Mental Health Billing Services

Mental health billing that
gets paid on time.

Mental health billing fails on small things: place of service, time-based modifiers, session limits, lapsed authorizations. Our mental health billing services run an eligibility review before the session and scrub every claim against payer edits, so you stop working denials and start collecting.

96%avg. net collection rate across TruCare clients

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How our mental health billing services help

96%

avg. net collection rate across TruCare clients

>95%

clean claims accepted on the first pass

−38%

reduction in aging A/R, so payment delays stop compounding

6–20%

revenue growth in the first 90 days

Figures reflect TruCare revenue cycle client results, trailing twelve months.

Outsource mental health billing services to a trusted partner

Rated 4.8 / 5

Based on 180+ client reviews

Verified client reviews

Mar 07, 2026

Denials finally stopped

Our teletherapy claims used to bounce for place-of-service errors. TruCare caught them before submission and our denial rate dropped in the first month.

Dana R., group practice owner

2 weeks ago

Authorizations handled

Session limits and reauthorizations were eating a full day a week. Now they surface before we hit the cap instead of after a denial.

M. Okafor, practice manager

Jan 09, 2026

Clean claims out the door

Eligibility runs before the session, so the claim is right the first time. Our days in A/R are down by about a third since we switched.

Priya N., billing lead

Dec 18, 2025

Billing in three weeks

Two new therapists were credentialed and billing in three weeks. The last group we worked with took four months to get one panel.

Sam Whitfield, solo provider

Nov 30, 2025

Real visibility

I can see every unpaid claim by payer without asking anyone to build me a report. That alone changed how we run the practice.

L. Castellanos, clinical director

Core mental health billing, in one system

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Credential and enroll your clinicians

TruCred handles mental health credentialing end to end, moving new therapists and psychiatrists through payer panels so they are billing in weeks instead of months.

Payer enrollmentCAQH upkeepNPI & taxonomy

Why therapists love TruCare

“I was doing my own billing at night to save money. TruCare costs less than the hours I was losing, and my claims actually get paid the first time now.”

Taylor Moss, LMFT · solo practice

Mental health billing isn’t general billing. We don’t bill it like it is.

A therapy claim carries things a medical claim never does: a time-based code that has to match the session length, a place of service that changes the moment a visit goes virtual, and a session cap that expires quietly in the middle of treatment.

Most vendors run therapy claims through a general outpatient workflow. Ours don’t. Behavioral health has its own payer rules, its own authorization math, and its own denial patterns, and every one of them gets handled before the claim leaves.

Our billers work behavioral health caseloads all day. They know which payers count a 90837 against a 90834 limit, which ones want a reauthorization at session 16, and which ones deny on POS 02 when they expect POS 10. Because if it isn’t right on the claim, it doesn’t get paid.

What our mental health billing services do for you

Therapy-specific coding

90791 and 90792 psychiatric evaluation codes, 90832 through 90837 by session length, 90846 and 90847 family therapy, 90853 group therapy, and the add-on units that belong with them.

Correct place of service

Office, telehealth, and home visits coded to POS 02 or POS 10 with the right telehealth modifiers, so virtual sessions stop coming back denied.

Authorization tracking

Visit limits and reauthorization dates watched per payer, with renewal filed before the cap is reached instead of after.

Fewer denials

Payer medical-necessity rules for behavioral health applied before submission, not discovered on a rejection letter.

More revenue captured

Every unit of care billed, including 90839 and 90840 crisis service codes and the add-ons most practices leave on the table.

Reporting you can act on

Denial causes broken out by payer and by clinician, so you fix the pattern instead of reworking claims.

Rated on the platforms that matter

Ratings shown are collected from verified client reviews.

Our service offerings

We bill every mental health sub-specialty, not just talk therapy

Psychiatry & med management

Psychiatrists billing E/M visits with psychotherapy add-on codes like 90833, medication checks, and the documentation controlled-substance claims need.

Psychotherapy practices

Individual, family therapy, and group therapy sessions billed to the time tier the note actually supports, every visit.

Substance use treatment

SUD treatment, MAT, and counseling billed on H-codes like H0015 across state Medicaid and commercial plans with their own rule sets.

ABA therapy providers

Assessment and treatment units billed against the authorization, with technician and supervision time kept separate.

IOP & PHP programs

Higher levels of care billed per diem on H0035 and S9480, with the level-of-care proof and attendance records payers ask for up front.

Teletherapy platforms

The right place of service and telehealth modifier for every state a clinician is licensed in, tracked as policies change.

Group counseling centers

Multi-clinician rosters billed without collisions, each session filed under the provider the payer recognizes.

Employee assistance programs

Contracted EAP sessions billed to the agreement, then transitioned cleanly to insurance when the blocks run out.

Private practice billing services, built for behavioral health

Billers who only work behavioral health

Your claims are handled by certified billers who do mental health coding all day and know session caps, visit limits, and which payers deny what. Not a general outpatient queue.

Keep the EHR you already use

TruCare sits on top of your existing charting system and pulls sessions straight through to the claim. No migration, no double entry.

Credentialing handled alongside billing

When you add a clinician, TruCred runs mental health credentialing and payer enrollment while billing keeps running, so a new hire starts collecting in weeks, not months.

Common denial reasons in mental health billing, and our solutions

Behavioral health claims fail for a short, predictable list of reasons. Almost all of them are preventable at claim submission rather than appealable after the fact, once you know the payer edits behind them.

Denial triage tags every rejection to a root cause, and that cause becomes a rule your future claims are checked against. The same rejection does not come back next month, and underpaid claims get reworked instead of written off.

Losing revenue to therapy claim denials you keep reworking?

Get a free mental health billing audit of your last 90 days.

Request a billing audit

Specifically, here is what we fix:

Session length doesn’t match the code

A 50-minute session billed as 90837 when the payer wants 90834. CPT selection follows the documented session duration, so the CPT level and the note agree before submission.

Wrong place of service on telehealth

Virtual sessions denied on POS 02 versus 10, or a missing 95 modifier. Place of service is set from how the session actually happened and checked against that payer’s telehealth policy.

Authorization expired or maxed out

Sessions delivered past the approved visit limits or after the auth window closed. We track reauthorization dates per payer and file before the cap, not after a rejection.

Coverage lapsed or benefits changed

A plan that terminated mid-treatment, or behavioral health carved out to a Medicaid MCO. An eligibility review runs before every session, including recurring ones, so lapses surface first.

Clinician not credentialed with the plan

An associate seeing patients before the panel approval lands, or billing under the wrong supervising NPI. TruCred keeps provider credentials, taxonomy, and billing-provider linkage current, so claims go out under a provider the payer recognizes.

Documentation doesn’t support the claim

Missing treatment plans, no medical necessity language, or diagnosis support that doesn’t match the service. We flag the missing proof before submission and build the appeal packet inside the appeal deadlines when a payer still asks.

Trust our expertise across the full mental health CPT code set

Therapy revenue lives in a narrow band of codes, and most of the money practices lose is lost inside it: a session billed one tier short, an add-on never captured, an assessment coded as a visit.

Our coders work behavioral health caseloads exclusively. They know which payer counts which code against a session cap, which add-ons that payer will actually pay, and the HCPCS codes that higher levels of care bill on: H0015, H0035, and S9480.

Book a free consultation

TruCare’s mental health coding coverage includes:

9079190792

Intake and diagnostic evaluation

The first session is the one payers scrutinize most. We separate evaluations with medical services from those without, and file the intake so a re-evaluation later in treatment still pays.

AI-assisted billing intelligence that works with your EHR

Our mental health billing solutions connect to the charting system your clinicians already use. Sessions, notes, and client records flow into billing without a migration, a data re-entry project, or asking your team to learn a second platform.

Instead of adding another layer, we make the setup you have work harder. Mental health RCM runs on top of it: claim status, denial patterns, and A/R follow-up gaps are surfaced by automated analysis, so your billers spend their time on the claims that need a human.

See a demo with your EHR

Clinician reviewing a session with a client

Deep integrations with all EHRs

TruCare connects seamlessly with your existing workflows — no switching required.

What changed in mental health billing for 2026

Telehealth rules keep moving

POS 02 and POS 10 expectations and telehealth modifiers differ between CMS, Medicare Advantage, and commercial plans, and change mid-year. Last year’s billing pattern is this year’s denial.

Longer sessions draw more scrutiny

Payers increasingly review 90837 utilization and ask for documented time. Practices billing the top tier by default are the ones getting audited.

Authorization requirements expanding

More Medicaid MCO and Medicare Advantage plans require prior authorization for intensive outpatient programs and extended treatment, and reauthorization windows are getting shorter.

Digital and collaborative care codes in play

Collaborative care management and digital therapy codes are now billable with more plans, and most practices delivering that care still aren’t billing for it.

Filing and appeal windows tightening

Shorter timely filing limits and appeal deadlines mean a claim sitting in aging A/R for a month is often a write-off rather than a rework.

Credentialing pressure on group practices

Panels are closing and reattestation is enforced harder, so an associate billing under the wrong provider record is a growing source of recoupment.

How TruCare protects your practice revenue

TruCare tracks payer policy changes across Medicare, Medicaid, and commercial plans and turns each one into a rule your claims are checked against before they go out.

When a payer changes its telehealth policy or tightens authorization, the change lands in our scrubbing rules, not in your denial queue three weeks later. Eligibility, place of service, session counts, and provider enrollment are all verified against current policy at submission.

Claims are tracked through the clearinghouse and the payer acknowledgment, corrected when a reject comes back, and appealed inside the filing window. Payment posting and A/R follow-up continue after adjudication, so underpaid claims and reimbursement gaps don’t quietly close.

The result is cleaner claims, fewer write-offs from missed deadlines, and a clear picture of what each payer actually owes you.

In-house vs. outsourced

Why practices outsource mental health billing

Keeping billing in-house gives you control. Billing companies for mental health give you specialists. Both work, and both have a cost that shows up somewhere: in your margin, your aging A/R, or your evenings.

Here is how the two compare on the things practice owners actually weigh:

Aspect	In-house mental health billing	Outsourced to TruCare
Team focus	Staff wear several hats. Billing gets done between scheduling, intake calls, and client questions.	Billing and follow-up are the whole job. Nothing else competes for the hours.
Behavioral health know-how	Depends on one or two people knowing therapy codes, session caps, and payer quirks.	Coders and billers who work behavioral health caseloads exclusively, all day.
Payer rule changes	Someone in the practice has to track telehealth policy and authorization changes on top of their day.	Tracking policy change is part of the service, and each change becomes a claim rule.
Operating costs	Salaries, benefits, training time, clearinghouse and software fees, and the desk it all sits at.	A contracted fee tied to what you collect, turning a fixed cost into a variable one.
Staffing risk	One resignation, illness, or vacation stalls submissions and A/R follow-up.	Billing continues through individual absences. Coverage is the vendor’s problem, not yours.
Technology	You buy, learn, and maintain the billing tooling, and integrate it with your EHR yourself.	The platform, clearinghouse connections, and EHR integration come with the service.
Compliance burden	HIPAA and 42 CFR Part 2 controls, audit preparation, and documentation review rest entirely on the practice.	Built-in compliance checks and audit-ready documentation, with the burden shared rather than carried alone.
Denial management	Denials queue up behind clinical work and often get reworked instead of triaged to a root cause.	Dedicated staff run denial triage by root cause and file appeals inside the appeal deadlines.
Payment speed	Interruptions and small coding errors quietly extend aging A/R, and underpaid claims go unnoticed.	Claims are scrubbed before submission and tracked to payment, so cash lands sooner.
Clinician and owner time	Evenings spent on claims, or a practice owner supervising billing instead of running the practice.	Leadership time goes back to clients, hiring, and growth instead of claim chasing.

Compare against your numbersFree 90-day denial and A/R review, no commitment.

Hover a state to see coverage

Where we serve

Mental health billing in all 50 states

We provide billing services for mental health providers nationwide: solo therapists, behavioral health clinics, group practices licensed in several states, and telehealth therapy providers treating clients across state lines. Payer rules are handled per state and per plan, not with one generic template.

Multi-state credentialing

Cross-state telehealth billing

Medicaid MCO enrollment

Clearinghouse connections

Patient statements

A named account contact

Payers we bill every day

Medicare & Medicare Advantage

CMS fee schedules, MA plan carve-outs

Medicaid & managed Medicaid

State Medicaid, Medi-Cal, Medicaid MCO plans

National commercial plans

UnitedHealthcare, Optum, Aetna, Cigna, Evernorth

BCBS & Anthem

Plan-by-plan behavioral health policy

Centene family

Molina, WellCare, Amerigroup

We bill whichever plans your practice is contracted with. Panel status and enrollment are handled by TruCred.

Mental health billing saver guide

An example practice saves up to $54,385 a year by outsourcing to TruCare$54,385 a year by outsourcing to TruCare

	In-house billing	With TruCare	Annual saving
Dedicated billing staff	$73,060	$0	$73,060
Billing software and clearinghouse	Varies	Included	—
Training, turnover, and coverage	Varies	Included	—
Service fee on collections	—	$18,675	—
Total annual cost	$73,060	$18,675	$54,385

Example: a practice collecting $750,000 a year with one full-time biller, at TruCare’s starting rate of 2.49%. Biller cost uses the BLS May 2025 median wage for medical records specialists ($51,140), with benefits at 30% of total compensation (BLS, June 2026). Software and training costs vary by practice and are not counted. Your TruCare rate depends on monthly collections and the services you use.

Ready to see these numbers for your practice?

Talk to a mental health billing expert

What our mental health billing clients value most

“Our biggest problem was keeping eligibility, authorizations, and session billing aligned across a growing team of therapists. TruCare fixed the front end first, then the claims. Denials dropped, reauthorizations stopped slipping past the cap, and I can finally see what each payer owes us without building a report.”

Jessica Morgan

Clinical Director, Morgan Therapy Services

Mental health billing thatgets paid on time.