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.
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.
1
Solo Practitioners
Precision Revenue Solutions
- Boost Claim Accuracy
- Reduce Denials Fast
- Flat-Rate Pricing
- Dedicated Billing Expert
- HIPAA-Compliant Workflows
2
Therapy Clinics
Scalable Billing Solutions
- Multi-Provider Support
- Real-Time Analytics
- Audit Defense Guarantee
- Custom Revenue Reports
- ABA Billing Specialists
3
Behavioral Hospitals
Enterprise RCM Partners
- High-Volume Claims
- EHR Integration Ready
- Dedicated Account Director
- Denial Recovery Services
- Telehealth Billing Included
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
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.
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:
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
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.
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.
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
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Dr. Nina Patel
Licensed Psychologist