment processing. For example, using specific CPT codes like 90834 for a 45-minute psychotherapy session is essential. MedCare MSO stays up-to-date with annual CPT code changes and expertly applies HBAI codes, ensuring accurate billing and smoother claim settlement. Implementing best practices in documentation and coding accuracy significantly contributes to the ability to submit clean claims, which is vital for minimizing denials and enhancing financial viability. We also ensure every fee is aligned with payer requirements.
Insurance Reimbursement

Serving a Wide Spectrum of Mental, Behavioral, & Psychiatric Practitioners

Accurate Mental & Behavioral Health Billing with Advanced Software

MedCare MSO provides data-driven solutions through automated EHR software to optimize your mental health billing process. It will integrate smoothly with your current system. Here are the features of our software:

Keep mental health records precise and up-to-date.

Handle claims quickly and effectively.

Reduce errors in mental health coding.

Managing patient records and scheduling visits is easier, so your practice runs more smoothly.

Reduce the frequency of denied claims.

Speed up the process of getting paid.

Looking for the best practice management software for psychologists?

We specialize in smoothly integrating our psychiatry medical billing services with your current software, including EMR/EHR systems. Schedule a demo to explore more.

We Help You Stay Compliant

Our billing services for mental health practices adhere to all relevant rules and standards, including:

The Mental Health Parity and Addiction Equity Act (MHPAEA)

HIPAA

42 CFR Part 2

State-Specific Billing Regulations

Medicare and Medicaid Guidelines

False Claims Act

Mental Health Provide

What Our Clients Say About Working With Us

Why Choose Our Mental Health Billing Services?

Outsourcing to a leading mental health billing company can make a real difference in your mental health business. It helps streamline operations, save time, and boost both efficiency and cash flow.
Here are the perks you enjoy with our services:

Prior Authorization

Frequently Asked Questions

Getting credentialed with insurance companies involves submitting detailed provider information, including education, certifications, and licenses, to the insurance panels you wish to join. Our mental health billing services streamline this process by managing all documentation, verifying credentials, and ensuring compliance with payer requirements. This saves you time and ensures faster approval, so you can begin seeing insured patients without delays.

CPT code 90785, referred to as “Interactive Complexity,” is an add-on code in mental health billing. It is used to indicate when a therapy session involves significant communication challenges or complicated interactions with the patient, caregivers, or other individuals, requiring additional time and effort from the clinician. This code must be billed alongside a primary psychiatric procedure code, such as those for psychotherapy or diagnostic evaluations, and cannot be billed independently. It should be paired with codes for diagnostic psychiatric evaluation (90791, 90792), psychotherapy (90832, 90833, 90834, 90836, 90837, 90838), or group psychotherapy (90853). Medicaid allows billing for 90785 when documented appropriately, though frequency depends on individual state policies. We process over 75,000 claims daily, using every code accurately to ensure faster payments and fewer denials.

Our billing services for mental health providers adhere to all relevant rules and standards, including the Mental Health Parity and Addiction Equity Act (MHPAEA), HIPAA, 42 CFR Part 2, state-specific billing regulations, Medicare and Medicaid guidelines, and the False Claims Act.

The cost of mental health billing services depends on factors such as the size of your practice, claim volume, and the level of service required. We offer affordable pricing that fits the needs of your practice, giving you the best value for your billing services.

Boost Your Practice's Revenue by Up to 30%

Let’s team up to proactively handle denials, ensure providers get paid by getting reimbursed for their services, and convert delayed bills into payments with MedCare MSO’s expert mental health billing services, specifically designed to meet the unique needs of private practice. Our dedicated team ensures every claim meets the highest standards and gets resolved quickly.
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Let’s Get in Touch

If you’d like to talk to someone now, give us a call at 800-640-6409. ​
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