Mental Health Billing Services
Session time traps, telehealth modifier chaos, and therapy auth denials drain behavioral health practices. We help fix all three.
15+
Years in behavioral billing
All 50
States supported
Dedicated
Behavioral health team
Modular
Services you need
The Mental Health Billing Challenge
Every specialty has coding landmines. Here are the ones costing mental health practices the most.
90834 vs 90837 Session Traps
$25-40K/yr90834 / 90837
Downcoding 53-minute sessions to 90834 instead of 90837 is the most common revenue leak in behavioral health. Payers scrutinize both directions, so documentation and time must align precisely.
Telehealth Modifier Chaos
30% first-pass denialsModifier -95 / GT
Every payer has different telehealth modifier and place-of-service requirements. Using the wrong modifier or POS code causes immediate denials on nearly a third of telehealth claims.
Therapy Authorization Denials
34% of behavioral denialsAuth denials
Over a third of behavioral health denials are authorization-related. Session limits expire, re-auth deadlines pass, and services get rendered without valid coverage.
Psych Eval + E&M Same-Day
$15-25K missed90791 with 99213-99215
When a psychiatric evaluation and E&M service occur on the same day, many practices fail to bill both with proper modifier use. This leaves significant revenue uncaptured.
Family Therapy Pitfalls
Commonly denied90846 / 90847
Family therapy codes differ based on whether the patient is present (90847) or absent (90846). Incorrect selection and missing documentation lead to high denial rates across payers.
ABA & Behavioral Analysis
$20-35K/yrH0031 / H0032 / 97151-97158
Applied behavior analysis codes are among the most complex in behavioral health. Supervision ratios, tiered codes, and payer-specific rules create constant billing errors.
What We Handle
Complete mental health billing coverage — every code, every payer, every claim.
Therapy Services
- Individual therapy (90834/90837)
- Psychiatric evaluation (90791)
- Family therapy (90846/90847)
- Group therapy (90853)
- Crisis intervention
- Psychoanalysis
Telehealth
- Audio-video sessions
- Audio-only sessions
- Modifier compliance (-95/GT)
- Place-of-service management
- State-specific telehealth rules
- Interstate licensing coordination
Medication Management
- Psychiatric medication management
- E&M with modifier-25
- Collaborative care (99492-99494)
- Pharmacogenomic testing
- Injection administration
- Lab coordination
Administrative
- Session-limit tracking
- Re-authorization management
- Credentialing
- Appeals & reconsiderations
- Out-of-network billing
- Patient statements
How It Works
Week 1
Free Analysis
We audit your mental health billing, identify the biggest revenue leaks, and show you the numbers.
Week 1-2
Your Team Gets to Work
Coders and billers trained in mental health connect to your system and start processing claims.
Day 30-90
Results Compound
Denial rates drop, clean claims climb, and revenue increases. You see it all in real-time dashboards.
“I highly recommend Everest A/R Management to anyone looking for a Revenue Cycle Management solution. Their team was able to dive into the mess that a previous billing company had left us in and they methodically worked through the problems and even captured what we had considered to be lost revenue. They work tirelessly through denials and appeals to make sure that we get paid for the work we’ve done. Our A/R is now accurate, and our cash flow has improved significantly. We no longer stress about our billing, and we can trust them to the point where we can focus on improving other areas of the business. Their communication is excellent, and they’ve integrated so well with our team that it feels like they are a department within our organization. We couldn’t have done it without them. Thank you to everyone on the Everest team!”
Chris Applewhite
Frequently Asked Questions
How do you handle the 90834 vs 90837 distinction?
Can you manage telehealth modifier requirements across payers?
How do you track session authorizations?
Do you handle out-of-network billing?
Are you familiar with Mental Health Parity Act requirements?
Do you work with solo practitioners or only group practices?
Find out how much revenue your mental health practice is missing.
Free analysis from a billing expert who knows your specialty. No obligation. No contracts. Just numbers.