Specialty Focus: Behavioral Health

Behavioral Health Billing,
Engineered for Precision.

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Psychological Testing

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psychiatry
Psychiatry
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Psychotherapy
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Telehealth
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Testing

Select a behavioral health focus area on the scanner or list below to reveal the specific CPTs, time-based rules, and documentation standards our certified coders master to secure your revenue.

psychiatry

Psychiatry & Med Management

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Precision billing for psychiatric evaluations (90791/90792) and subsequent medication management. We master the complex rules of billing Evaluation & Management (E&M) codes alongside psychotherapy add-on codes (e.g., 99213 + 90833) to ensure compliant, maximized reimbursement.

E&M Leveling Add-on Codes Psychiatric Evals
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Psychotherapy

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Expert management of strict time-based coding rules (90832, 90834, 90837). We accurately capture family therapy (90846/90847), group therapy, and correctly apply the Interactive Complexity add-on code (90785) when non-standard communication factors arise.

Time-Based Coding Interactive Complexity Crisis Intervention
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Psychological Testing

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Navigating the complex tiered structure of neuropsychological and psychological testing. We ensure clear separation of evaluation services (96130-96133) from administration and scoring components (96136-96139), tracking exact base and add-on time units.

Neuropsych Testing Eval vs. Admin Base & Add-on Units
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Tele-Behavioral Health

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As behavioral telehealth regulations constantly shift post-PHE, we manage the exact Place of Service (POS 02 vs. 10) and required modifiers (95, GT, FQ, FR) specific to Medicare and commercial payers to prevent widespread telehealth denials.

POS 02 & 10 Modifiers 95/GT Audio-Only Billing

Behavioral Billing is Complex.
We Make It Profitable.

Mental health providers face severe scrutiny on session times, telehealth locations, and prior authorizations. Hover over the common challenges below to see how HBS secures your revenue.

Time-Based Code Overlaps

Billing a 45-minute psychotherapy code (90834) when the session only lasted 37 minutes triggers immediate downcoding or complete denial during routine audits.
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The HBS Solution

We deploy automated time-boundary checks based on CPT guidelines (e.g., 16-37 mins = 90832). If a provider’s documented time falls short, we catch and correct it before submission.

E&M + Psychotherapy Bundling

When a psychiatrist performs med management (E&M) and therapy in the same visit, payers frequently bundle or deny the add-on therapy code, erasing earned revenue.
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The HBS Solution

We ensure the primary E&M code is billed by MDM (Medical Decision Making) while the add-on therapy code is strictly billed by time, using proper modifier 25 logic to force payment.

Telehealth POS Denials

Since the Public Health Emergency ended, payers have fragmented their telehealth rules. Using POS 02 when a payer demands POS 10 (or vice versa) results in massive claim rejections.
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The HBS Solution

Our claim scrubber cross-references real-time payer policies. We dynamically map the exact POS code (02, 10, or 11) and modifiers (95, GT) required by that specific insurance company.

The HBS Behavioral Advantage

We don’t just process claims; we act as the financial safeguard for your clinic. From capturing interactive complexity to managing strict session authorizations, we optimize your entire revenue cycle.

98% First-Pass Clean Claim Rate

Our proprietary scrubbing engine catches time-overlap errors, missing telehealth modifiers, and invalid add-on codes before the claim ever leaves our system.

48-Hour Turnaround

Supercharge your clinic's cash flow. We guarantee that your session notes and assessments are coded and billed within 48 hours of receipt.

Prior Auth & Session Tracking

Mental health payers are notorious for session limits. We track benefits and authorizations meticulously to ensure you never provide an unbillable session.

Average Clinic Revenue Lift (First 6 Months)

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+16% Lift
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Calculate Your Specific ROI

Stop Therapy Denials Today.

Let our specialized behavioral health billing team audit your current processes. Discover exactly where your revenue is leaking on telehealth and time limits.