Maximize Your Revenue: Recover 95%+ of Outstanding Claims
behavioral health billing Services
Mental Health Billing Services – Reduce Denials by 50% & Accelerate Payments with BH-Specific Expertise
DSM-5 & ICD-10 Experts – Accurate coding for 90837, 90834, 90791,
Telethealth Billing – HIPAA-compliant claims for virtual sessions
EHR Integrated – Works with TherapyNotes, SimplePractice, Valant
Self-Pay Support – Superbills for out-of-network reimbursement
HIPAA-Compliant
Pay as you go
No fixed contract
Mental Health
Psychiatry billing services
Smooth Transition Between EHR/EMR Systems
Efficient Electronic Funds Transfer (EFT), EDI, and ERA Setups
Claims Submission Within 24 Hours
Prompt follow-up with payers.
Free CAQH maintenance
Free provider credentialing & revalidation
Comprehensive Revenue Cycle Management (RCM) Services
Appeals & Adjustments.
Reimbursement Strategies for Optimized Billing
Why 68% of Mental Health clinics lose 15-30% of their revenue to these preventable issues
Biggest Behavioral Health Billing Challenges
Psychotherapy Code Errors
Confusing 90837 (60min) with 90834 (45min) or missing modifier 95 for telehealth causes 30-45% denials for therapists.
Our Fix:
BH-certified coders achieve 96% clean claim rate
Prior Authorization Delays
Manual PA processes for TMS (90867) and ketamine therapy lead to 6-8 week treatment delays.
Our Fix:
Dedicated PA team ensures 72-hour turnaround
Telehealth Claim Rejections
Incorrect GT/95 modifier use or platform restrictions cause $8k/year in lost revenue.
Our Fix:
Payer-specific telehealth rules ensure 100% acceptance
Medicaid BH Parity Issues
Improper G0480/G0481 coding results in 45% underpayment for community mental health.
Our Fix:
State-specific audits increase revenue by 27%
Superbill Incompleteness
Missing NPI/Tax ID on superbills causes 60% patient reimbursement delays.
Our Fix:
Auto-generated IRS-compliant superbills ensure 48hr payments
Co-Pay Collection Gaps
Manual tracking results in 33% uncollected patient responsibility.
Our Fix:
Integrated payment tools achieve 92% collection rate
Schedule a Consultation with Our Medical Billing Experts
We understand your need to keep things small, intimate, and personalized. Our medical billing specialists for independent small practices thoroughly study your needs and offer custom-made solutions.
Mental health billing solutions
Services We Offer
Behavioral Health Billing
Process
Benefits of Outsourcing
Medicare billing for therapists
Psychotherapy Coding
Accurate billing for 90837 (60min), 90834 (45min), and 90853 (group) with modifier 95 for telehealth. Specialized in prolonged service codes (+99354).
92% clean claim ratePrior Auth Management
Streamlined approvals for TMS (90867-90869), ketamine therapy, and PHP/IOP programs (H0015). Average 72-hour turnaround.
85% approval rateMedicaid BH Compliance
State-specific billing for G0480 (health home) and G2086 (crisis care) with proper FQHC/Look-Alike documentation.
27% revenue increaseABA Therapy Billing
Tiered coding for H2019 (ABA) and 97153 (adaptive behavior) with automatic authorization tracking.
30% fewer auditsCo-Occurring DX Coding
Precision linking of MH (F32-F39) and SUD (F10-F19) diagnoses to maximize reimbursements for dual diagnosis treatment.
22% higher paymentsSelf-Pay Optimization
IRS-compliant superbills with automatic OON reimbursement tracking and patient payment plans.
92% collection rateBehavioral Health Billing
FAQs
How much do mental health billing services cost?
We charge 5-8% of collections with no hidden fees. Solo practitioners start at $349/month (under $12k revenue).
Includes credentialing
Do you handle psychotherapy codes (90837, 90834, 90791)?
Yes! We specialize in BH coding including:
- 90837 (60min therapy) with modifier 95 for telehealth
- 90791 (diagnostic eval) with Z-codes
- 90853 (group therapy) for IOP programs
What's your denial rate for mental health claims?
Our pre-audit system maintains a <6% denial rate (vs. 25% industry avg) with 94% appeal success for:
- Medical necessity disputes
- Prior authorization gaps
- DSM-5/ICD-10 mismatches
How do you handle telehealth billing compliance?
We stay current with:
- Modifier 95 vs. POS 02 rules
- State-specific parity laws
- Audio-only coverage (HCPCS G2012)
Can you support addiction treatment billing?
Specialists in:
- SUD codes (H0015-H0019 for IOP)
- 42 CFR Part 2 compliance
- MAT billing (G2067-G2073)
Do you work with TherapyNotes/SimplePractice?
Full integration with top BH EHRs:
- TherapyNotes (real-time claims)
- SimplePractice (automated superbills)
- Valant (behavioral health-specific)
How do you handle prior authorizations?
Our PA team manages:
- TMS (90867-90869) - 85% approval rate
- Ketamine therapy (J3490) - 72hr turnaround
- ABA therapy (H2019) - Autism Speaks partners
What about LGBTQ+ behavioral health coding?
Specialized support for:
- Gender-affirming care (Z79.899)
- Social determinants (Z55-Z65)
- WPATH-compliant documentation
Is my patients' mental health data protected?
Beyond HIPAA:
- 42 CFR Part 2 compliant for SUD
- End-to-end encryption
- BAAs with all vendors
How quickly can you onboard our practice?
Standard onboarding:
- 5-7 days for EHR integration
- 10 days for full credentialing
- Zero downtime during transition
Mental Health Billing
Insurances Covered
Medicare
Medicaid
VA Health
TRICARE
ACA Marketplace
UnitedHealthcare
Aetna
Cigna
Humana
Anthem
BCBS National
BCBS Alabama
Florida Blue
BCBS Michigan
Empire BCBS
Horizon BCBS
BCBS NC
Highmark BCBS
BCBS Texas
Premera BCBS
Kaiser Permanente
Molina
Centene
Oscar Health
Health Net
CDPHP
Capital Blue
Independence BC
CareFirst
Regence BCBS
UHC Medicare
Humana Medicare
Aetna Medicare
Cigna Medicare
BCBS Medicare
Trusted Medical Billing Services
Verified Results
Rx Credentialing LLC did an excellent job helping my practice join the MCOs. Their team made the process seamless and stress-free, answering all my questions promptly. I highly recommend them—their service is efficient, professional, and reasonably priced! 😁
I am a licensed psychotherapist and could not be more pleased with the efficient, professional services from RX credentialing services. No AI or bots here. Instead, RX offers real human beings who understand the needs of solo providers or group practice owners who are spread thin and have to wear many hats. Rx has hired talented individuals, like my account manager, Tyler, who will go the extra mile for you to ensure credentialing goes smoothly. We hit a hiccup on the road to becoming credentialed, but Tyler quickly intervened, advocating for my business so that the issue was resolved and I was approved for various insurance panels--some which have very high bars or administrative requirements. RX handled it all, informing me through each step of the process with clear and concise credentialing updates that put my fears to rest. Their services are kind of like therapy for therapists, because when you worry less about admin burdens, you can better focus on the client, while growing your business capacity. I would highly recommend them to any solo or group practice needing such services.
RxCredentialing has been a wonderful partner in helping with my credentialing for my new primary care practice as well as are assisting me with a few other services. They are very knowledgeable and most importantly they are not pushy in working with my needed timeline. Moreover, they are very responsive, and I am looking forward to expanding our relationship to include their other services such as medical billing. I was fortunate to find them while searching the web and so refreshing to deal with an organization that is really focused on helping me establish a medical practice the smart way and not just spend money foolishly on things I do not need until the time is right.
Adam and his team are excellent at what they do. They walk you through every step of the process. Highly recomend Adam and his team. always responding in quickly.
Attention to detail
Very attentive and efficient
Always available to explain things or answer questions or concerns
Very attentive and efficient
Always available to explain things or answer questions or concerns
Tyler has been an excellent person to work with. He kept us (our clinic) informed of our status throughout the credentialling process. They did the "heavy lifting" tracking down and following up so we didn't need to. Because this company handled our credentialling process, it allowed our company to focus on our number one priority--patient care. Thanks for taking care of us!!
they handled the issue quickly and professionally. I truly felt supported and confident in their assistance.
I can’t say enough great things about RX Credentialing! From the beginning, they’ve been incredibly efficient, responsive, and always a pleasure to work with. Anytime I had a question or needed assistance, they got back to me quickly with clear, helpful answers. They made the entire credentialing process smooth and stress-free! It truly feels like they care about their clients and go the extra mile to make sure everything is handled correctly and on time. I would highly recommend RX Credentialing to anyone looking for a credentialing partner who delivers every time!
David is wonderful very responsive and on top his work. Great experience.
Making the decision to use Rx Credentialing for my billing service was a game changer for my practice. Solo practice as an NP and lipid specialist has been challenging for sure. Rx Credentialing has provided the professional knowledgeable support I needed. I am so grateful to be partnering with them for my billing and credentialing needs.
The staff is great and very helpful. I have been with them for 2 years with no complaints. I am very satisfied with their service.
I have been working with this company for over a year and I have no complaints…They are really the best at what they do.
Trusting a third party with your sensitive information can be difficult. I encountered this challenge while seeking credentialing services for my business with various insurance providers. Although I received numerous proposals from credentialing firms, I was uncertain about the security of my personal data. A trusted colleague recommended Rx Credentialing LLC, based on her positive experience. I decided to engage their services, and I’m pleased to report that they handled my information securely. Moreover, their expertise and competitive pricing make them an excellent choice for anyone needing credentialing support.
Adam is very professional and kind, always responsive when I need assistance. I have billing service through this company which has been going good so far. I was lucky enough to get a wonderful virtual assistant from Adam, I don’t know what I would do without her.
Rx Credentialing did a phenomenal job assisting with credentialing for my Ophthalmology practice start-up. Tyler is responsive and kept me up to date throughout the entire process. I would recommend Rx Credentialing to anyone hands down the best. Dr. Montenegro.
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