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Specialty billing

Behavioral Health medical billing

Behavioral health billing turns on time, authorization and session limits — three things payers check closely and deny quickly.

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What we handle for behavioral health practices

Therapy time codes, authorizations and session limits tracked for every payer.

Session time codes

Therapy codes matched to the session length the note evidences.

Authorization tracking

Authorizations obtained and monitored so sessions are not delivered outside them.

Session limits

Counts tracked against each plan's annual or benefit-period limit.

Telehealth

Place-of-service codes and modifiers applied to the payer's current telehealth rules.

Common pitfalls

Where behavioral health claims go wrong

These are the errors we look for first when reviewing a practice in this specialty. If any sound familiar, a billing review will tell you what they are costing.

  • Sessions delivered after an authorization lapsed, which are rarely recoverable on appeal.
  • Time-based codes billed where the note records no start and end time.
  • Intake assessments billed as therapy sessions.

Not sure where your revenue is leaking?

Book a free review. We will look at your recent claims, denial patterns and A/R aging, and tell you what we find — whether or not you work with us.