Mental Health Billing Services

Empowering Mental Health Practices with Comprehensive Billing Solutions

Mental health care is crucial, yet billing for these services presents unique challenges due to evolving regulations, payer-specific requirements, and the complexity of documenting therapy sessions. At Hello MDS, we provide tailored billing solutions for mental health providers, ensuring accurate claim submissions, reduced denials, and optimized revenue cycles.

Challenges in Mental Health Billing

Time-Based Services: Therapy and counseling sessions require accurate time-based coding.

Insurance Limitations: Coverage for mental health services varies greatly, often requiring detailed eligibility checks.

Regulatory Complexity: Staying compliant with HIPAA, CPT, and ICD-10 guidelines is essential to avoid denials.

High Denial Rates: Mismanagement of modifiers and incomplete documentation can lead to frequent claim rejections.

Key CPT Codes for Mental Health Services

Therapy and Counseling Sessions:

90791: Psychiatric diagnostic evaluation

90834: Psychotherapy, 45 minutes

90837: Psychotherapy, 60 minutes

Group and Family Therapy:

90846: Family psychotherapy without the patient present

90847: Family psychotherapy with the patient present

90853: Group psychotherapy

Crisis and Complex Case Management:

90839: Psychotherapy for crisis, first 60 minutes

90840: Psychotherapy for crisis, additional 30 minutes

Behavioral Health Services:

96127: Brief emotional/behavioral assessment

99484: Care management for behavioral health conditions

Hello MDS ensures accurate use of these and other codes, reducing errors and maximizing reimbursement rates for mental health practices.

Hello MDS’s Mental Health Billing Solutions

Precise Coding and Documentation

Our team specializes in the nuances of mental health billing, including time-based coding and compliance with payer guidelines.

Eligibility and Authorization Management

We verify insurance coverage and secure prior authorizations to avoid claim denials and payment delays.

Denial Management

From addressing claim rejections to preventing future issues, we ensure a smoother revenue cycle.

Revenue Cycle Optimization

With our advanced analytics and reporting tools, we streamline your billing processes and enhance cash flow.

Why Choose Hello MDS for Mental Health Billing?

Increased Collections: Accurate coding and efficient claim submission lead to faster reimbursements.

Expertise in Mental Health: Our team understands the specific requirements of mental health billing, including documentation and payer policies.

Regulatory Compliance: We stay updated with the latest HIPAA, CPT, and CMS guidelines.

Transparent Reporting: Gain actionable insights into your practice's financial performance with detailed reports.

Let Hello MDS Support Your Mental Health Practice

Delivering quality mental health care is demanding. Let Hello MDS handle your billing needs so you can focus on helping your patients. From therapy sessions to crisis management services, we ensure your claims are accurate, timely, and fully reimbursed. Contact us today to learn how Hello MDS can streamline your mental health billing process and enhance your practice’s profitability.