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- info@medstates.com
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© 2026, MedStates. All Rights Reserved.
If your therapy claims are getting denied for time-based coding errors, missing authorizations, or documentation mismatches, your billing process needs correction. Our mental health billing company fixes these issues before claims are submitted. At MedStates, we provide specialized mental health billing services across the U.S. With 9+ years of combined experience in U.S. behavioral health billing, our billing team understands the unique complexities of psychiatric and therapy billing, from CPT codes and telehealth modifiers to session-based claims. Whether you are a solo mental health provider or part of a multi-providers behavioral health clinic, we manage entire RCM. Discover what makes MedStates the trusted mental health billing company helping practices maximize reimbursements while staying fully compliant with state-specific and industry regulations.
Our mental health billing services are tailored for different provider types, each with unique billing challenges, payer requirements, and documentation standards. We ensure accurate claims, reduced denials, and consistent reimbursements across all specialties.
Our psychiatric billing services support complex workflows including E/M coding, psychotherapy add-ons, medication management, and payer-specific documentation requirements.
We provide billing services for therapists and counselors including Licensed Clinical Social Workers (LCSWs), with accurate time-based CPT coding, session tracking, and compliance with payer limits and behavioral health parity rules.
We handle diagnostic testing, therapy sessions, and cognitive evaluations, ensuring proper billing for CPT codes 96130–96133 and extended services without underpayment or denial risks.
Our billing services for LPCs focus on psychotherapy billing accuracy, group therapy coding, and payer-specific coverage guidelines across states.
We support MFTs with correct billing for couples and family therapy sessions, including proper modifier usage and handling of non-covered services.
Our behavioral health billing services are designed for multi-provider clinics, including coordination of claims, prior authorizations, and billing for integrated care and treatment programs.
We ensure compliance with telehealth billing requirements, including correct use of modifiers (95, GT), POS codes, and payer-specific virtual care policies.
Our psychiatric billing services support accurate coding and billing for a wide range of mental health conditions, ensuring proper documentation and payer compliance:
Our mental health billing services are designed to support providers across all U.S. states, ensuring compliance with both federal regulations and state-specific payer requirements. Whether you operate a solo therapy practice or a multi-provider clinic, we align your billing processes with your location, specialty, and payer mix.
We Understand State-Specific Requirements for Mental Health Billing
Florida
Expertise in Medicaid, Medicare Advantage, and commercial payer requirements, including Sunshine Health, Simply Healthcare, and other local payer billing nuances. Explore our billing services for psychiatrists in Florida.
Texas
Experience with TMHP guidelines, prior authorizations, and Medicaid compliance for therapists and behavioral health clinics. Explore our Texas TMHP Compliant mental health billing.
California
Support for Medi-Cal billing, telehealth compliance, and documentation standards for DMHC-regulated plans. Explore our Billing services for California-based mental health clinics.
New York
Our team helps behavioral health providers navigate New York Medicaid enrollment, value-based care billing, and commercial payer parity requirements. We manage claims that comply with both state-specific behavioral health initiatives and NY’s complex reimbursement models.
Georgia
We assist Georgia-based mental health clinics with Medicaid behavioral health billing, credentialing, and provider enrollment. Our billers understand the Georgia Collaborative ASO, state-based parity rules, and Medicaid managed care requirements to maximize clean claim rates.
Tennessee
MedStates supports integrated care and telehealth growth across Tennessee. Our billing specialists handle behavioral health integration codes, teletherapy claims, and state-specific payer credentialing — ensuring compliance with Tennessee’s evolving mental health coverage policies.
North Carolina
We offer prior authorization support and insurer-specific billing guidance for behavioral health providers throughout North Carolina. Our experience includes managed care organizations (MCOs) and value-based mental health reimbursement under NC Medicaid Managed Care.
Illinois
We support Illinois mental health providers with Medicaid managed care billing, credentialing, and payer reconciliation. Our specialists ensure compliance with both state Medicaid and commercial parity laws.
HIPPA Compliant
45% Monthly Savings
Affordable Billing Fee
97% First Pass Rate
Improved Reimbursements
100% Payer Compliance
State-Specific Solutions
No matter where your practice operates, MedStates is your trusted partner for medical billing services in the USA.
Accurate coding is critical to the success of any mental health billing services strategy. Errors in CPT selection, diagnosis coding, or modifier usage are one of the leading causes of denials and underpayments in behavioral health billing. Our team ensures every claim is coded correctly, aligned with documentation, and compliant with payer-specific requirements.
As part of our psychiatric billing services, we handle time-based psychotherapy coding, diagnostic evaluations, and add-on services:
| 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) |
Accurate diagnosis coding supports medical necessity and claim approval within mental health billing services:
| 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 |
Our behavioral health billing services include correct use of HCPCS codes for non-physician services and 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 add detail to the claim, indicating service nuances like telehealth delivery, distinct procedural services, or supervised services. Read more details on behavioral health modifiers across the U.S. with state-specific insurance formalities
POS codes identify the location where services are rendered. These influence reimbursement rates, especially for telehealth. Read our blog post on Mental Health POS Codes
Your trusted Partner in Behavioral and Mental Health Billing Services
Choosing the right mental health billing company affects how smoothly your billing runs and how consistently you get paid. Our mental health billing services are designed to simplify your operations and remove day-to-day billing headaches.
Work with a mental health billing company that keeps your billing simple, secure, and under control.
How much do mental health billing services cost?
We charge 3-5% of collected reimbursements with no hidden fees. Unlike flat-rate services (which can overcharge small practices) or large companies with setup fees, you only pay when we get you paid.
What’s included in your mental health billing services?
Our end-to-end service covers insurance claim submission and tracking, denial management and appeals (with an average denial rate under 5%), patient billing and payment posting, monthly revenue reports tailored for therapists, and free EHR integration with systems like SimplePractice and TherapyNotes.
How do you handle denied claims for therapy sessions?
We use a 3-step denial recovery system. First, instant claim scrubbing catches errors before submission. Second, we file payer-specific appeals using our knowledge of each insurer’s mental health rules. Third, we conduct underpayment audits that typically recover 15-30% more revenue for our clients.
Can you bill for both in-person and telehealth therapy sessions?
Absolutely. We ensure compliance with all telehealth requirements including proper use of modifiers (95, GT, POS 02), state-specific billing rules, and individual payer policies for virtual therapy sessions
What’s your turnaround time for submitting claims?
We file claims within 24 hours of session documentation. This fast submission process leads to shorter reimbursement cycles (typically 14-21 days) and helps avoid timely filing denials.
How do you protect patient data in billing?
We maintain strict HIPAA compliance through encrypted EHR integrations, secure patient payment portals, and SOC 2-certified servers for all data storage and transmission.
Why choose a mental health-specific billing company?
Generic billers often miss critical therapy-specific details like code differences (90837 vs. 90834), mental health documentation requirements, and payer nuances for behavioral health. Our specialists work exclusively with therapists, which reduces billing errors by 40%.
How long does switching to MedStates take?
Most practices complete the transition in 7-10 days. We handle all aspects including data extraction from your current system, insurance contract validation, and optional staff training.
Do you offer a free trial or billing audit?
Yes. We provide a no-cost practice analysis that includes a claim denial review, underpayment recovery estimate, and custom savings report. Contact us today to schedule your free audit.
© 2026, MedStates. All Rights Reserved.
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