MENTAL HEALTH BILLING SERVICES
At MedStates, we provide specialized mental health billing services for psychiatrists, psychologists, therapists, and behavioral health providers across the U.S. Our expert billing team understands the unique complexities of psychiatric and therapy billing, from CPT codes and telehealth modifiers to session-based claims and compliance. Whether you are a solo mental health provider or part of a multi providers behavioral health clinic, we manage your billing process, reduce denials, and improve cash flow. Discover why MedStates is the trusted mental health billing company helping practices maximize reimbursements while staying fully compliant with state specific industry regulations.
BEHAVIORAL AND MENTAL HEALTH BILLING SERVICES
“Focus on patient care while we take care of your mental health practice financial health”
With the continuous improvements in healthcare billing industry, the providers for mental healthcare face different challenges while billing for their services. Therefore, it has become essential for healthcare providers to keep their billing process updated with latest guidelines.
The certified medical credentialing services, accurate use of medical codes and timely redressal of denied claims is of immense importance for streamlining billing process and increased reimbursement of financial claims. With so many options available, it has become difficult for healthcare providers to choose whether they should hire inhouse mental health billing team, choose a hybrid model, or make their life easy with outsourcing their medical billing operations.
Since there are different opinions regarding hiring inhouse billing staff or choose a hybrid model for billing services, but, outsourced medical billing services has evolved as the best alternate for bringing efficiency without the need for additional administrative and financial burden on mental health practice.
By outsourcing mental health billing services, healthcare providers do not have to worry about hiring inhouse staff for medical credentialing, medical coding, denials management and accounts receivable. Such hiring put continuous financial as well as increase administrative burden on medical practices providing behavioral healthcare services.
Contrary to this, when healthcare providers choose to outsource their medical billing operations they just have to pay a percentage of their practice reimbursement against all the services that they require. Likewise, our medical billing company offer immense benefits to healthcare providers.
Moreover, with outsourced medical billing services, mental health service providers are assisted to make informed decisions for operational and financial efficiency of their mental health practice. Whether its a private practice or a group practice, healthcare providers are provided a brief on mental health billing services, billing techniques to advanced use of technology for increasing revenue.
At MedStates, we specialize in mental health billing services designed specifically for providers in psychiatry, psychology, therapy, and behavioral health. Whether you are an independent therapist, a psychiatric clinic, or a multi-specialty behavioral health center, our team ensures timely claims, maximum reimbursements, and full compliance with insurance and regulatory standards.
We understand the complexities of mental health billing, including session-based CPT coding, time-based billing, modifiers in mental health billing, and strict documentation requirements. That is why our dedicated billing experts offer personalized solutions that go beyond basic medical billing.
Grab a hold of your revenue cycle today with MedStates mental health billing services designed to cater your requirements.
For Insurance Credentialing, Medical Billing Services and other services
HIPAA Compliant
45% Monthly Savings
97% First Pass Rate
40% Increased Reimursements
100% Compliance
Tailored Solutions
How Mental Health Billing Differs from General Medical Billing
Mental health billing is uniquely challenging. Unlike standard medical billing, it often involves:
| Key Billing Component | How Mental Health Billing Is Different |
|---|---|
| Time-based CPT codes | Requires correct use of codes like CPT code 90832, 90834, 90837 based on session length |
| Multiple service codes per patient | Mental health providers may bill for evaluations, therapy, and add-ons in a single visit |
| Telehealth modifiers | Modifiers like 95 or GT are essential for correct reimbursement for virtual sessions |
| Pre-authorization | Frequent prior auth requirements vary widely by payer and diagnosis |
| Session limits | Many payers restrict the number of sessions per plan or diagnosis code |
| Specialized documentation | Notes must justify therapy type, goals, duration, and medical necessity |
Many billing companies treat mental health as an afterthought. We specialize in it — ensuring every claim is accurate, complete, and optimized for approval.
OUR SERVICES FOR MENTAL HEALTH PROVIDERS
Who We Serve: Mental Health Providers Supported by MedStates
At MedStates, we proudly support a wide range of mental and behavioral health professionals. Each specialty faces its own billing challenges — and our customized approach ensures you get paid accurately and on time, regardless of your discipline or practice size.
Psychiatrists and Psychiatric Mental Health Nurse Practitioners (PMHNPs)
We handle complex psychiatric billing, including E/M codes, medication management, psychotherapy add-ons, and integrated care coordination — all while ensuring compliance with payer-specific documentation rules.
Licensed Clinical Social Workers (LCSWs)
Our team understands the session limits, therapy codes, and behavioral health parity laws that impact LCSW billing — especially when working under supervision or across state lines.
Clinical Psychologists & Neuropsychologists
From psychological testing (CPT Code 96130 to CPT 96133) to extended therapy sessions, we help psychologists bill accurately for diagnostic assessments, therapy, and cognitive evaluations.
Licensed Professional Counselors (LPCs)
We support LPCs with accurate use of psychotherapy CPT codes, group sessions, and state-by-state coverage guidelines for private and Medicaid insurers.
Marriage & Family Therapists (MFTs)
We optimize billing for MFTs by ensuring proper use of CPT codes for couples/family therapy, non-covered services, and modifiers required for supervised care.
Behavioral Health & Substance Abuse Clinics
We offer complete revenue cycle solutions for outpatient mental health and addiction recovery clinics, including multi-provider coordination, prior auth, and bundled care plans.
Telehealth Mental Health Providers
We help virtual therapy practices maximize reimbursement with correct telehealth modifiers (95, GT), place-of-service codes, and state-specific parity law compliance.
No matter your specialty, we tailor our billing workflows to your documentation style, insurance panel, and treatment approach. Whether you’re just starting out or managing a multi-state group, MedStates provides the structure, support, and compliance you need to scale your practice.
MENTAL HEALTH BILLING SERVICES FOR BEHAVIORAL HEALTH SPECIALTY
Our AAPC certified medical coders specialize in medical coding and medical billing of mental health problems
Stress medical billing
Depression billing services
Bipolar billing services
Dementia medical billing
Paranoia billing services
Anger medical billing
Psychosis billing services
Panic Attacks billing services
Personality disorder billing
PTSD medical billing services
Schizophrenia medical billing
Trauma medical billing
Sucidal Thoughts
Therapy medical billing
Mindfulness medical billing
Nationwide Mental Health Billing Services — With Local Expertise
At MedStates, we proudly serve mental health providers across all U.S. states, offering end-to-end billing services customized to your location, specialty, and payer mix. Whether you are a solo therapist in a small town or a psychiatric group in a major metro, our team ensures your claims align with federal and state-level regulations.
We Understand State-Specific Requirements
While our services are nationwide, we bring local expertise to states with complex Medicaid rules, licensing differences, or payer requirements. For example:
New York – Medicaid enrollment, value-based billing programs, and commercial parity compliance
Georgia – Behavioral health billing and credentialing tailored to state Medicaid plans
Tennessee – Mental health billing for integrated care models and telehealth growth
North Carolina (Cary) – Prior authorization support and insurer-specific guidance for behavioral clinics
- Florida – Explore our medical billing services for mental health providers in Florida
We also support mental health providers in high-growth states like Texas, California, and Illinois, adapting to local payer contracts, Medicaid nuances, and mental health parity laws. Explore our medical billing services for mental health providers in California.
No matter where you are located, MedStates is your reliable partner for compliant, efficient, and profitable mental health billing services nationwide.
Common Challenges in Behavioral Health Billing — and How We Solve Them
Mental health billing is fraught with hurdles. Here is how MedStates helps overcome them:
| Challenge | Our Solution |
|---|---|
| Frequent claim denials due to incorrect modifiers | Expert-level CPT + modifier mapping |
| Time-based code rejections | Accurate time tracking and documentation validation |
| Insurance limitations on sessions | Authorization tracking and coverage review |
| Telehealth billing confusion | Clean claims using payer-specific telehealth rules |
| Delayed reimbursements | Aggressive follow-up and automated alerts |
Our team is proactive — not reactive — so you can focus on delivering care.
Mental Health Billing Codes Explained: CPT, ICD-10, HCPCS, Modifiers & POS
Accurate coding is at the heart of successful mental health billing. Here’s a breakdown of the most commonly used code sets and how they apply to behavioral health billing:
CPT Codes for Mental Health Billing
CPT (Current Procedural Terminology) codes are used to report mental health services. These are often time-based and vary by type of session.
| CPT Code | Description |
|---|---|
| 90791 | Psychiatric diagnostic evaluation (without medical services) |
| 90792 | Psychiatric diagnostic evaluation with medical services |
| 90832 | Psychotherapy, 30 minutes with patient |
| 90834 | Psychotherapy, 45 minutes with patient |
| 90837 | Psychotherapy, 60 minutes with patient |
| 90846 | Family psychotherapy (without the patient present) |
| 90847 | Family psychotherapy (with the patient present) |
| 90853 | Group psychotherapy |
| 96130–96133 | Psychological testing and evaluation services |
| 99354–99355 | Prolonged services (used as add-ons to therapy sessions) |
ICD-10 Codes Commonly Used in Behavioral Health
ICD-10 codes describe the diagnoses being treated. Accurate diagnosis coding is critical for payer acceptance and treatment justification.
| ICD-10 Code | Description |
|---|---|
| F32.0–F32.9 | Major depressive disorder, single episode |
| F33.0–F33.9 | Major depressive disorder, recurrent |
| F41.1 | Generalized anxiety disorder |
| F90.0 | ADHD, predominantly inattentive type |
| F43.10 | Post-traumatic stress disorder (PTSD) |
| F31.9 | Bipolar disorder, unspecified |
| F84.0 | Autistic disorder |
| Z63.5 | Disruption of family by separation or divorce |
| F20.9 | Schizophrenia, unspecified |
HCPCS Codes for Behavioral Health
HCPCS (Level II) codes are often used for non-physician services or telehealth.
| HCPCS Code | Description |
|---|---|
| H0031 | Mental health assessment, by non-physician |
| H0032 | Mental health service plan development |
| H2019 | Therapeutic behavioral services, per 15 minutes |
| H0001 | Alcohol and/or drug assessment |
| G2012 | Virtual check-in (brief communication tech-based service) |
| G2212 | Prolonged office visit (replaces 99354/99355 for E/M codes) |
Modifiers Used in Mental Health Billing
Modifiers add detail to the claim, indicating service nuances like telehealth delivery, distinct procedural services, or supervised services.
| Modifier | Purpose |
|---|---|
| 95 | Synchronous telemedicine via real-time audio/video |
| GT | Telehealth via interactive audio/video (Medicaid-specific in some states) |
| 25 | Separate E/M service on same day as another procedure |
| 59 | Distinct procedural service |
| HO | Master’s level clinician |
| HE | Mental health program |
| HN | Bachelor’s level provider |
Place of Service (POS) Codes in Mental Health Billing
POS codes identify the location where services are rendered. These influence reimbursement rates, especially for telehealth.
| POS Code | Location |
|---|---|
| 11 | Office (in-person outpatient visits) |
| 02 | Telehealth (legacy code) |
| 10 | Telehealth provided in patient’s home |
| 03 | School |
| 21 | Inpatient hospital |
| 22 | Outpatient hospital |
| 99 | Other (e.g., community center, mobile clinic) |
Why Accurate Coding Matters in Mental Health Billing
Incorrect or mismatched codes are a leading cause of claim denials. At MedStates, we ensure that every CPT, ICD-10, HCPCS, modifier, and POS code is correctly aligned — helping you avoid underpayments, rejections, and compliance issues.
Your trusted Partner in Behavioral and Mental Health Billing Services
At MedStates, we specialize in mental health billing services tailored to therapists, psychiatrists, and behavioral health practices. While big billing companies use generic systems, we deliver therapy billing solutions designed to maximize revenue and minimize stress. Here’s why behavioral health providers trust our psychiatry billing services over impersonal corporations:
100% U.S.-Based Experts in Psychiatric and Behavioral Health Billing
Our experienced, U.S.-based team understands payer rules, behavioral CPT codes, and documentation nuances for mental health specialties.
Mental Health Billing Specialists (Not Generalists)
Larger companies often mishandle mental health claims—we guarantee accuracy. We focus exclusively on therapy practice billing, with deep expertise in:
- Telehealth billing compliance for mental health
- Insurance claim submission for Medicaid, Medicare, and commercial payers
- Denial prevention through precise documentation
In-Depth Knowledge of CPT Codes, Time-Based Billing, and Payer-Specific Guidelines
From behavioral health billing codes CPT-90837 to CPT-99214, we ensure proper use of time-based codes, combinations, and payer-specific billing requirements.
15-30% Higher Collections for Mental Health Practices
Big providers rely on automation that misses underpayments. We:
- Audit every mental health insurance claim for errors
- Fight denials with insurer-specific behavioral health billing rules
- Recover an average of $18,000/year in underpaid claims for clients
Dedicated Support for Therapy Practices
No call centers. Every client gets:
- A mental health billing expert who knows your practice
- Same-day responses to billing questions
- Monthly reports showing practice revenue growth
Transparent Pricing for Behavioral Health
Unlike big companies with hidden fees, we offer:
- Percentage-based billing services (only pay when we collect)
- No long-term contracts required
- Free onboarding for therapy practices
EHR Integration for Mental Health Providers
Seamless sync with TheraNest, SimplePractice, TherapyNotes, and other therapy practice management systems.
