Mental health practices struggle with specific financial challenges. Billing is tough. Complicated insurance policies and prior authorization requirements add to the challenge. Psychiatric and behavioral coding makes it even harder. Mental health professionals face challenges in managing claims and adapting to new billing requirements. Best medical billing companies for mental health providers are familiar with the problems associated with mental and behavioral health billing.  

Choosing the right mental health billing services can boost your solo therapy practice, group clinic, or telemedicine service. Stop chasing outstanding claims and rejections by choosing the right credentialing partner that offers customized services according to your needs. 

Why Mental Health Providers Need Specialized Billing Services 

Mental health billing is not the same as general medical billing. Here’s why specialized billing services for behavioral health are essential. 

• Mental health claims need specialized coding systems, so an accurate CPT code for each billing claim is essential. 

• Therapy sessions and psychiatric evaluation codes are different. Therapies like trauma-focused cognitive behavioral therapy have more complicated coding. 

• General billers often mismanage these requirements, therefore leading to claim denials. 

• Insurance companies have varied rules for mental health claims, including prior authorizations, session limits, and credentialing requirements. 

• Specialized mental health billing services with accurate knowledge about these rules reduce the likelihood of denials. 

• Telehealth billing also needs to be aware of additional complexity due to differing state coverage policies and insurance requirements for virtual therapy. 

• Specialized billing solutions stay current with evolving regulations in telehealth. 

• Prior authorization management is crucial; specialized companies have established relationships with payers, facilitating quicker insurance approval. 

Key Features of the Best Mental Health Billing Services 

When evaluating behavioral health billing services, look for these critical features that separate the best from the rest: 

Experience with Behavioral Health Payers

The best companies know a lot about the big insurance networks and which ones offer the best reimbursement rates. They know which companies are friendly and helpful and which ones are are often deny certain types of claims. 

HIPAA and Compliance Expertise

Mental health records contain private information. The best mental health billing services know about and follow strict privacy rules that are unique to behavioral health. It’s important to follow HIPAA. 

Transparent Reporting

You should always know where your money is. The top companies provide comprehensive reports on submitted, accepted, rejected, or pending claims. You can see your income at any time. 

Scalable Billing Solutions

Your billing company should be able to grow with you, no matter if you’re a solo therapist or in charge of 50 providers. The best mental health billing services can scale up or down without affecting the quality of their service. 

Dedicated Mental Health Billing Teams

You must choose specialized billing services for mental health. They specifically have trained billers and coders according to your unique requirements of mental health practices. 

Technology Integration

Mental health practitioners should choose a billing company that can integrate with their existing EHR system. This will help you eliminate your manual data entry, reduce errors, and speed up claim submission. 

Transparent Pricing

Check for the prices that meet your available budget. The charges should not have any hidden fees. Reputable companies clearly explain their costs, whether they charge per claim, per provider, or through a percentage-based model. 

Best Medical Billing Companies for Mental Health 

1. Credex Healthcare 

Credex Healthcare is a specialized RCM (Revenue Cycle Management) company that offers customized billing services to behavioral and mental health practices. They have more than 12 years of experience. They have the highest first-time claim submission success rate for mental health practices. 

Mental Health and Behavioral Health Specialties Supported 

Credex Healthcare specializes in therapists, psychiatrists, psychiatric nurse practitioners, family therapists, clinical social workers, and addiction specialists. You can outsource your billing whether you are an individual therapy practice or a large group clinic operation.  

They are experts in teletherapy billing in all 50 states and have extensive experience in psychiatric drug management, psychiatric exams, substance abuse treatment, crisis intervention, and therapy sessions. They are well-versed with the latest rules about telehealth in each state and have experience working with both private insurance and government programs like Medicare and Medicaid. 

Services Offered 

Their comprehensive services include 

1. Full claim submission and follow-up, 

2. prior authorization management, 

3. Credentialing and recredentialing help, 

4. Patient eligibility verification, 

5. Accounts receivable management, 

6. Detailed revenue reporting, 

7. Denial management and appeals, 

8. They also offer EHR integration with popular systems such as Simple Practice, Therapy Notes, and Athena. 

They also provide dedicated account managers, compliance consulting, and regular billing audits to ensure accuracy. 

Best For 

Credex Healthcare is a great fit for solo therapists who want to simplify billing, group practices that want to streamline RCM operations, telehealth providers who need billing knowledge for virtual care, and practices with more than one location that need central billing management. 

2. Medbill RCM 

Medbill RCM offers billing for behavioral health professionals like therapists, psychologists, and mental health centers across the country. Their main goal is to make the billing process easier for companies of all kinds. They support bills for group practices, teletherapy, drug management, psychiatric services, and therapy. Their team knows about CPT codes for mental health assessments, psychotherapeutic, and psychiatric services. 

Submitting full claims, getting prior permission, credentialing, checking patient eligibility, managing outstanding accounts, and making detailed reports. They also provide EHR connection and help. 

Best For 

Top For solo therapists and small group offices that want mental health billing services that are inexpensive and quick to respond to requests for help. 

3. TheraThink 

TheraThink combines billing services with practice management consulting specifically for therapy practices. They understand the unique operational challenges therapists face beyond just billing. Their area of expertise is therapy billing, which covers intense treatment programs as well as individual, couples, and group therapy. 

They offer a range of services, including submitting claims, getting prior authorization, following up, ensuring patient eligibility, training practices, and providing assistance to practices. They also work with common therapy tracking tools. 

Best For 

Therapy-centered businesses (LMFT, LPC, LCSW, psychologists, etc.) that want help with both bills and business matters. Ideal for therapists tired of administrative work. 

4. Resilience Billing 

Resilience Billing offers complete revenue management services customized for issues in behavioral health. Their main clients are mental health and drug care providers. They work alongside drug recovery programs, as well as therapists, psychiatrists, and substance abuse experts. Their team codes for therapy, psychiatric services, and bills for specific addiction care. 

Submission of full claims, handling of denials, prior permission, help for credentialing, detailed analytics, EHR integration, and compliance advice. They also provide tailored reports based on what each practice needs. 

Best For 

This service is best suited for addiction rehab centers, dual-diagnosis programs, and mental health hospitals that offer a wide range of behavioral health services. 

5. eBridge RCM LLC 

eBridge RCM focuses on tech-based solutions while providing behavioral health billing and revenue cycle management to mental health businesses of all kinds. They help therapists, doctors, mental nurse practitioners, marriage and family therapists, and group practices. They are experts in all types of therapy and mental services. 

They provide full -service billing, claims management, prior permission, credentialing, patient eligibility verification, thorough reports, EHR integration, and routine compliance checks. 

Best For 

Tech-forward practices want modern billing solutions with excellent reporting and analytics capabilities. 

6. Plutus Health 

Plutus Health focuses on helping practices make more money and spend less time on paperwork by offering mental health billing and RCM services. They partner with mental health centers, therapists, counselors, and psychiatrists. Their team knows a lot about mental health CPT codes and how tricky insurance can be. 

Submitting and managing claims, checking patient eligibility, prior permission, reports, rejection management, credentialing, and revenue cycle analysis. They also do EHR integration. 

Best For 

Their services are good for practices that want to have a scalable solution, group practices, and clinics seeking dedicated billing support to improve revenue and compliance. 

7. Ensora Mental Health 

Ensora Mental Health only offers specialized billing and practice management services to mental health doctors. They are experts in billing and help businesses improve their operations. 

Their areas of expertise are teletherapy bills, mental services, therapy practices, and group practices. Their team knows all about the mental health providers’ needs. 

They offer full -service billing, prior approval, credentialing, practice management advice, training and education, patient eligibility verification, and thorough reports. 

Best For 

Practices that need comprehensive support apart from billing, including practice management guidance and staff training on the revenue cycle, can benefit from their services. 

8. Cure MD 

CureMD offers medical billing services with teams that are only for mental health doctors and full revenue cycle management solutions. They help mental health centers, therapists, psychiatrists, and psychiatric nurse practitioners. Claims for telehealth, mental services, and therapy bills are taken care of by their team. 

Claim submission and follow-up, rejection management, previous permission help, credentialing, eligibility verification, thorough reports, and EHR integration are the services they offer. 

Best For 

Practices of all sizes seeking established billing services with proven track records and extensive payer relationships. 

9. BellMedEx 

BellMedEx handles medical bills for many types of doctors, including those who work in behavioral health and mental health. They focus on getting as many claims approved as possible. 

They work with mental health centers, therapists, counselors, and doctors. Mental health codes and insurance are things that their team knows about. 

Their services include prior permission, claim filing, credentialing, rejection management, thorough reporting, compliance support, and eligibility verification 

Best For 

Solo providers and small practices seeking affordable billing services with good customer support and claim management expertise. 

10. Psyquel 

Psyquel’s specialty is managing mental health practices and billing. They focus on making both clinical and financial processes better for behavioral health doctors. 

They work with group practices that offer mental health care, as well as therapists, psychiatrists, and psychiatric nurse practitioners. They are experts in paying for psychiatric services, therapy, and specialty mental health care. 

Full-service billing, prior permission, credentialing, practice management tools, patient eligibility verification, thorough analytics, and compliance advice are all services that are offered. 

Best For 

Practices want integrated practice management and billing solutions in one platform, particularly group practices seeking operational efficiency. 

Comparison Table of the Best Mental Health Billing Services 

How to Choose the Right Behavioral Health Billing Company 

Selecting the right behavioral health billing service depends on several factors specific to your practice. Let’s break down what to consider. 

1. Billing services are different for solo therapists and bigger clinics. Smaller practices need individualized assistance, while larger organizations need solutions that can grow with them.  

2. Therapy-focused clinics suit these demands, and psychiatrists need billing services that know how to manage psychiatric coding and drug claims.  

3. Practices might mainly rely on insurance payments or have many patients who pay out of pocket, which affects their choice of billing companies based on their relationships with payers or how they collect payments from patients.  

4. To cut down on mistakes that happen when people enter data by hand, billing services need to work with current EHR systems.  

5. When choosing a billing business for telehealth services, it’s important to make sure they follow state rules and can handle virtual claims well.  

6. Billing businesses have several ways of charging, such as per-claim costs or percentage-based fees. You should look at your practice’s volume to see which one is best for you. 

Frequently Asked Questions 

How much do mental health billing services cost? 

Pricing varies significantly. Per-claim fee is usually $0.50–$3. Practice size determines monthly costs of $300–$2,000+. Most percentage-based models charge 5–10% of collections. 

Are there billing services specifically for behavioral health providers? 

Yes. Companies like Credex Healthcare specialize exclusively in behavioral health billing services. Their teams have deep expertise in this specialty, unlike general medical billing companies. 

What’s the difference between mental health and behavioral health billing? 

Mental health billing focuses on therapy and psychiatric services. Behavioral health billing is broader, also including addiction treatment, substance abuse services, and behavioral modification. 

Can mental health billing companies handle telehealth claims? 

Yes, reputable mental health billing companies handle telehealth claims. Verify they stay current with state-specific telehealth regulations, as these vary significantly by state and change frequently. 

Conclusion 

Choosing the correct company to handle mental health billing is important for the productivity of your clinic. Credex Healthcare makes billing easy. This allows you to concentrate on taking care of your patients, whether you work alone or with other physicians at the clinic. Make sure to collaborate with firms who truly understand how to manage mental health enterprises. Stay clear of people with only general experience. Determine what you require, such as telehealth assistance or prior authorization. Contact the top candidates for demos and recommendations. Choosing the right billing company expedites payments and helps your clinic perform better.