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Specialty — Behavioral Health

Medical billing and RCM for behavioral health practices

Behavioral health billing is governed by session counts, authorization limits and payer-specific time rules - a structure that denies claims for reasons unrelated to the care delivered.

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Denial drivers
Authorization limits, time rules
Coding pressure
Time-based codes
Where A/R ages
Recurring sessions
Underpayment risk
Moderate
The challenges

What actually costs behavioral health practices money

Authorization session limits

Sessions continue past an approved count and the whole run is denied retroactively.

Time-based coding

Documented time drives the code. Small documentation gaps become recurring denials.

Recurring appointment volume

The same error repeats weekly until someone spots the pattern.

Telehealth rules by payer

Place-of-service and modifier requirements change and are inconsistently applied.

How we work a behavioral health account
  1. 1 Authorization counters that alert before the last approved session
  2. 2 Time documentation checked against the code billed
  3. 3 Recurring-error detection so a weekly mistake is caught in week one
  4. 4 Telehealth rules maintained per payer

Other specialties

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How healthy is your behavioral health revenue cycle?

We will review your denials, A/R and payer performance and tell you what we find.

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  • No obligation, and you keep the findings either way
  • Under two minutes to request
  • No patient information needed to start
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