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.
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.
Precision Behavioral Health Billing Services
Maximizing Revenue for Mental Health ProvidersAcross the USA
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.
Proven Results for Behavioral Billing Excellence
Why Mental Health Providers Trust Medibill RCM LLC
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
Billing Solutions for Internal Medicine
Internal medicine billing involves complex coding and payer-specific rules. Our Medical Billing Company eliminates billing errors with certified internal medicine coders and real-time audits. You focus on patient care; we handle reimbursements, compliance, and denial prevention.
Incorrect E/M Coding
We prevent revenue loss from undercoding or audit risk from upcoding by assigning the correct E/M levels (99213–99215) based on clinical documentation. Certified internal medicine coders ensure every visit is billed accurately.
Chronic Care Denials
Our team optimizes billing for Chronic Care Management (CCM codes 99490, 99487) and Remote Patient Monitoring (RPM) by aligning services with payer rules and time thresholds to minimize denials and increase monthly recurring revenue.
Missed Eligibility Checks
We verify patient insurance coverage in real time before submitting claims. This proactive step prevents denials, short payments, and billing delays, especially for Medicare Advantage and commercial payer plans.
Duplicate Claim Filing
Our claim scrubber flags and blocks duplicate submissions before they reach the payer. This protects your internal medicine practice from rejections and ensures faster, cleaner medical claim processing.
Incomplete Documentation
We audit clinical notes for completeness and billing alignment, ensuring they meet payer requirements for time, complexity, and medical necessity. Thus making your internal medicine billing audit-proof and compliant.
Internal Medicine Billing Services Available in All 50 States of U.S.
Precision Beyond Internal Medicine
Specialized Billing Solutions for All Practices
Our RCM Medical Billing Company is the trusted RCM provider for internal medicine. Our certified billing teams apply the same coding precision and compliance rigor across all medical specialties. We ensure each claim meets exact CPT, ICD-10, and payer-specific standards, maximizing reimbursement across cardiology and nephrology specialties.
Mental Health
Psychiatric and Mental Health Billing
Surgery
Ambulatory Surgery Medical Billing
Pain Management
Pain Management Medical Billing
Pathology
Pathology Medical Billing
Immunology
Allergy and Immunology Billing and Coding
Cardiology
Cardiology Billing & Coding Specialty
Neurology
Neurology Specialty Billing and Coding Specialty
Urology
Urology Centers Billing and Coding Specialty
Your Specialty, Our Expertise
Trusted by Internal Medicine Leaders
Hear from our satisfied clients about how MediBill RCM LLC’s expert billing solutions have enhanced their internal medicine practice efficiency and financial outcomes.
Internal Medicine Billing FAQs Expert Insights for Physicians
Internal medicine billing involves chronic care codes, detailed documentation, and strict payer rules. This FAQ addresses key questions from internists and practice managers exploring outsourced RCM solutions tailored to internal medicine.
We Are Here To Help With Your queries !
Our Certified coders apply CMS documentation rules to select the correct E/M level. We run pre-bill audits to prevent upcoding or undercoding, protecting revenue and compliance.
We manage 99490–99494 billing by verifying patient eligibility monthly, auditing 20-minute documentation, and submitting it to Medicare/Medicaid. Most clients report a 25–40% increase in CCM revenue within 90 days.
We manage 99490–99494 billing by verifying patient eligibility monthly, auditing 20-minute documentation, and submitting it to Medicare/Medicaid. Most clients report a 25–40% increase in CCM revenue within 90 days.
We use a 3-layer system:
- AI-based scrubbing for internist-specific CPT codes
- Real-time payer eligibility checks
- Denial tracking with root-cause resolution workflows
Yes. We accurately code G0438/G0439, separate preventive and problem-oriented visits, ensure HRA completion, and align documentation with CMS wellness screening requirements.
We staff former internal medicine administrators and coders with 10+ years of specialty experience. Our workflows are custom-built for internists, not generic RCM templates.
Master Your Revenue Cycle: Expert Insights
9 Critical Questions to Ask Before Hiring an Internal Medicine Billing Service
Selecting the right billing partner isn’t just administrative. It’s a strategic decision that affects your revenue, compliance, and operational efficiency....
Choosing the Right Internal Medicine Billing Company: What to Look For, Red Flags, and Key Differentiators
Your billing partner doesn’t just manage revenue. It impacts patient care, compliance risk, and daily workflow efficiency. A misaligned vendor can drain resources...
Why Internists Need Specialty Medical Billing Services?
Internal medicine billing is far from routine. It’s a complex, compliance-sensitive, and revenue-critical process. With internists managing chronic conditions, preventive...
