Managing a mental health practice means balancing patient care with insurance requirements, claim submissions, authorizations, and unpaid balances. Our mental health billing services help organize your claims, reduce avoidable billing issues, and keep reimbursement follow-ups moving.
Mental health billing involves more than submitting claims after therapy sessions or psychiatric evaluations. Psychotherapy time, diagnosis reporting, provider credentials, authorization requirements, and payer-specific rules all affect how claims should be prepared. Tennessee Medical Billing provides behavioral health billing services for practices that need specialized billing support without adding more administrative work to their clinical teams.
We evaluate the services your practice renders, the codes charged, the documents available, and the criteria that apply according to the payers when processing each claim. Regardless of whether you have a solo psychotherapy practice or a multi-provider behavioral health facility, we design our mental health billing services to meet your requirements.
Mental health claims can run into problems when a psychotherapy code does not match the documented session time, authorization details are missing, or a payer applies specific coverage requirements. Provider enrollment issues, incomplete claim information, and telehealth reporting rules can also delay reimbursement.
Our services in terms of billing solutions for mental health are the revenue cycle management including insurance verification, claim submission and posting, payments, and collections of balance amounts.
Our mental health revenue cycle management services support the billing process from insurance verification through claim submission, payment posting, and follow-up on outstanding balances.
Correct codes, diagnostic information, information on providers, modifiers, and all the necessary information about any psychiatric therapy and mental health evaluation are reviewed for billing purposes before sending these claims.
We assist in verifying your coverage, mental health benefits, network affiliation, patient’s responsibility, number of visits, and other pertinent information related to your plan.
We work denied and unpaid claims based on the payer’s response, reason for nonpayment, claim age, outstanding balance, and the next appropriate action.
We assist in recording payments, credits, and outstanding accounts, allowing your practice to view what has been paid for and any discrepancies that may be there.
We coordinate critical billing functions including eligibility determination, claims processing, denial of claims appeals, claim payments and accounts receivable. This is to ensure that the billing process runs efficiently for you.
The services under mental health billing include psychotherapy services, psychiatric evaluations, psychological evaluations, coding, and telehealth billing services. The claims for each of the patients should reflect the services that have been offered and the expectations of the clients and the provider.
| Type | Code | Common Use |
|---|---|---|
| CPT | 90791 | Psychiatric diagnostic evaluation |
| CPT | 90792 | Psychiatric diagnostic evaluation with medical services |
| CPT | 90832, 90834, 90837 | Individual psychotherapy based on documented time |
| CPT | 90833, 90836, 90838 | Psychotherapy add-on with an eligible E/M service |
| CPT | 90846, 90847 | Family psychotherapy |
| CPT | 90853 | Group psychotherapy |
| CPT | 96130, 96131 | Psychological testing evaluation services |
| ICD-10-CM | F32.-, F33.- | Depressive disorders |
| ICD-10-CM | F41.- | Anxiety disorders |
| ICD-10-CM | F31.- | Bipolar disorders |
| Modifier | 95 | Telehealth reporting when required by the payer |
| CARC | 16 | Missing information or a claim submission error |
| CARC | 197 | Required authorization or precertification not obtained |
The proper coding is determined by the type of service rendered. The following are just examples of codes and do not constitute the entire coding list. Providers must ensure that the current code descriptions and billing procedures are followed before submitting claims.
Mental health insurance billing includes services such as individual psychotherapy, family/group psychotherapy, psychiatric evaluation, medical drug management services (eligible), psychological testing, and telehealth services. These types of services will require various documentation, coding, and reimbursement processes for each service provided.
When dealing with this, we focus on understanding the interactions among these factors rather than approaching them uniformly. This is accomplished through the review of claims information, payer responses, and outstanding balances.
Tennessee Medical Billing helps mental and behavioral health professionals in Tennessee with their billing based on their needs, size of practice, and type of service they provide.
Get assistance for billing, which will help you save time in insurance processing and follow up payments, as well as running your practice.
Substantiate requests for psychiatric consultations, E/M services, and psychotherapy through documentation and understanding of payers’ billing practices.
Bill for psychological testing, psychotherapy and other similar services through management of the claims required for each session.
Consistently coordinate billings amongst different clinicians, services rendered, and insurance carriers with claims status and pending bills always updated.
We can provide you assistance in the process of determining how to bill your telehealth services.
Add billing support as your practice expands its clinical team, increases patient volume, introduces services, or works with additional payers.
Filing a claim for your patients' mental health conditions is just one part of the process of getting paid. Claim payments may be delayed due to problems with the eligibility status, lack of authorization, problems with the provider enrollment, improper coding, incomplete information or payer requests left unanswered. If your employees are unable to keep track of all the unpaid claims you will start accumulating them.
Our services of claim handling will help you to resolve problems with the particular outstanding claim. Our staff analyzes payer response, denial code, claim age and payment activity to find out what is the right next step to be taken. This will make it much easier for your practice to handle the problem with the unpaid or underpaid claim.
The right billing partner should understand the demands of mental health practices and help you manage the financial work that comes with delivering care.
Our approach considers psychotherapy services, psychiatric evaluations, diagnosis reporting, provider information, authorization requirements, and payer-specific billing rules.
We track denied and unpaid claims according to the issue involved, helping your practice identify what needs correction or follow-up instead of leaving accounts unresolved.
We help your team keep relevant coverage details, authorization information, and payer requirements visible throughout the billing process.
Find assistance with billing duties without increasing your burden of recruiting and managing more in-house personnel for billing purposes.
Our mental health claims billing services will assist you in keeping an account of your payments, your unpaid invoices, and those claims that still require action on your part.
These billing services assist in the financial aspect of behavioral health care that includes eligibility determination, claim filing, claims processing, denials management, posting payments, and collection of receivables.
Commonly used codes in psychiatry include CPT 90791 and 90792 for psychiatric assessment, 90832, 90834 and 90837 for individual psychotherapy, and 90853 for group psychotherapy. The appropriate code will be dependent on the specific service being provided.
Denial can occur due to eligibility issues, lack of authorization, wrong coding, incomplete documentation, enrollment issues of providers, or payer restrictions. Understanding the reason behind the denial gives an idea on what should be done next.
Yes. In terms of our billing support, we can assist in checking the payer’s response, reviewing the claims, checking for any mistakes in the claims, and making necessary corrections/appeals.
Our mental health billing services can support eligibility checks, claim submission, denial follow-up, payment posting, and accounts receivable management, depending on your practice’s needs and the agreed scope of services.
Your team should not have to spend every spare moment correcting claims and chasing insurance payments. Tennessee Medical Billing helps mental health practices manage billing tasks, address reimbursement issues, and follow up on outstanding accounts. Let’s review the challenges affecting your billing process and discuss how our mental health billing services can support your practice.
Tennessee Medical Billing is here to help you reduce denials, improve collections, and streamline your revenue cycle