Authorization exhausted
Sessions denied after the authorized count. We track authorizations per patient and alert before the last covered session.
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Behavioral Health medical billing services
Behavioral health billing is session-based, authorization-driven and governed by parity rules payers do not always follow. Core MB bills for therapists, counselors, group practices and agencies, with the credentialing and authorization tracking that keeps a caseload paid.
What makes behavioral health billing different
General billers treat every specialty the same. These are the rules, code families and payer habits that decide whether behavioral health claims pay the first time.
- Psychotherapy codes are time-based (90832, 90834, 90837) and payers audit 90837 usage; session start and stop times must be documented.
- Authorizations and visit limits differ by plan, and sessions beyond the authorized count are denied regardless of medical necessity.
- Provider type matters: LCSW, LMHC, LMFT and psychologist credentialing, supervision rules and incident-to billing vary by payer and state.
- Add-on codes for interactive complexity (90785) and crisis services (90839) are payable when documented and rarely billed.
Denials we see most in behavioral health
Every denial gets a root cause, a fix and a feedback loop, so the same denial stops coming back.
90837 scrutiny
Extended sessions downcoded or audited. We make sure time is documented and the clinical rationale supports the length.
Credentialing gaps
Claims denied because the rendering clinician is not enrolled with the payer. Our credentialing team handles enrollment and tracks effective dates.
How Core MB bills for behavioral health
A dedicated team that already knows your payers' rules, plus the reporting to prove it is working. Credentialing for new behavioral health providers runs in the same system, tracked live in your client portal.
- Authorization tracking tied to the schedule, so no session goes unpaid for lack of approval.
- Credentialing and enrollment for every clinician, tracked live in the client portal.
- Time and documentation checks on psychotherapy codes before claims go out.
Everything in the service
The full revenue cycle as standard for behavioral health practices, priced on what we collect for you. Take all of it, or start with one piece such as AR recovery or credentialing.
- Insurance verification and eligibility checks
- Charge entry and specialty-specific coding review
- Claim scrubbing and electronic submission
- Payer follow-up on every open claim
- Denial management and appeals
- Payment posting and reconciliation
- Accounts receivable recovery
- Patient statements and balance support
- Monthly reporting you can read in five minutes
- Provider credentialing and payer enrollment
Behavioral Health billing questions
Why is behavioral health credentialing such a problem?
Because payers enroll clinicians individually, by license type, and the process takes months. A new therapist who starts seeing patients before enrollment is complete generates claims that cannot be paid. We credential first and track it in the portal.
Do you track authorizations?
Yes. We log each authorization, count sessions against it and alert your team before it runs out, so the next request is submitted in time.
Can you bill for group practices and agencies?
Yes. We bill for multi-clinician practices and agencies, including supervision arrangements, under each payer's rules.
How do we get started with Core MB for behavioral health billing?
Send us your specialty, provider count and monthly claim volume through the quote form and we will come back with a written proposal. Transitions run alongside your current billing so nothing is dropped, and credentialing for new behavioral health providers can start at the same time.
More in behavioral health
Find out what your behavioral health billing is leaving on the table
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