Mental Health Billing Services
RevClinic360 offers specialized mental health billing services that address the unique challenges faced by behavioral health providers. Our coders are experts in psychotherapy coding (90834, 90837, 90847), psychiatric diagnostic evaluations (90791, 90792), psychological and neuropsychological testing, crisis intervention, and substance abuse treatment billing. We navigate the complex web of behavioral health payer rules, session limits, and authorization requirements so you can focus on patient care.
Mental health billing presents distinctive challenges that general billing companies often struggle with. Time-based coding requirements, add-on codes for psychotherapy with E/M services, varying payer policies on session frequency, and the behavioral health carve-out model all require specialized knowledge. Our team understands the nuances of coding for individual therapy, group therapy, family therapy, telehealth mental health sessions, and intensive outpatient programs (IOPs). We also manage the complex prior authorization landscape for behavioral health services.
- Psychotherapy coding (90832, 90834, 90837) with proper time documentation and add-on code capture (90833, 90836, 90838).
- Psychiatric evaluation and medication management billing (90791, 90792, E/M with add-on therapy codes).
- Substance abuse treatment billing including IOP, PHP, and residential treatment facility claims.
We help behavioral health practices avoid common pitfalls such as undercoding therapy sessions, missing add-on codes when psychotherapy is combined with E/M services, and failing to capture crisis intervention or care coordination time. Our team stays current with parity law requirements (Mental Health Parity and Addiction Equity Act) and advocates for your reimbursement when payers impose inappropriate limitations on behavioral health coverage.
Frequently Asked Questions
Yes. We are experts in telehealth behavioral health billing including proper place-of-service codes, modifier usage, and payer-specific telehealth policies. We ensure your virtual therapy sessions are billed correctly for maximum reimbursement.
We proactively track payer-specific session limits, submit authorization requests in advance, appeal denials based on medical necessity, and ensure your documentation supports continued treatment authorization.
Absolutely. We handle the complete testing billing workflow including 96130-96139 for psychological testing and 96132-96139 for neuropsychological testing, with proper technician vs. professional time allocation.
Yes. We bill for all levels of substance abuse treatment including outpatient counseling, intensive outpatient programs (IOP), partial hospitalization (PHP), residential treatment, detoxification, and medication-assisted treatment (MAT).
We identify which patients are covered under behavioral health carve-out arrangements, submit claims to the correct carve-out entity (e.g., Optum, Beacon, Carelon), and manage the separate authorization and billing requirements these arrangements require.