Session limits and authorizations
Visits denied beyond plan limits. Tracked per patient and payer, with alerts before limits are reached.
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Mental Health medical billing services
Mental health practices bill psychotherapy, evaluations, testing and medication management across commercial, Medicaid and Medicare plans that each enforce different limits. We keep sessions paid by managing authorizations, credentialing and the time-based documentation payers inspect.
What makes mental health billing different
General billers treat every specialty the same. These are the rules, code families and payer habits that decide whether mental health claims pay the first time.
- Diagnostic evaluations (90791, 90792) and psychotherapy codes have payer-specific frequency and combination rules.
- Psychological and neuropsychological testing (96130–96139) is billed in time units with separate administration codes, and documentation of the time is essential.
- Telehealth is now central to mental health, with payer-specific modifier and place-of-service rules.
- Medicaid plans vary by state in covered provider types, session limits and documentation requirements.
Denials we see most in mental health
Every denial gets a root cause, a fix and a feedback loop, so the same denial stops coming back.
Testing unit errors
Testing claims denied for unit miscounts or missing administration codes. We calculate units from documented time.
Telehealth modifier errors
Virtual sessions denied for the wrong modifier or place of service. Payer rules applied at the scrubber.
How Core MB bills for mental health
A dedicated team that already knows your payers' rules, plus the reporting to prove it is working. Credentialing for new mental health providers runs in the same system, tracked live in your client portal.
- Authorization and session-limit tracking integrated with scheduling.
- Testing billing with unit calculation from documented time.
- Telehealth rules by payer, kept current.
Everything in the service
The full revenue cycle as standard for mental 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
Mental Health billing questions
How do you keep mental health sessions from being denied?
By tracking authorizations and limits per patient and payer, documenting time on time-based codes, and applying the right telehealth modifiers. Most mental health denials are administrative, not clinical.
Can you bill psychological testing?
Yes. Testing codes are unit-based and require administration and evaluation codes to be paired correctly; we calculate from the documented time.
Do you work with Medicaid mental health plans?
Yes. Each state's plan has its own covered providers, limits and documentation rules, and we maintain them state by state.
How do we get started with Core MB for mental 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 mental health providers can start at the same time.
More in behavioral health
Find out what your mental health billing is leaving on the table
Send us a snapshot of your current billing and we will come back with a quote and a realistic view of recoverable revenue.