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Specialized Medical Billing for Mental & Behavioral Health Practices
Mental health billing requires more than submitting claims. Behavioral health providers often work with complex payer requirements, authorization rules, documentation standards, CPT coding requirements, telehealth policies, and recurring claim issues.
Hillcrest Medical Billing provides specialized mental health billing services designed to help psychiatrists, psychologists, therapists, counselors, social workers, psychiatric nurse practitioners, behavioral health clinics, and other mental health providers manage the administrative side of their revenue cycle.
From eligibility verification and claim submission to denial management and accounts receivable follow-up, our team helps keep your behavioral health billing process organized, monitored, and focused on timely reimbursement.
Billing Support Built Around Your Behavioral Health Practice
Behavioral health practices have unique billing, coding, authorization, and payer requirements. Our specialized billing support is tailored to the needs of different mental health professionals and practice models, helping keep claims, reimbursement, and revenue cycle processes organized.
- Psychiatry Billing
- Psychotherapy Billing
- Psychology Billing
- Behavioral Health Billing
- Mental Health Counseling Billing
- Licensed Clinical Social Worker (LCSW) Billing
- Licensed Professional Counselor (LPC) Billing
- Psychiatric Nurse Practitioner (PMHNP) Billing
- Marriage & Family Therapy Billing
- Substance Use & Behavioral Health Billing
- Telehealth Mental Health Billing
- Outpatient Behavioral Health Billing
- Mental Health Group Practice Billing
- Behavioral Health Clinic Billing
A Complete Revenue Cycle Approach for Behavioral Health Providers
Mental and behavioral health practices face billing challenges that can directly affect cash flow. Claims may be delayed because of eligibility problems, authorization requirements, incorrect coding, payer-specific rules, documentation issues, or provider enrollment discrepancies.
Hillcrest Medical Billing provides a structured billing process covering the major stages of the behavioral health revenue cycle.
Our services can be customized for solo mental health providers, group practices, behavioral health clinics, and growing mental health organizations.
Mental Health Billing Codes We Work With
Mental health billing frequently involves psychotherapy, psychiatric evaluation, medication management, and other behavioral health services. Depending on the provider’s specialty, documentation, payer requirements, and services rendered, billing may involve CPT and HCPCS codes such as:
- 90791 – Psychiatric diagnostic evaluation
- 90792 – Psychiatric diagnostic evaluation with medical services
- 90832 – Psychotherapy, 30 minutes
- 90834 – Psychotherapy, 45 minutes
- 90837 – Psychotherapy, 60 minutes
- 90833 – Psychotherapy performed with an evaluation and management service
- 99212–99215 – Evaluation and management services, when applicable
- 90846 – Family psychotherapy without the patient present
- 90847 – Family psychotherapy with the patient present
Coding and billing requirements vary by payer, provider type, documentation, place of service, and circumstances of the encounter. Hillcrest Medical Billing supports providers in preparing claims based on the documentation and billing information supplied by the practice.
Speciality Detail
Our Mental Health Billing Services are designed to support psychiatrists, psychologists, therapists, counselors, social workers, psychiatric nurse practitioners, and behavioral health practices throughout the revenue cycle. From eligibility verification and claim submission to denial management, payment posting, and accounts receivable follow-up, we help keep your billing operations organized and focused on timely reimbursement.
What’s Included
- Insurance Eligibility & Benefits Verification
Verify patient coverage, behavioral health benefits, copays, deductibles, and other applicable insurance information before services are billed.
- Mental Health Claims Submission
Prepare and submit accurate claims for psychotherapy, psychiatric evaluations, medication management, counseling, and other covered behavioral health services.
- Behavioral Health Coding Support
Support billing workflows involving applicable CPT, HCPCS, diagnosis, modifier, and place-of-service information based on provider documentation and payer requirements.
- Prior Authorization & Authorization Tracking
Help identify applicable authorization requirements and track authorization information that may affect behavioral health claims and reimbursement.
- Denial & Rejection Management
Review claim rejections and denials, identify the underlying billing issue, and coordinate appropriate corrections, resubmissions, or payer follow-up.
- Insurance Accounts Receivable Follow-Up
Monitor outstanding insurance claims and balances, follow up on unpaid or delayed claims, and maintain visibility across the practice's accounts receivable.
- Payment Posting & Reconciliation
Process insurance payment information, adjustments, and patient responsibility amounts to help maintain accurate billing records.
- Telehealth Billing Support
Support billing workflows for eligible telehealth services, including applicable place-of-service and payer-specific billing considerations.
Why It Matters
Effective mental health billing requires consistent attention to eligibility, coding, authorizations, claim submission, payer requirements, denials, and accounts receivable. A structured billing process helps behavioral health practices reduce avoidable administrative issues, maintain better visibility into outstanding claims, and stay focused on providing care to their patients.
Hillcrest Medical Billing helps bring structure to your behavioral health revenue cycle—from the first claim submission through final reimbursement.
How We Work
A Structured Approach to Mental Health Billing
We combine healthcare billing expertise, organized workflows, and consistent communication to help behavioral health practices manage their revenue cycle with greater efficiency and visibility. From claim submission to reimbursement, our process is designed around the specific needs of your practice.
1
Understand Your Practice
We begin by learning about your specialty, providers, payer mix, EHR or practice management system, services, and current billing workflow.
2
Build Your Billing Workflow
We develop a billing process aligned with your practice, including eligibility verification, claim submission, authorization tracking, payment posting, and accounts receivable management.
3
Manage & Follow Up
Our team monitors claims, identifies rejections and denials, follows up with payers, and addresses outstanding accounts to help keep your revenue cycle moving.
4
Review & Improve
We review billing activity and recurring issues to identify opportunities for improvement, providing greater visibility into your claims, denials, receivables, and overall billing performance.
Revenue Cycle Support You Can Rely On
FAQs
- Frequently Asked Questions
Find Answers to the Most Common Questions
Hillcrest Medical Billing supports a range of behavioral health providers, including psychiatrists, psychologists, therapists, counselors, LCSWs, LPCs, PMHNPs, and mental health group practices.
Yes. Our billing services can support psychotherapy, psychiatric evaluations, medication management, counseling, and other behavioral health services, based on the provider's documentation and applicable payer requirements.
Yes. We can monitor outstanding claims, review payer denials and rejections, coordinate corrections or resubmissions when appropriate, and conduct insurance accounts receivable follow-up.
Yes. We support telehealth billing workflows and help practices manage applicable claim information, including payer-specific requirements related to telehealth, place of service, and other billing considerations.
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