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Specialized Billing Expertise

Behavioral & Mental Health Billing & Therapy Coding

Behavioral health requires managing session time-limits, prior authorizations, psychiatric E&M codes, and intensive programs (IOP/PHP).

Clean Claim Rate
98.8%
AR Cycle Average
22 Days
Denial Rate
1.5%
Audit Recovery
98.5%
Behavioral & Mental Health Billing & Therapy Coding
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Claims Scrubbing Lifecycle
Active Flow
1
Session Time Checking
2
Authorization Management
3
IOP / PHP Split Scrubbing
Target: 98%+ Clean Claim Rate98.8% Live Approval
1

Session Time Checking

Verifying session duration to select correct psychotherapy codes.

2

Authorization Management

Monitoring maximum session limits to secure authorizations ahead of visits.

3

IOP / PHP Split Scrubbing

Structuring facility and professional fees for intensive programs.

Claims_Audit.log
SECURE HIPAA
LINE 01 // INIT CLAIMS_AUDIT_SEQUENCE...
LINE 02 // SPECIALTY_SLUG = "behavioral-health-billing"
LINE 03 //CPT 90837→SCRUBBED_OK
LINE 04 // AUTO-ROUTING TO CLEARINGHOUSE...
STATUS: ACTIVE RUN22 Days Average AR

Insurance Discovery

Validate outpatient mental health limits and copay structure.

Session Coding

Code sessions based on exact duration and service type.

Payer Filing

Submit electronic claims under correct taxonomy codes.

Patient Invoicing

Issue simplified statements for deductibles and copays.

Modifier Audit Performance98.5% Recovery
First-Pass Clean Claim Rate98.8%
Denial Rate Prevention98.5%
Clean Claim Target: 98%HIPAA Audits Reprocessed
CPT 90837Psychotherapy, 60 minutes
CPT 90791Psychiatric diagnostic evaluation
CPT 90834Psychotherapy, 45 minutes
HCPCS H0035Mental health partial hospitalization program (PHP)

Denial Recovery Performance

96.0% Recovery

We resolve behavioral health denials for 'non-covered therapy' by submitting treatment plans and physician referrals.

100% HIPAA compliant claims reprocessing

Optimize Your Behavioral Health Billing Today

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CLIENT TESTIMONIAL

“Success Seekers RCM has completely transformed our Behavioral Health billing. Our collections are up 28% and billing stress is gone.”

— U.S. Clinical Director, Behavioral Health Specialist Group