Behavioral health billing
Behavioral health billing services
RevenueCTRL is a mental health billing company. We bill for psychiatrists, PMHNPs, therapists and group practices, from intake evaluations to telehealth sessions and group therapy. Claims go out within 24 hours of receiving charges, and every denial is worked within 5 business days.
- Psychotherapy, evaluation, family and group codes
- Telehealth place-of-service and modifier rules by payer
- 5 commercial payers credentialed free with billing
Who we bill for
Billing for every kind of mental health practice
Behavioral health is our core focus. Each type of practice has its own coding patterns and payer problems, so we set up billing around how you actually see patients.
Psychiatry and PMHNP
Medication management E/M visits with psychotherapy add-ons, psychiatric evaluations and multi-state telehealth.
Learn more →Therapists and counselors
Billing for LPCs, LCSWs, LMFTs and psychologists, including solo practices moving from private pay to insurance.
Learn more →Group practices
Multi-clinician groups with many NPIs, new hires to onboard and payers that treat supervisees differently.
Learn more →Why mental health billing is different
Where behavioral health claims usually go wrong
Most mental health denials come from a few repeat problems: time-based codes, telehealth rules, benefits managed by a separate company and missing authorizations.
Time-based psychotherapy codes
Psychotherapy codes are chosen by documented session time. A 45-minute session billed as 90837 is a down-code or a denial waiting to happen, and some payers review 90837 use more closely.
Telehealth rules
Place of service 02 or 10 and modifier 95, GT or none: the right combination depends on the payer and the plan. Audio-only visits have their own rules. We keep a payer-by-payer rule set.
Carve-out behavioral health plans
Many health plans hand mental health benefits to a separate behavioral health company. The card may say one payer while claims, eligibility and credentialing go to another. We check who manages the benefit before the first visit.
Authorizations
Some plans require authorization for ongoing therapy, higher session counts, testing or higher levels of care. We track authorized visits and dates so sessions are not delivered past the limit.
EAP sessions
Employee assistance program visits are usually billed to the EAP, not the health plan. They often need an authorization number, have a session cap and may use their own forms or portal.
Supervision and incident-to
Who can bill for a pre-licensed clinician, and under whose NPI, differs by payer and by state. Incident-to and supervision rules for Medicare, Medicaid and commercial plans are not the same. We confirm current policy before billing.
Common codes
Mental health codes we bill every day
| Code | What it is | What we watch for |
|---|---|---|
| 90791 | Psychiatric diagnostic evaluation without medical services | Frequency limits per payer; used at intake by non-prescribing clinicians |
| 90832 / 90834 / 90837 | Individual psychotherapy (about 30 / 45 / 60 minutes) | Start and stop times or total time documented; code matches the time |
| 90847 | Family psychotherapy with the patient present | Patient present for the session; 90846 is used when the patient is not |
| 90853 | Group psychotherapy (other than multiple-family group) | Billed per patient in the group; group size and notes per patient |
| 90785 | Interactive complexity add-on | Only with qualifying codes and documented communication barriers |
Codes and rules change. We check current CPT guidance and each payer’s policy before submission. For prescriber codes, see psychiatry billing.
What we handle
Full behavioral health revenue cycle
We handle everything between the session and the payment, inside the EHR you already use.
- Eligibility, benefits and carve-out checks before first visits
- Authorization tracking for payers and EAPs that require it
- Charge entry and coding review of psychotherapy and evaluation codes
- Claim submission within 24 hours of receiving charges
- Payment posting and ERA reconciliation
- Denial correction, resubmission and appeals within 5 business days
- A/R follow-up on unpaid and underpaid claims
- Credentialing and CAQH upkeep for every clinician
- Patient statements and balance tracking
- Monthly reports on collections, denials and A/R
Pricing
Simple pricing, no long-term contract
Billing starts at 2.5% of collections, or a flat monthly fee. Credentialing starts at $80 per payer, and 5 commercial payers are credentialed free when you sign up for billing. No long-term contract required.
Common questions
What does a mental health billing company do?
A mental health billing company handles the work between the session and the payment: eligibility checks, coding, claim submission, payment posting, denials and A/R follow-up. We also handle credentialing so your clinicians are in-network before they bill.
Do you bill telehealth therapy sessions?
Yes. We apply each payer’s place-of-service and modifier rules for telehealth, including audio-only rules where a payer allows them. Rules vary by payer and change often, so we check current policy.
Can you bill for pre-licensed or supervised clinicians?
Sometimes, depending on the payer and state. Many commercial payers only credential fully licensed clinicians, while some Medicaid programs and plans allow supervised billing under specific rules. We check each payer’s policy before any claim goes out.
How do you handle EAP sessions?
We bill EAP visits to the EAP, not the health plan, using the authorization number and session limit the EAP gives. When the EAP sessions run out, we check the patient’s regular behavioral health benefits.
How much do behavioral health billing services cost?
Our billing starts at 2.5% of collections. Flat monthly fees and dedicated billers are also available. Credentialing starts at $80 per payer.
Which EHRs do you work in?
SimplePractice, TherapyNotes, Tebra (Kareo), Valant, Osmind, AdvancedMD, athenahealth, DrChrono and others. We work inside the system you already use.
Guides from our team
Learn more before you decide
90791 vs 90792: Which Psychiatric Diagnostic Evaluation Code to Bill
The difference between 90791 and 90792, who can bill each, what the note must include, codes that cannot be billed the same day, and common intake denials.
Read the guide →90837 vs 90834 vs 90832: Which Psychotherapy Code to Bill
The time rules for 90832, 90834 and 90837, how to document session length, when to add 90785, and how to bill 60-minute sessions without triggering payer audits.
Read the guide →Intensive Outpatient Program (IOP) Billing: Codes, Authorizations and Common Denials
How mental health and substance use IOPs are billed: S9480, H0015, revenue codes 0905/0906, per diem vs per service, authorizations and attendance documentation.
Read the guide →Find out what your claims are leaving on the table
Tell us about your practice. We will review 90 days of claims and show you what is recoverable, at no cost.
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