Behavioral and Mental Health Medical Billing Services Built for Your Practice's Success

Maximize Reimbursements & Minimize Denials with
Mental Health Billing Experts

Struggling with claim denials or complex psychiatry billing codes? MediBill RCM provides HIPAA-compliant mental health billing services tailored for psychiatrists, therapists, and behavioral health clinics. From ABA therapy billing to telehealth claim management, we handle your revenue cycle at just 3.9%. So, you focus on patient care, not paperwork. Serving private practices and large clinics nationwide.

Behavioral and Mental Health Medical Billing Services Built for Your Practice's Success

Maximize Reimbursements & Minimize Denials with
Mental Health Billing Experts

1 Solo Practitioners

Precision Revenue Solutions

2 Therapy Clinics

Scalable Billing Solutions

3 Behavioral Hospitals

Enterprise RCM Partners

Unlock Your
Mental Health Billing Audit

Free 30-minute billing consultation: No sales pitch, just expert insights.
Discover hidden revenue leaks: We analyze your top denial patterns.
Get psychiatry-specific fixes: Solutions for ICD-10 coding, telehealth rules & CMS-1500 errors.
ABA/behavioral health focus: Specialized for therapists, psychiatrists & rehab centers.
Zero obligation:Walk away today with clear, actionable next steps instantly.

Maximizing Revenue for Mental Health Providers Across the USA

Precision Behavioral Health Billing Services

At MediBill RCM LLC, we understand that mental health billing is not just about submitting claims. It is about navigating complex payer rules, minimizing denials, and ensuring your practice receives accurate and timely payments.

Unlike other medical billing specialties, behavioral health requires specialized expertise in time-based therapy coding, telehealth compliance, ABA billing, and reimbursement for substance abuse treatment.

We are a Houston-based mental health billing company serving providers nationwide, offering end-to-end revenue cycle management tailored to psychiatrists, psychologists, therapists, and behavioral health clinics.

Our Mental Health Billing Services

Comprehensive Revenue Cycle Management

Focus on patient care while we manage your billing process from start to finish.

1. Insurance Verification & Authorization

Real-time eligibility checks (Commercial, Medicare, Medicaid, TRICARE)
Behavioral health carve-out identification (Beacon, Magellan, Optum)
Prior authorization and referral management

2. Precision Claims Processing

Accurate CPT (90837, 90791) & ICD-10 (F32.9, F41.1) coding
Telehealth modifier expertise (95, GT, AH, AJ)
Electronic claims submission (CMS-1500/EDI)
Secondary claims and Coordination of Benefits (COB)

3. Payment Optimization

ERA (Electronic Remittance Advice) processing and reconciliation
Patient balance collections (copays, deductibles)
Underpayment recovery and audit support

4. Denial Prevention & Resolution

Root-cause analysis to stop recurring denials
Customized appeals process
Payer-specific dispute resolution

Specialized Billing for Behavioral Health Programs

Ensure full reimbursement for your niche mental health services.

ABA Therapy Billing

For autism centers & BCBAs:

1. Billing for ABA services using key CPT codes:

97153: Technician delivered adaptive behavior treatment
97155: Behavioral intervention with protocol updates
97156: Family guidance sessions

2. Compliant with Medicaid & private insurers.

3. Supports home, clinic, and community-based care settings.

4. Uses updated Category I CPT codes (replacing older Category III) to reduce denials.

5. Requires detailed documentation to meet payer requirements and ensure reimbursement.

Substance Abuse Treatment Billing

For MAT clinics & rehabs:

1. Key CPT codes:

H0010: Drug/alcohol services
G2067: Buprenorphine administration

2. Strict compliance with 42 CFR Part 2 for patient confidentiality.

3. Billing for Intensive Outpatient Programs (IOP), Residential Treatment 4. Centers (RTC), and psychiatric assessments (90791/90792).

5. Includes drug testing (80305-80307) and alcohol screening (99408).

6. Covers relapse prevention and care coordination services.

Group & IOP Therapy Billing

For structured outpatient care:

1. Support for Partial Hospitalization Program (PHP) and Intensive.

2. Outpatient Program (IOP) billing.

3. Group therapy CPT code: 90853.

4. Session documentation audits to ensure compliance.

5. Incorporates motivational therapy and skill-building sessions for comprehensive care.

Telepsychiatry Billing

For remote mental health services:

1. Place of Service (POS) 02 with modifiers 95 and GT for telehealth billing.

2. Adheres to state-specific telehealth rules and permanent telehealth coverage provisions.

3. Audio-only sessions billed using G2250 where permitted.

4. Tracks session start and end times for accurate time-based reimbursement.

TMS & Advanced Therapy Billing

For neuromodulation treatments:

1. CPT codes:

90867: Initial Transcranial Magnetic Stimulation (TMS) session
90868: Subsequent TMS sessions

2. Requires detailed treatment documentation and session tracking.

3. Aligns with psychiatric care and medication management billing for integrated services.

Eating Disorder Program Billing

For PHP, IOP, and residential care:

1. Billing for multidisciplinary teams, including therapy, nutrition, and medical care.

2. Ensures medical necessity documentation to satisfy payer requirements.

3. Uses time-based and group therapy CPT codes for comprehensive treatment.

Collaborative Care Model (CoCM) Billing

For integrated primary and behavioral health care:

1. Medicare-approved CPT codes:

G2214: Behavioral health care manager activities
G2215: Psychiatric consultant activities

2. Open to therapists, counselors, and behavioral health specialists.

3. Monthly billing for care coordination, patient engagement, and treatment updates.

Support Services for Mental Health Practices

Streamline operations and ensure compliance with expert guidance.

Credentialing & Enrollment

1. CAQH, Medicare, and Medicaid provider applications.

2. Payer enrollment and revalidation support.

Compliance Assurance

HIPAA security audits and risk assessments.
OIG exclusion screening and audit preparation.
Documentation reviews to meet regulatory standards.

Performance Analytics

1. Custom KPI dashboards (clean claim rates, denial trends).

2. AR aging reports to track unpaid claims.

Patient Financial Services

1. Superbill generation and patient statement support.

2. Self-pay counseling and flexible payment plans.

EHR Integration Support

1. Seamless sync between EHR and billing systems.

2. Troubleshooting for standard integration issues.

Provider Training

1. Coding workshops (CPT/ICD-10 updates).

2. Documentation of best practices to reduce denials.

Why Mental Health Providers Trust Medibill RCM LLC

Proven Results for Behavioral Billing Excellence

Mental health billing requires deep specialization far beyond general medical coding. Our team is familiar with the unique payer rules, carve-outs, modifiers, and documentation standards applicable to psychiatry, psychotherapy, IOP, ABA, and telepsychiatry billing. Medibill RCM LLC reduces denial rates, improves cash flow, and delivers regulatory peace of mind for behavioral health providers in all 50 states.

✅ 98.7% Clean Claim Rate: Surpasses industry average across behavioral health claims

✅ 42% Fewer Denials: Targeted carve-out detection and real-time eligibility workflows

✅ Mental Health Certified Coders: Specialists in CPT 90837, 90791, ICD-10 F-codes

✅ Modifier Accuracy Built-In: GT, 95, AH modifiers applied correctly for telehealth claims

✅ 3.9% Flat Rate Pricing: Transparent billing model with no surprise fees

✅ Credentialing Support Included: Medicare, Medicaid, and commercial payer enrollment handled

✅ Audit-Ready Documentation Reviews: Reduce risk under CMS and 42 CFR Part 2

✅ Denial Defense Team: Recovering 92% of appealed claims to maximize your revenue

✅ Free Billing Transition: Zero downtime when switching, including credentialing, claims backlog, and payer re-enrollment

✅ All Payers Supported: TRICARE, Beacon, Magellan, Optum, and regional MCOs

✅ HIPAA-Compliant Infrastructure: Data security across all PHI touchpoints

✅ Custom Dashboards & Reports: Real-time metrics for revenue, denials, AR, and payers

✅ Nationwide Support with Local Expertise: Knowledge of Texas Medicaid behavioral health rules, California telehealth billing laws, and other state-specific regulations

Certified Coders

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Who We Serve:

Personalized Billing Support for Mental Health Professionals

At MediBill RCM LLC, we help mental health providers focus on patient care by handling the complexities of billing and revenue cycle management. Whether you’re a solo therapist or part of a large behavioral health network, our services are tailored to your needs.

Private Practitioners & Solo Clinicians

We manage CMS-1500 forms and telehealth billing and integrate with EHRs like SimplePractice and TherapyNotes to ensure your claims are processed correctly.

Therapy Groups & Multi-Provider Clinics

We streamline credentialing, manage group therapy claims, and provide revenue dashboards to help your practice grow efficiently.

Autism & ABA Therapy Centers

We specialize in Medicaid-compliant ABA billing (97153, 97155), session note audits, and billing workflows for both clinic and home-based services.

Telepsychiatry & Virtual Mental Health Providers

We stay updated on telehealth billing rules and ensure the correct use of modifiers and POS codes for all states, syncing with your EHR for smooth claims.

Substance Abuse & Rehab Facilities

We handle OTP/IOP billing, confidentiality-compliant claims, and denial appeals to keep your billing compliant and efficient.

Behavioral Health Hospitals & Large-Scale Programs

We offer enterprise-level RCM, denial recovery, and custom financial reporting to support high-volume claims management.

Supporting Mental Health Providers Coast to Coast

Local Expertise, National Reach

At MediBill RCM LLC, we don’t just work in your state. We understand it. Whether you’re a solo therapist in Texas, a behavioral health clinic in California, or a growing psychiatry group in Georgia, we deliver mental health billing services tailored to your state’s payer rules, Medicaid guidelines, and licensing requirements. From Texas Medicaid’s behavioral health carve-outs to California’s telehealth billing laws, our team knows the local nuances that make or break your claims.

What Happens After You Book With MediBill RCM LLC

Transparent Steps. No Surprises. Rapid Billing Transformation.

MediBill RCM LLC offers a straightforward onboarding process designed to optimize every dollar of your mental health revenue cycle. When you book your free discovery call, you’re not just starting a sales process. You’re beginning a partnership. Here’s how it works from Day 1:

Book Your Free Discovery Call

First, choose a convenient time to speak with one of our behavioral health billing experts. We’ll ask about your services, whether psychiatry, therapy, ABA, or IOP, and your practice size to tailor the conversation. There are no upfront fees or contracts required to start, and you will receive honest, straightforward answers to your billing questions.

We Perform a Full Billing Audit

Next, our team evaluates your current claims, CPT and ICD-10 code usage (such as 90837, F32.9), payer mix, denial causes, modifier accuracy, and outstanding accounts receivable. This audit helps identify underpayments, denial patterns, credentialing issues, and eligibility gaps. It compares your clean claim rate to industry benchmarks.

Get a Custom Quote & Strategy Session

After the audit, you will receive a detailed, specialty-specific proposal. This includes clear, flat-rate pricing (starting as low as 3.9%), estimated revenue improvements, compliance risk assessment, and technology compatibility. Our strategy is tailored to fit solo providers, clinics, or multi-site behavioral networks with no hidden fees or bundled upsells.

Fast, 5–7 Day Onboarding

Once approved, we manage all the setup tasks quickly and efficiently. This includes EHR integration, payer enrollment checks, claim migration, and staff orientation. You will gain access to our client portal and real-time dashboards. We handle EHR/EPM sync (SimplePractice, TherapyNotes, Kareo, etc.), CAQH profile updates, payer follow-ups, and compliance checklists with system tests.

Start Seeing Results Within 30–45 Days

Within the first full billing cycle, you will notice faster payments, fewer denials, and improved collections from both payers and patients. Our clients typically achieve a 98.7% clean claim submission rate, a 42% reduction in denials and rework, and receive real-time reports on collections, accounts receivable, and claim aging.

Compatible With Leading Mental Health EHR & EMR Platforms

Healthcare providers across the U.S. rely on trusted EHR and billing systems such as PracticeFusion, OpenPM, Kareo, Office Ally, AdvancedMD, and eClinicalWorks to manage mental health documentation and claims workflows. These platforms support everything from SOAP notes to telehealth claims and efficient charge capture.

At MediBill RCM LLC, our billing team works daily within these environments, ensuring accurate data entry, compliant mental health coding, and timely submission of electronic claims.

Whether you use a simple scheduling tool or a comprehensive RCM-integrated system, we adapt our processes to fit your existing software, helping you improve billing accuracy and efficiency without the need to switch platforms.

Frequently Asked Questions About
Mental Health Billing Services

What services are included in mental health medical billing?

We handle CPT/ICD-10 coding, insurance verification, pre-authorizations, electronic claim submissions, denial management, credentialing, AR follow-up, and patient billing. Our services are designed for psychologists, psychiatrists, therapists, and behavioral health clinics.

Do you support billing for telehealth or telepsychiatry?

Yes. We bill for telehealth sessions using correct POS codes and modifiers (e.g., 95, GT), ensuring compliance with payer-specific and state telehealth billing requirements.

How do you handle behavioral health carve-outs like Beacon or Magellan?

We identify payer carve-outs during eligibility checks and route claims accordingly to prevent delays or denials. This is critical for Medicaid and commercial plans with third-party mental health administrators.

Can you bill for group therapy, IOP, or ABA services?

Yes. We support billing for group therapy (90853), IOP/PHP, ABA (97153–97156), and collaborative care (CoCM codes). Our team follows documentation and coding standards for each level of care.

How long does onboarding take?

Onboarding is typically completed in 5 to 7 business days. We manage payer connections, EHR integration, and provider credentialing updates during this phase.

Do you offer credentialing services for new providers?

Yes. We handle CAQH setup, Medicaid/Medicare applications, and commercial payer enrollments. This helps streamline billing and expand your payer network.

What EHR or billing systems do you work with?

We work with PracticeFusion, OpenPM, Kareo, Office Ally, AdvancedMD, eClinicalWorks, and others. We adapt to your existing system no need to switch software.

What specialties do you support?

We support psychiatrists, psychologists, therapists (LCSW, LMFT, LPC), ABA providers, MAT clinics, and behavioral health centers offering outpatient and intensive programs.

How is pricing structured?

We offer a flat-rate or percentage-based pricing model, depending on your practice needs. There are no hidden fees, and all quotes are customized after an initial audit.

What is your clean claim rate?

Our average clean claim rate is over 98%, significantly reducing rework and speeding up reimbursement timelines.

Can I keep using my current EHR or billing software?

Yes. We integrate with most major EHR and billing systems, including SimplePractice, TherapyNotes, AdvancedMD, Office Ally, and more. There’s no need to switch platforms. We adapt to your existing setup.

Is there a setup fee or a long-term contract?

No setup fees. We offer flexible month-to-month agreements with no long-term commitment required. Our goal is to earn your trust through performance, not paperwork.

How quickly will I start seeing results?

Most practices begin seeing improvements in reimbursement speed, denial reduction, and cleaner claim rates within 30 to 60 days after onboarding. We also provide weekly reporting to track your progress in real-time.

Will I have a dedicated billing contact or team?

Yes. You will be assigned a dedicated billing expert who understands your specialty, your payer mix, and your workflow. We believe in personalized, high-touch support.

What types of insurance do you work with?

We support billing for all major commercial payers (Aetna, BCBS, United, Cigna), Medicaid plans, Medicare, TRICARE, and behavioral carve-outs like Magellan, Beacon, and Optum.

What happens during the onboarding process?

We handle everything from payer credentialing and EHR integration to clearinghouse setup and claims migration. Onboarding is completed in 5–7 business days with no downtime to your revenue flow.

Do you offer support for multi-location or multi-provider practices?

Yes. Our platform and services are built to scale. We support multi-provider therapy clinics, behavioral hospitals, and ABA organizations with multiple sites and payer contracts.

Can you help with billing audits or compliance reviews?

Absolutely. We offer complimentary billing audits and ensure your documentation meets payer and CMS compliance standards, especially for Medicaid, telehealth, and 42 CFR Part 2 requirements.

Every Mental Health Practice

We Serve Becomes a Success Story

Hear from real behavioral health professionals who’ve improved their billing performance, cash flow, and peace of mind with MediBill RCM LLC’s expert support.

Dr. Nina Patel

Licensed Psychologist

Medibill RCM LLC experts streamlined everything from insurance verification to CMS-1500 submissions. Now I spend more time with clients and less time chasing payers.

Carlos Jennings

Practice Manager, Behavioral Health Group

Credentialing with multiple Medicaid plans was overwhelming. MediBill RCM LLC handled it quickly and correctly. They are the most reliable billing partner we have worked with.

Jessica Moore

Operations Lead, Substance Use Clinic

Our MAT and IOP claims used to get denied frequently. With MediBill RCM, we are now fully compliant, and our reimbursement rate has increased significantly.

Master Your Revenue Cycle:
Expert Mental Health Billing Insights

Stay informed with expert billing tips designed for mental health providers. From reducing denials to optimizing telehealth and therapy reimbursements, our blog offers practical strategies used by high-performing behavioral health practices.

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