Behavioral Health Revenue Cycle

Mental Health Billing Services For Psychiatry, PMHNP & Psychology Practices

7% of collections for a solo provider, with a $300 monthly minimum and no setup fee. The rate drops as you add providers, down to 4.5%.

We handle claims, denials, payment posting and unpaid balances for psychiatry, PMHNP, psychology and therapy practices, inside the EHR you already use.

Built for telehealth, in person and hybrid practices. All of our work is done virtually, so we never come on site.

Start Medical Billing Online

Secure checkout by Stripe Pay by card, Apple Pay or US bank account. HIPAA compliant, with a signed BAA.

Sign up online, sign your agreements in the Command Suite, and medical billing starts on the date in your signed Order Form, once onboarding is complete.

Medical Billing Priced By The Size Of Your Practice

Ongoing Billing

Claims, denials, payment posting, A/R follow up, reconciliation and a monthly report.

7% of collections with a $300 monthly minimum for a solo provider

No setup fee. The first month's minimum is charged at sign up and credited to your first monthly invoice.

Start Medical Billing Online

Secure checkout by Stripe

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.

“AdvanceAPractice has provided a great benefit to my growing practice and I strongly recommend their services! They were able to clearly explain the confusing insurance billing process and helped me create a plan to expand my business!”
John Benson, PMHNP-BCOwner, BBH Psychiatric Services

To compare, read what mental health billing services cost at other companies, or see how eleven mental health billing companies stack up in our mental health billing company comparison.

How Buying Works

From Price To First Work

Here is what happens after you choose a package.

You see your rate before you pay.
Within two business days after you pay, we send a link to sign your agreements in the Command Suite, and your onboarding packet follows.
You upload your documents once, and medical billing starts on the date in your signed Order Form, once onboarding is complete.
Track every piece in the Command Suite and hear back on questions within one business day.
Meet with us when it helps, up to twice a month. Everything we set up stays in accounts you own.

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 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.

We work your oldest claims first, so nothing ages past a payer’s timely filing limit while we work the rest. Every unpaid claim gets a reason and a next step, whether that’s a correction, an appeal or billing the right party, and you see where each one stands. Credentialing, eligibility checks and prior authorization stay separate unless the written scope includes them.

What You Receive

Every month you get a written medical billing report.

What was billed, collected and denied, by provider and payer.
What’s sitting in A/R, by provider and payer.
What’s still unpaid, who’s working it and when the next action is due.

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.

Revenue Visibility

Know What Is Billed, Denied, And Paid

A written report arrives every month, so owners can make staffing, scheduling and payer mix calls on real numbers. You can follow the work in the Command Suite, which comes with Ongoing Billing while you’re a client.

Ask Practice Concierge

Leaving Headway, Alma, Grow or Rula? Your claims move to your own contracts one payer at a time. See what changes when you leave a platform, or start with First Practice Launch if your practice isn’t set up yet.

Billing Services For Psychologists

If you run a psychology practice, you’re looking for medical billing that understands time-based therapy and testing together. We bill for psychology practices the same way we bill for psychiatry, PMHNP and therapy practices, inside the EHR you already use, such as SimplePractice, TherapyNotes, Valant, Kareo/Tebra or AdvancedMD.

Psychotherapy and psychological testing and assessment claims go out coded to what the documentation supports. When the visit is virtual, they carry the telehealth modifier and place of service the payer expects. Every payment is posted and reconciled.

The rate depends on the size of your practice, not your license type. Ongoing Billing runs from 7% of collections with a $300 monthly minimum for a solo provider, down to 4.5% as the practice grows. For six providers, Ongoing Billing is 6% of collections with a $250 monthly minimum per provider. You pay the $1,500 practice minimum at sign up. We bill your commercial, Medicare and Medicaid claims. If a psychologist in your group isn’t enrolled with a payer yet, claims shouldn’t go out early, so we track each provider’s effective date at every payer. Need insurance contracts first? See our credentialing services.

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 to get into payer networks first? See individual provider credentialing.

How Much Does Mental Health Billing Cost?

Your price depends on how many providers the practice has, and the price table above shows your tier. We checked it against our live price list on November 8, 2026.

Do You Bill Medicare And Medicaid?

Yes. We bill your commercial, Medicare and Medicaid claims.

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.

My EHR Already Has Billing. What Does Ongoing Billing Add?

Your EHR gives you the tools to send claims, and someone still has to run them. We check every claim before it goes out, fix and resubmit rejections, appeal denials, post and reconcile every payment and follow up on unpaid claims. It all happens inside the EHR you already use, with a written report each month.

Who Sends Patient Statements?

Your practice prints and mails them. We post every patient payment, so the balances on them are current.

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.

What Counts As Collections?

The payer and patient payments we post for your providers from your start date. Your rate is a percentage of those payments, and the monthly minimum applies per provider. Claims already past 90 days and unpaid are a separate job, Billing Cleanup And A/R Recovery.

How Do I Move My Medical Billing To You?

You sign up online and get an email invitation to the Command Suite, where you review and sign your Order Form and agreement, and your onboarding packet follows. You give us user access to your EHR, your clearinghouse and your payer portals. Billing starts once your agreements are signed and onboarding is complete, and your rate applies to the payments we post from your start date. Moving from another company? Read Switching Billing Companies.

How Do I Cancel Ongoing Billing?

Either of us can end the agreement with 30 days’ written notice. You owe the fees earned through the end date, and everything we set up in your accounts stays with your practice.

IOP and PHP programs bill differently. Read IOP vs PHP billing.

See Everything Included

Every Step

We check every claim before it goes out, then submit it.
We bill your commercial, Medicare and Medicaid claims, whichever you bill.
We review coding and modifiers on your claims.
We correct and resubmit rejections.
When a claim denies, we find the cause before we resubmit or appeal, so the same denial doesn’t keep coming back.
Now and then a payer approves your credentialing before its contracting team finishes loading you, and early claims deny because of it. We know this lag well, work it directly with the payer, and get those claims reprocessed together instead of one by one.
We post every payer and patient payment and adjustment for the providers we cover.
We reconcile what was paid against what was billed, and we reconcile patient accounts.
We keep each payer’s fee schedule on file, requesting any we don’t have with your permission, and check your payments against it regularly so underpayments get caught and corrected.
We follow up on unpaid claims with each payer.
You get a written report each month.

What You Provide

Your onboarding packet.
Access as a user in your EHR with billing turned on, your clearinghouse if you use one, and your payer portals.

Timelines

Within two business days of confirmed payment, you get an email invitation to the AdvanceAPractice Command Suite, where you review and sign your Order Form and agreement.
Billing starts once your agreements are signed and onboarding is complete.
Your rate applies to the payments we post from your start date, which means the payer and patient payments we post for your providers. The first month’s minimum you pay at sign up is credited to your first invoice.
Your rate is 7% of collections with a $300 monthly minimum per provider for one provider, down to 4.5% with a $175 monthly minimum per provider for 26 to 50 providers. There is no setup fee. Your exact rate is written on your Order Form.

What’s Not Included

Claims older than 90 days. Billing Cleanup And A/R Recovery works those for 20% of what we collect, and nothing is owed on claims we don’t collect.
Eligibility and benefits checks and prior authorization, unless a written scope includes them.
Sending statements to patients. That’s its own order.
Applied behavior analysis (ABA) agencies.
Fixing denied Medicare or Medicaid enrollment applications.
Credentialing, which is its own package.
An EHR. We work inside the one you already use.

Ongoing Support

Questions are part of working with us, during setup and for as long as you’re a client. Send them in the Command Suite or by email, and we reply within one business day, usually the same day. If a question turns into new work, like a new build or a change to something we built, we send a written quote before we start.
Up to two meetings a month if you need them.
Your Command Suite workspace shows what we’re working on and anything we need from you. It stays fully open during the work, read only for 30 days after, and then it’s $99 a month if you want to keep it.
If something we delivered doesn’t work the way we said it would, tell us within 30 days of delivery and we fix it at no cost.
Everything we set up is yours. The accounts, the documents and what we build stay with your practice.
Either of us can end the agreement with 30 days’ written notice.

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