Behavioral Health Revenue Cycle
Mental Health Billing Services For Psychiatry, PMHNP & Psychology Practices
We run mental health billing for psychiatry, PMHNP, psychology and therapy practices inside the EHR you use.
AdvanceAPractice charges 7% of collections with a $300 monthly minimum for a solo provider, down to 4.5%. Built for telehealth practices. All of our work is done virtually, so we never come on site.
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Pay by card or US bank account.HIPAA compliant, with a signed BAA.
Start With The Billing Problem You Need Solved
A growing balance doesn’t always mean the billing team needs to send more claims. It could be missing charges, a provider who isn’t linked to the practice, rejected files, unpaid claims nobody’s followed up on lately, or payments posted to the wrong account. We trace the problem before we change anything.
- Claims aren’t reaching the payer. We read the rejection message, check the submission and the provider records, and correct whatever’s stopping the claim.
- The same denial keeps coming back. We find the payer rule or setup error behind it, fix the claims it hit and show your staff how to stop the next one.
- Payments don’t match the reports. We compare remittances, posted payments, adjustments and bank deposits before anyone relies on the totals.
- The owner can’t tell what’s happening. You get a report of what moved, what’s still unpaid, who’s working each claim and when the next step is due.
Ongoing Billing covers the claims going out now, every month. Claims already past 90 days and unpaid are a separate job, Billing Cleanup And A/R Recovery, where we work them for 20% of what we collect and you owe nothing on a claim that never pays. Credentialing, eligibility checks and prior authorization stay separate unless the written scope includes them.
To compare, read what mental health billing services cost at other companies.
Medical Billing Priced By The Size Of Your Practice
Your rate drops as you grow: 7% of collections for a solo provider with a $300 monthly minimum, down to 4.5% at 26 to 50 providers. There's no setup fee.
Ongoing Billing
Claims, denials, payment posting, A/R follow-up, reconciliation and a monthly report.
7% of collections, 1 provider
$300 monthly minimum. No setup fee.
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- Most questions answered within one business day, and up to two meetings a month if you need them
Rate By Practice Size
| Practice Size | Rate | Minimum Per Provider |
|---|---|---|
| 1 provider | 7% | $300 |
| 2 to 5 providers | 6.5% | $275 |
| 6 to 10 providers | 6% | $250 |
| 11 to 25 providers | 5% | $200 |
| 26 to 50 providers | 4.5% | $175 |
- Practices with more than 50 providers can ask us for a written quote.
- Prices checked October 2026.
Want The Rates In Writing First? Email Me The Order Form
We’ll email you the Ongoing Billing Order Form with every tier, minimum and term on it, so you can share it with your partners.
Solo therapist or counselor? Ongoing Billing is 7% of collections with a $300 monthly minimum, and you can start online. Start Medical Billing Online
A Real Example
The Negative Balances Weren’t A Posting Mistake
Some patient accounts were showing negative balances. It looked like a billing error, and it wasn’t. Two payers had each paid as primary and both electronic payments had posted, so the real problem was coordination of benefits. The fix was reconciling those accounts and cleaning up the statements that had already gone out.
The same practice got collections-based pay reporting that went to the owner, the provider and the bookkeeper every month, and its new provider’s first claims were reviewed before submission.
What We Manage
Billing Support From Eligibility Through Payment
Claim submission is the last step. Most revenue leaks start well before it.
Clean Claim Flow
Claims that go out complete, correctly coded, and on time.
Find And Fix Denial Causes
We track denial patterns by payer, code and provider, so the cause gets fixed instead of the claim going back out unchanged.
Eligibility And Benefits By Written Scope
Coverage and rider verification can be added when it is listed in the signed scope.
Prior Authorization By Written Scope
Authorization requests and expiration tracking can be added when they are listed in the signed scope.
Payer & Policy Monitoring
Auth rules, fee schedules, and telehealth changes flagged for your mix.
Posting & Reconciliation
Payments and adjustments recorded so your AR report reflects reality.
Revenue Visibility
Know What Is Billed, Denied, And Paid
One dashboard shows what’s billed, collected, denied and sitting in A/R, by provider and payer. Owners use it to make staffing, scheduling and payer-mix calls on real numbers. You track it in the Command Suite, which comes with Ongoing Billing while you’re a client.
Ask Practice ConciergeHow It Works
Three Steps To A Steadier Revenue Cycle
Review
We look at your denial rate, aging A/R and payer mix, and find where claims stall.
Fix At The Source
If the pattern starts at patient intake, in coding or in credentialing, we fix it there. Reworking the claim alone just gets it denied again.
Keep Claims And Follow Up Moving
Clean claims go out, someone works every denial, and you see the numbers every month.
Who We Bill For
Built For Mental And Behavioral Health Practices.
Psychiatry
E/M, psychotherapy add-ons, and medication prior authorizations.PMHNPs & NPs
Medication management, add-ons, telehealth, and supervision billing.
Psychology & Testing
Time-based therapy plus psychological testing and assessment codes.
Group Practices
The same billing rules for every provider, and one view of revenue across the whole group.
Where Billing Connects
A Recurring Denial Usually Starts Upstream.
Where Behavioral Health Claims Fail
Most recurring denials in behavioral health start before the claim is ever built.
Denials Usually Start At Intake
Wrong plan selected, behavioral health carved out to a separate plan, or an expired authorization. By the time it denies, the visit is weeks old and the fix is retroactive.
Code Selection Has To Match The Note
Session length, add-on codes, and the distinction between an evaluation and ongoing therapy all have to agree with what the documentation supports. Payers audit that pairing.
Telehealth Rules Vary By Payer
Place of service and modifier expectations differ between plans and change between years. A setup that paid last year can deny this year without anything else changing.
We Review Denials Every Week
Denials get grouped by cause and owner, worked on a cadence, and checked against the same definitions each week so a moving total means something.
FAQ
Mental Health Billing FAQs
Do You Bill For Therapists And Counselors?
Yes. We bill for therapy practices as well as psychiatry and PMHNP practices. The rate depends on the size of your practice, not your license type. Need insurance panels first? See therapist credentialing.
What CPT Codes Do Behavioral Health Practices Bill Most?
Common codes include 90791/90792 for evaluations, 90832/90834/90837 for individual psychotherapy, 90853 for group, the add-on codes 90833/90836/90838 with an E/M visit, and 99213/99214 for medication management. The right code depends on the service and what the documentation supports.
Why Do Behavioral Health Claims Get Denied More Often?
Time-based coding, session limits, telehealth modifiers and credentialing gaps all add denial risk, and so do authorization rules on medications and Spravato. Most of it’s preventable with a clean front-end process and denial follow-up that gets done.
Do You Bill Telehealth Sessions?
Yes. Each telehealth claim gets the modifier and place of service that payer expects, 95 for audio-video or 93 for audio-only, and POS 02 or 10. Payers change these rules from year to year, so we keep each payer’s current rule in your billing setup instead of sending every telehealth claim out the same way.
Can You Work With Our Existing EHR?
Yes. We work inside SimplePractice, TherapyNotes, Valant, Kareo/Tebra, AdvancedMD and others, so you don’t have to switch. We need authorized access to the EHR, your clearinghouse and the payer portals. When a denial pattern traces back to how the EHR is set up, like a plan entered with no effective date, we fix the setup where it lives.
IOP and PHP programs bill differently. Read IOP vs PHP billing.
What Would Fixing It Cost?
Ongoing Billing, Automation Programs and the Operations Partnership each have a published price and a written scope. Tell us what keeps going wrong, and we’ll point you to the right one.