Behavioral Health

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Expert Medical Billing Services for Behavioral Health Practices

Maximize your practice’s revenue, reduce claim denials, and streamline your billing with specialized behavioral health billing solutions. Behavioral health encompasses a wide range of services, from therapy and counseling to psychiatric evaluations and medication management. Billing for behavioral health services can be complex, with unique codes, insurance requirements, and varying payer policies that require careful attention to detail. Ensuring that your practice is paid fairly for the services you provide is essential for its financial health.

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98% First-Pass Pay Rate

We ensure accurate and complete claims, leading to fewer denials and faster reimbursements.

30% Reduction in AR Days

By optimizing billing processes and reducing claim denials, we help your practice significantly reduce accounts receivable days and improve cash flow.

15% Revenue Increase

Practices that work with us often experience a noticeable increase in revenue, thanks to faster payments, reduced denials, and improved coding accuracy.

99% Claim Accuracy

Our focus on detail and accuracy ensures that your claims are submitted without errors, reducing administrative workload and speeding up payments.

Common Billing Challenges in Behavioral Health

challenge

Complex Coding for Therapy, Counseling, and Psychiatric Services

Behavioral health services often involve different types of therapy (individual, group, family), psychiatric evaluations, medication management, and crisis interventions. Each of these services has its own billing codes and requirements, which can be confusing.

How We Solve It:

Our certified coders are highly experienced in behavioral health billing. We ensure that every service is accurately coded with the correct ICD-10, CPT, and HCPCS codes, helping you avoid errors and maximizing reimbursement for each treatment or session.

challenge

Navigating Insurance and Payer-Specific Policies

Payers, including government programs like Medicaid and Medicare, often have different policies for covering behavioral health services. Keeping track of these rules can be time-consuming and prone to mistakes.

How We Solve It:

We specialize in working with a variety of payers, from private insurance to government programs. Our team ensures that claims comply with payer-specific policies, including any requirements for medical necessity, treatment plans, or frequency of services, reducing the chances of claim denials.

challenge

Prior Authorization for Behavioral Health Services

Certain behavioral health services, especially long-term treatments or psychiatric medications, may require prior authorization from insurance providers. These authorizations can take time and delay treatment, leading to payment delays.

How We Solve It:

We handle the entire prior authorization process for behavioral health services, ensuring that all necessary approvals are obtained before treatment begins. Our proactive approach helps your practice avoid unnecessary delays and keeps your revenue flowing.

challenge

Telehealth Billing Compliance for Behavioral Health

Telehealth has become an essential tool for delivering behavioral health care. However, the billing for telehealth services is often complex, with different codes, payer rules, and regional regulations that must be followed to ensure reimbursement.

How We Solve It:

We ensure that your telehealth services are billed correctly, in line with both federal and state regulations. Our team stays up-to-date on the latest telehealth billing requirements, ensuring that you receive the proper reimbursement for virtual therapy sessions and other behavioral health services.

challenge

High Rate of Claim Denials

Behavioral health services are often subject to high claim denial rates due to issues like incorrect coding, incomplete documentation, or failure to demonstrate medical necessity. These denials can lead to cash flow disruptions.

How We Solve It:

We work diligently to reduce claim denials by ensuring that every claim is accurate and properly documented. If a claim is denied, we immediately address the issue, submitting appeals and resubmitting corrected claims, ensuring that your practice receives payment for the care provided.

How We Solve Behavioral Health Billing Challenges

Expert Coding for Behavioral Health Services

We specialize in coding for a wide range of behavioral health services, from psychotherapy and psychiatric evaluations to crisis intervention and medication management. Our certified coders ensure that each service is billed correctly, minimizing errors and maximizing reimbursements.

Expertise with Payer-Specific Policies

We are well-versed in the billing requirements of both private and government insurers, including Medicaid and Medicare. Our team works to ensure your claims are in compliance with each payer’s specific guidelines, reducing the chances of denials and delays.

Proactive Prior Authorization Management

We handle the entire prior authorization process, obtaining approvals for services that require them, such as long-term therapy or psychiatric medications. Our team ensures that all authorizations are in place before services are rendered, avoiding unnecessary delays in care and reimbursement.

Telehealth Billing Expertise

We ensure that your telehealth behavioral health services are coded and billed correctly, meeting all applicable regulations and payer requirements. Whether it's virtual therapy sessions, group therapy, or consultations, we help ensure you get paid for telehealth services rendered.

Denial Prevention and Appeal Management

Our proactive approach minimizes the likelihood of claim denials by ensuring that all claims are accurate and complete. If a denial occurs, we handle the appeals process, addressing any issues and resubmitting claims with the necessary documentation to ensure payment.

What Our Behavioral Health Clients Are Saying

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"Behavioral health practices like ours rely on consistent billing to keep services accessible. NY Practice Partner has provided excellent RCM support, reducing denials and ensuring steady revenue so we can dedicate ourselves fully to patient mental health care."

Dr. Jonathan Clark, Behavioral Health Specialist

"Billing issues once caused serious disruptions in our behavioral health clinic. NY Practice Partner has changed everything. Their RCM services ensure timely payments, consistent collections, and smooth financial operations, allowing us to expand therapy programs and reach more patients."

Dr. Rachel Meyer, Psychiatrist

"BrightPath Behavioral Health Center faced constant delays in billing that made financial planning difficult. Since outsourcing RCM to NY Practice Partner, our collections are reliable, revenue is stable, and our clinic finally has the financial confidence to grow."

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