Expert Mental Health Billing Services for Therapists & Private Practices

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.