Trusted by 125+ Clinics
Maximize your practice's revenue with end-to-end outsourced mental health billing services at a flat 2.5% fee. We help therapists, psychiatrists, and psychologists reduce billing errors, prevent repeat claim denials, and capture every eligible reimbursement.
Free billing audit in 48 hours. No setup fees. Works with your EHR and clearinghouses.
Book a Free Billing Audit
No calls required. No patient data needed.
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A senior billing specialist will reach out within one business day to set up your walkthrough. Want to lock in a time right now?
Time-based coding errors, authorization gaps, telehealth billing issues, and uncollected copays can leave significant revenue on the table for mental health practices, therapists, and psychologists.
Revenue Lost to Coding & Documentation Gaps
Medicare improperly paid an estimated $580M of $1B in psychotherapy payments. Undocumented session time was the most common reason.
HHS OIG Audit, 2023
Claims Lost to Behavioral Health Carve-Outs
Separate behavioral health benefit administrators can make it difficult to identify the correct payer, resulting in rejected or delayed claims.
Behavioral health billing challenge
Unpaid Sessions from Authorization Gaps
Physicians handle an average of 40 prior authorizations weekly, while 32% say requests are often or always denied. Missed session limits and reauthorization dates can put payments at risk.
AMA, 2025
Revenue at Risk from Telehealth Billing Errors
42.9% of Medicare fee-for-service outpatient mental health visits were virtual in 2023. Incorrect POS codes and payer-specific modifiers can lead to claim issues.
JAMA Network Open, 2026 (2023 data)
Unclaimed Revenue from Missed Add-On Codes
Overlooked interactive complexity, crisis psychotherapy, and psychotherapy-with-E/M add-on codes can leave eligible services unbilled.
Behavioral health billing challenge
Revenue Left in Uncollected Patient Balances
Point-of-service copay collection dropped from approximately 90% in 2019 to 56% in 2022, leaving practices with more outstanding balances.
MGMA Stat, 2025 (2022 data)
See how Thinkitive's mental health billing services improve collections, reduce administrative work, and control billing costs. Calculate your potential savings with a flat 2.5% fee.
Calculate My Savings →Maximize Reimbursement 97% net collection
Specialty-aware coding and pre-submission checks help capture eligible psychotherapy and psychiatry charges, reduce underpayments, and improve the revenue your practice collects.
Simplify Your Behavioral Health Revenue Cycle one accountable team
One dedicated team manages eligibility, carve-outs, authorizations, claims, denials, and A/R follow-ups, reducing administrative work and giving your practice one point of accountability.
Reduce Mental Health Claim Denials 32% fewer denials
Pre-submission checks for session documentation, coding, authorization status, and payer-specific telehealth requirements help prevent avoidable denials and repeated claim rework.
Our behavioral health billing services cover every stage of your revenue cycle, from insurance verification and prior authorizations to coding, claims management, denial recovery, A/R follow-ups, patient billing, and reporting.
Verify insurance coverage, mental health benefits, and payer requirements before appointments to identify carve-outs, coverage limits, and potential eligibility issues.
Coordinate mental health authorizations, monitor approved session counts, and track reauthorization dates to help prevent unpaid visits and avoidable denials.
Apply appropriate CPT and ICD-10-CM codes to psychotherapy, psychiatric evaluations, E/M combinations, and eligible behavioral health add-on services when supported by documentation.
Prepare and submit mental health claims using accurate session charges, specialty coding, and payer-specific billing requirements for therapy and psychiatry visits.
Investigate mental health claim denials, correct underlying billing issues, and manage appeals to pursue eligible payer reimbursements for your practice.
Monitor unpaid mental health claims, investigate payment delays, and identify underpayments to strengthen collections and reduce outstanding receivables across your practice.
Manage session-level copays, deductibles, statements, and payment follow-ups to support clearer patient billing and consistent collections for ongoing therapy visits.
Provide visibility into behavioral health billing performance through regular reports covering collections, denials, and accounts receivable trends across your practice.
See How Our Behavioral Health Billing Services Fit Your Existing Workflow
Explore how Thinkitive's outsourced mental health billing services help healthcare practices streamline billing workflows, resolve claim denials, and improve collections while working with their existing EHR systems.
We took the full cycle: eligibility before the session, session-based charge capture, and the 90837 and unit-count edits behavioral health payers reject most often, scrubbed pre-submission. Charges now reconcile against sessions daily, and denials are worked to appeal inside the platform their clinicians already document in.
Breshaun Black & Brittany BlackCo-Founder, Bright Care We scrub modifiers and place-of-service before submission, capture the collaborative-care codes that were being dropped, and work the aged bucket weekly. The 90+ bucket is now a weekly worklist with an owner rather than a month-end report.
Troy FultonFamily Psychiatric Mental Health Nurse Practitioner, Mesquite Valley Integrated Health We moved authorization tracking ahead of the appointment, coded E/M with therapy add-ons correctly, and pursued the payer when an authorised visit was denied anyway. The practice stopped absorbing denials for care that had already been approved.
Chad CryderFounder/President, My Psych Center We took ownership of the rule set and keep it current as policies shift, so claims go out clean the first time rather than being corrected after rejection. Rejections that do occur are appealed rather than written off, and the monthly pack shows which payer is responsible for what.
Dean ShaferManaging Director, Mind Clinic We keep enrolment current across every payer, reconcile 835 remits line by line, and flag every payment that lands under the contracted rate. Underpayments now surface in the month they happen rather than at year end.
Crystal QuinceOwner / CEO, Talquin Health We split coding by specialty, so the person coding orthopaedics is not the person coding behavioral health, then reconciled both books into a single report. The CEO now reads one A/R report instead of assembling several.
JaimeChief Executive Officer, Synergy We separated the two ledgers, and run card-on-file and payment plans against patient balances. Self-pay and insured performance can now be read independently.
Italo PignanoCEO & Co-Founder, Eon Medical & Wellness We code those three details from the note itself and write the appeal when a payer downcodes without justification. Downcoded claims are now contested rather than accepted.
MosayebFamily Nurse Practitioner, OWC We track billable minutes per patient per month, submit the recurring codes on schedule, and reconcile every remit against what was submitted. Enrolment documentation is now maintained to survive review, not just to get a claim out.
Mr. Muthu KrishnanChairman and CEO, Kencore Health We took the claim side end to end, including eligibility verification before a device ships. Their product team stopped building billing logic.
Ali El-KerdiCOO, Sozen We keep coding documentation attached to each claim and reconcile remits against expected reimbursement every month. Product and finance now work from the same monthly reconciliation.
Daniel NichitaSr. Product Manager, ESCAVO We separate the two at charge entry, invoice the employer side directly, and keep the insured side moving through the clearinghouse. Employer and payer revenue are now tracked as two distinct streams.
Joe BartonContractor, America Scouting Hear It Directly From Our Clients
From therapy session coding to psychiatric evaluations and psychological testing, our billing team supports the unique revenue cycle requirements of different mental and behavioral health practices.
Manage psychotherapy billing with accurate session-based coding, family therapy billing, and documentation checks.
Support psychiatric evaluations, medication management, E/M services, and psychotherapy add-on coding with accurate claim submission.
Manage psychological testing and evaluation billing with appropriate code selection and documentation-based claim validation.
Coordinate billing across multiple rendering providers under one tax ID while maintaining accurate provider-level charge and claim records.
Manage virtual therapy and psychiatry claims with payer-specific POS codes, telehealth modifiers, and multi-state billing requirements.
Start with free medical billing audit services to identify revenue gaps, assess your current billing performance, and plan a smooth transition to outsourced medical billing within 7–14 days.
1. Free Practice Audit & Scoping
Start with medical billing audit services that assess your A/R, denials, claims, and billing workflows to identify revenue gaps and prioritize improvements.
Key Deliverables
2. BAA, Access & Payer Setup
Set up secure system access, payer connections, and billing workflows to prepare your medical billing services for a smooth transition.
Key Deliverables
3. Parallel Run
Compare billing performance before the full transition. Your new billing team processes claims alongside your current biller, reconciles submissions, and works outstanding A/R to help keep revenue moving.
Key Deliverables
4. Full Handover & Reviews
Transition to fully managed medical billing services with a dedicated team, clear performance reporting, and continued access to your billing data and systems.
Key Deliverables
Answer four quick questions to compare your current billing costs with Thinkitive's flat 2.5% fee and estimate your potential savings with outsourced mental health billing.
Step 1 of 4
What is your practice type?
What's your practice's average monthly collections?
What is your current medical billing fee?
Enter your current billing company's fee as a percentage of monthly collections.
Enter your current fee as a percentage, e.g. 6.
Get Your Personalized Billing Quote
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From Family Medicine and OB/GYN to other specialized practices, get medical billing support tailored to your specialty. Let’s discuss your billing needs and find the right fit for your practice.
Protect sensitive patient information with signed BAAs, controlled billing access, and documented security practices. Our outsourced billing workflows prioritize patient privacy and responsible PHI handling.
Protect sensitive patient information through signed BAAs, controlled PHI access, and documented safeguards across outsourced mental health billing operations.
What's At Risk
Why It Matters
How We Handle It
Keep sensitive patient and billing information protected through documented security controls, controlled system access, and secure mental health billing operations.
What's At Risk
Why It Matters
How We Handle It
Our certified billing and coding professionals follow current coding guidelines, payer requirements, and behavioral health-specific rules to support accurate claims and fewer avoidable denials.
What's At Risk
Why It Matters
How We Handle It
Our behavioral health billing services account for payer-specific policies, Medicare and Medicaid requirements, authorization rules, and documentation standards.
What's At Risk
Why It Matters
How We Handle It
Our billing and coding professionals bring relevant credentials, behavioral health knowledge, and ongoing oversight to support consistent mental health billing operations.
What's At Risk
Why It Matters
How We Handle It
Our billing team works within your existing EHR, practice management systems, and clearinghouses, keeping your mental health billing workflows intact without disrupting daily operations.
*No migration. Works with 30+ EHRs & 10+ Clearinghouses. We work inside what you already run, using your existing access and submitter IDs under a signed BAA. No platform switch, no rerouting your billing, and no migration back if you ever leave.
Get mental health billing services tailored to your state's Medicaid programs, Medicare Administrative Contractor (MAC) jurisdiction, and payer-specific requirements. Select your state to explore relevant payer rules and billing considerations for your practice.
Find your state
50 states supported — tell us yours on the audit call and we'll confirm your exact payer setup.
California
Medi-Cal managed care plans add their own balance-billing limits, and major commercial payers each apply their own edits that are not interchangeable.
We enroll under your existing submitter IDs, so we bill whichever payers you already contract with — in California or any other state. Check my payers →
Texas
Managed-care MCOs administer most Medicaid claims separately from TMHP fee-for-service, so eligibility and timely-filing rules vary by plan.
We enroll under your existing submitter IDs, so we bill whichever payers you already contract with — in Texas or any other state. Check my payers →
New York
Medicaid managed care plans layer their own prior-auth and timely-filing rules on top of eMedNY base requirements.
We enroll under your existing submitter IDs, so we bill whichever payers you already contract with — in New York or any other state. Check my payers →
Florida
Statewide Medicaid Managed Care (SMMC) routes most claims through MCOs, each with its own authorization and appeal windows.
We enroll under your existing submitter IDs, so we bill whichever payers you already contract with — in Florida or any other state. Check my payers →
New Jersey
Managed care organizations administer the bulk of NJ FamilyCare claims, with plan-specific credentialing and filing deadlines.
We enroll under your existing submitter IDs, so we bill whichever payers you already contract with — in New Jersey or any other state. Check my payers →
Illinois
HealthChoice Illinois managed-care plans apply their own prior-auth rules layered on top of HFS fee-for-service policy.
We enroll under your existing submitter IDs, so we bill whichever payers you already contract with — in Illinois or any other state. Check my payers →
Simplify billing operations with outsourced mental health billing services tailored to your practice size, specialty, and budget. Reduce administrative workloads, improve collections, and focus more on delivering quality patient care.
Mental health billing costs depend on your practice size, claim volume, and services required. Thinkitive offers outsourced mental health billing at a flat 2.5% fee, helping practices manage their revenue cycle without maintaining a full in-house billing team. Book a free billing audit to understand your potential costs and savings.
Mental health medical billing covers the complete process of managing insurance claims and patient payments. This includes eligibility verification, prior authorization, psychotherapy and psychiatry coding, claim submission, denial management, A/R follow-ups, patient billing, and payment reconciliation. A comprehensive billing service also provides regular reports to track collections and outstanding claims.
CPT 90834 is generally used for psychotherapy sessions lasting 38–52 minutes, while 90837 applies to sessions lasting 53 minutes or longer. The selected code must reflect the actual documented session time and applicable payer requirements. Accurate time documentation helps prevent coding errors, claim denials, and reimbursement discrepancies.
Yes. Mental health billing companies can manage prior authorization requests, track approved session counts, monitor visit limits, and follow up on pending approvals. Tracking authorization expiry dates and reauthorization requirements helps practices avoid billing for sessions beyond approved limits and reduces preventable authorization-related denials.
For Medicare professional claims, POS 02 applies when telehealth is provided to a patient outside their home, while POS 10 applies when the patient receives telehealth services at home. Modifier requirements depend on the payer and service. Correct POS and modifier selection helps prevent telehealth claim rejections and payment delays.
Yes, psychiatrists may report eligible evaluation and management (E/M) services alongside psychotherapy when both are provided, separately identifiable, and appropriately documented. Applicable psychotherapy add-on codes include 90833, 90836, and 90838. The provider's qualifications, documentation, and payer-specific billing requirements must support reporting both services.
Yes. Behavioral health benefits are sometimes administered by separate companies rather than a patient's primary medical insurer. Our billing workflows include identifying the responsible behavioral health payer, verifying mental health coverage, and checking payer requirements before claim submission to help prevent rejections caused by incorrect payer identification.
Yes. Our outsourced mental health billing team works within supported EHR systems, practice management platforms, and clearinghouses already used by your practice. This helps maintain existing clinical and administrative workflows without requiring an unnecessary platform migration. System compatibility and access requirements are reviewed during onboarding.
The transition timeline depends on your practice size, billing volume, EHR access, and payer setup requirements. Thinkitive's planned onboarding process includes a billing audit, BAA and system access setup, payer configuration, and a parallel billing run, with a target transition period of 7–14 days.
Yes. A Business Associate Agreement (BAA) establishes responsibilities for handling protected health information (PHI) when a billing company works on behalf of a healthcare provider. Mental health billing workflows should also use appropriate access controls, authorized users, and documented safeguards to protect sensitive patient and insurance information.
Mental health revenue cycle management reports can include claim submissions, collection rates, denial trends, A/R aging, outstanding balances, and reimbursement performance. These reports help practice owners and administrators identify recurring billing issues, monitor payer performance, and understand how effectively their practice is collecting earned revenue.
Yes. Billing services for therapists and counselors include psychotherapy coding, session-time validation, insurance verification, prior authorization tracking, claim submission, and denial follow-ups. Our billing workflows support services provided by LPCs, LCSWs, LMFTs, and other eligible behavioral health professionals, subject to applicable payer and provider requirements.
Yes. Psychological testing and evaluation billing involves selecting appropriate codes, validating supporting documentation, and submitting claims according to payer requirements. Relevant CPT code families include 96130–96139. Accurate documentation of testing services, time, and provider responsibilities helps support appropriate claim submission and reimbursement.
Behavioral health RCM manages billing activities from insurance verification and authorization tracking to coding, claim submission, denial resolution, and payment collection. Coordinating these activities helps identify billing issues earlier, reduce preventable claim rework, follow up on outstanding reimbursements, and improve visibility into your practice's revenue cycle.
Evaluate a billing company's experience with psychotherapy and psychiatry coding, behavioral health carve-outs, prior authorizations, telehealth claims, and denial management. Also review its HIPAA safeguards, BAA process, EHR compatibility, reporting capabilities, pricing transparency, and account management approach before choosing an outsourced behavioral health billing partner.
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