Home / Specialties / Mental Health Billing
Mental & Behavioural Health Billing Services
We handle every aspect of behavioral and mental health billing, including therapy, psychiatric care, addiction treatment, neurostimulation, TMS, and Spravato, etc.
Maximize Reimbursements. Minimize Denials. Let Your Practice Thrive.
Overview
Why Choose Medivantek Billing for Mental Health Billing?
At Medivantek Medical Billing, we specialize in end-to-end mental health billing services designed to boost revenue, reduce denials, and keep your focus on patient care. Whether you run a private practice or a multi-provider behavioral health clinic, our team understands the unique coding, compliance, and credentialing challenges you face.
Common Challenges in Mental Health Billing
Mental health billing comes with its own set of complexities—from time-based CPT codes and session limits to pre-auth requirements and strict documentation. At MEDIVANTEK Medical Billing, we specialize in helping behavioral health professionals get paid correctly and on time.
- High claim rejection rates due to coding errors (e.g., 90837 vs 90834)
- Insurance caps on the number of sessions per year
- Frequent prior authorization requirements
- Inconsistent patient coverage and copays
- Delayed credentialing for new therapists or locations
- Underbilling or missed charges for multiple services
Comprehensive Mental Health Billing Services
Behavioral Health Coding & Charge Entry
We accurately code CPT and ICD-10 for therapy, psychiatry, and psych testing services—ensuring clean claims and full reimbursement.
Insurance Eligibility & Benefits Verification
We verify mental health benefits, deductibles, and pre-auths before the session—reducing denials and surprise patient bills.
Timely Claims Submission & Follow-Up
We submit claims within 24-48 hours and track them relentlessly—speeding up reimbursements for mental health providers.
Teletherapy Billing & Modifier 95 Handling
We handle telehealth billing with precision—applying Modifier 95 and POS 10 to ensure parity payment and compliance.
Prior Authorizations & Progress Note Matching
We obtain authorizations and match them with session notes—so your services get paid and audits stay clean.
Denial Management & Appeals
We work on every denial, correct coding errors, and write strong appeals—helping mental health practices recover lost revenue.
Provider Credentialing & CAQH Updates
We manage your CAQH, NPI, and payer enrollments—keeping your license active and your panel open for new patients.
EHR Integration & Billing Software Support
We integrate seamlessly with your EHR and PM systems like Kareo, SimplePractice, and TherapyNotes—no workflow disruptions.
Multi-specialty Support
We support solo therapists to large group practices—covering psychiatry, therapy, counseling, and behavioral health billing needs.
Mental & Behavioural Health Billing Services
8 Steps
How We Help You Overcome These Issues
Precise CPT Code Usage
Including 90791, 90832, 90834, 90837, 90846, 90847, and relevant add-on codes for accurate reimbursements.
Precise CPT/HCPCS Code Usage
Therapy (90791–90899), TMS (90867–90869), Spravato® (J3490, J2315), MAT (H codes, G codes), IOP/PHP (H0015, H0035, S9480), testing (96130–96146), addiction treatment, crisis intervention (H2011)
Pre-Session Insurance Verification
We confirm mental health benefits before the first appointment to avoid surprises
Denial Management & Appeals
We track, correct, and resubmit denied claims for faster reimbursements
Prior Authorization Handling
From submission to follow-up, we stay on top of pre-approval requirements
Quick Turnaround Claim Submission
Clean claims are submitted within 24- 48 hours to minimize delays
Full Credentialing Support
For new mental health providers and revalidations, we manage CAQH, NPI, Medicaid, and more
ERA/EOB Reconciliation
We review remits line-by-line and post accurate patient balances, reducing billing confusion
Mental Health Credentialing That Goes the Distance
- Nationwide Enrollment. Thousands of Providers. Zero Headaches.
- Whether you’re an LPC, LMFT, LCSW, PhD, PsyD, PMHNP, or MD, we’ve got you covered—fast, accurate, and fully compliant.
- Credentialed over 2,000+ mental health providers across 50 states
- Completed 500+ CAQH updates & payer enrollments
Providers We Support
We serve mental health providers nationwide, including:
Let Therapy Be Your Focus. We’ll Handle the Billing.
Outsource your behavioral health billing to MEDIVANTEK and experience better accuracy, faster payments, and peace of mind.
Frequently Asked Questions (FAQs)
Can you handle billing for both therapy and medication management under one roof?
Yes! We specialize in mental health billing for therapy sessions, psychiatric evaluations, and medication management. Whether it’s time-based CPT codes like 90833 or evaluation codes like 99213, we ensure correct documentation and compliance for dual services.
Do you offer telehealth billing support for therapists and psychiatrists?
WAbsolutely. We handle teletherapy billing, including modifier 95, GT, and payer-specific rules for virtual sessions. We also manage POS codes to match payer requirements so you get reimbursed without delays.
Can you manage credentialing for new therapists joining our group practice?
Yes. We provide complete provider credentialing services for licensed therapists, psychologists, and psychiatrists—including NPI setup, CAQH profiles, Medicaid applications, and payer enrollments across all 50 states.
What if my patient has both primary and secondary insurance plans?
We verify coordination of benefits (COB) before the first session and handle secondary insurance billing after the primary claim processes—making sure you get every dollar you’re owed.
Do you help with obtaining authorizations for therapy sessions?
Yes. We manage prior authorization requests, reauthorizations, and maintain auth tracking logs to avoid denials or delays in behavioral health reimbursement.
Are you experienced with mental health Medicaid billing?
We are. Our team understands Medicaid behavioral health billing, including state-specific CPT codes, session limits, authorization rules, and telehealth modifiers that vary across regions.
How quickly do you submit mental health claims after a patient visit?
We submit mental health insurance claims within 24–48 hours after receiving complete documentation—keeping your cash flow smooth and consistent.
