Behavioural/Mental Billing Services

Behavioral/Mental Billing Services

Comprehensive Billing Support for Behavioral & Mental Health Practices

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What We Do:

Timely claim submission for individual, family, and group sessions

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End-to-end billing for therapy, counseling, and psychiatry services

Accurate verification of benefits, including visit limits and authorizations

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Specialized handling of telehealth and time-based CPT billing

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HIPAA-compliant processes tailored for mental health providers

Reliable RCM for Mental Health Professionals and Behavioral Care Clinics

  • Billing for 90837, 90834, and other time-based psychotherapy sessions
  • Handling prior authorizations for psychological and psychiatric evaluations
  • Tracking frequency caps and session limits per insurance plan
  • Submitting claims for medication management with E/M services
  • Supporting hybrid billing for in-person and telehealth behavioral visits

Behavioral and mental health billing requires a deep understanding of time-based codes, session frequency rules, and prior authorizations. Unlike general medical billing, these services involve unique challenges like limited coverage, non-standard codes, and high rejection rates. Horizon Healthcare Solutions is well-versed in the nuances of billing for therapists, psychologists, and psychiatrists.

We work with solo practitioners, group practices, and outpatient mental health centers to ensure accurate claim submissions and faster reimbursements. Our team verifies visit limits, handles complex authorization rules, and ensures compliance with payer policies for each billed service.

With HIPAA-compliant processes and familiarity with all major EHRs and PM systems, we help reduce denials, shorten AR cycles, and free you to focus on patient mental wellness—not paperwork.

Common Challenges in Behavioral/Mental Health Billing

01

Frequent Session Limits and Cap Issues
Many insurance plans cap the number of therapy sessions annually, requiring pre-authorization and strict tracking to avoid denials.

02

Time-Based Code Complexity

Billing for sessions based on duration (e.g., 30, 45, 60 minutes) demands accurate documentation and coding precision.

03

Telehealth Coverage Gaps
Payer policies on telehealth for behavioral health are inconsistent, leading to confusion about what services are covered.

04

Reimbursement Delays Due to Authorization Gaps
Lack of timely pre-authorization for psych evals or medication management can cause claim holds or rejections.

05

Coordination of Benefits Confusion
Patients with dual coverage often have mismatched payer priorities, causing payment delays and extra admin work.

06

Underutilization of Eligible Services
Providers often fail to bill for services like group therapy or psychiatric evaluations due to lack of clarity on code usage or documentation standards.
Let Horizon Simplify Your Mental Health Billing Process

Let Horizon Simplify Your Mental Health Billing Process

Horizon Healthcare Solutions brings deep expertise in managing the complex, sensitive, and specialized billing requirements of behavioral and mental health providers. We understand the regulatory and clinical nuances that come with this field and tailor our services to meet those exact needs.

From validating patient benefits to processing time-based claims and navigating telehealth reimbursement rules, we ensure that your billing process is smooth and stress-free. Our experienced team monitors payer updates regularly to keep your practice compliant and financially stable.

Let us handle the backend challenges so that you can focus on providing a safe space for healing. With Horizon, your billing is accurate, compliant, and aligned with your care goals.

How We Add Value to Your Practice

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Up to 50% Cost Savings
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Clean Claim Submission Rate
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Reduction in Accounts Receivable
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Boost in Cash Flow
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Reduction in Denial Rates

Redefining Industry Excellence

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HIPAA Compliant

Our commitment to HIPAA compliance ensures the highest standards of data security and patient confidentiality. We implement robust safeguards to protect sensitive information, allowing healthcare providers to focus on delivering exceptional patient care.

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Proven Results and Cost Efficiency

Our expert billing solutions deliver up to 50% cost savings with higher claim acceptance rates, driving reliable revenue growth for dental practices.
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Customized, Client-Centric Approach

Tailored to the unique needs of each practice, we enhance efficiency, streamline processes, and boost patient satisfaction through targeted billing and RCM solutions.
Committed to Your Success

Committed to Your Success

Our greatest satisfaction is helping a client increase their revenue, decrease expenses and bring their AR under control, and we celebrate these successes daily.

Comprehensive Claims Reviews

Regularly conducted assessments of denied claims to pinpoint submission errors and enhance future claim accuracy.

Ease and Simplicity

Our services integrate with your existing software and in-house team to ensure efficient and profit-focused processes.

Reliable Support, When You Need It

Our dedicated team is available to assist you during convenient hours and ensures prompt responses to your inquiries by phone, email or chat.

Get started with Horizon Healthcare Solutions today

Elevate your revenue cycle management to new heights.

Connect with us today and see how our expertise can drive growth and efficiency for your practice!

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