Who We Are We are Prime Medical Billing Solutions, LLC, a results-driven medical billing and revenue cycle partner headquartered in Atlanta, Georgia. Since about 2015, we have operated with the belief that true value lies in partnering, rather than merely contracting, with providers to ensure personalized attention and peak revenue performance. Founded by seasoned billing professionals with 20+ years of combined expert experience, our home office in Atlanta supports both individual practices and larger provider groups. Our team is passionate about maximizing reimbursements and simplifying the billing journey step by step. What Services We Offer We provide a comprehensive suite of services designed to optimize every phase of the revenue cycle: Claims processing & billing management, including electronic, UB‑04, and HCFA‑1500 formats Accounts receivable and collections, focusing on paid-to...
Mental Health & Behavioral Health Billing
Therapy time thresholds, telehealth rules, authorizations and frequent visits make behavioral health billing a full-time job. Let specialists handle it so you can focus on clients.
- Psychotherapy time-based coding and add-on codes
- Telehealth place-of-service and modifier rules by payer
- Session authorizations and visit limits tracked
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Billing for therapists, counselors and psychiatrists
Behavioral health billing looks simple, a handful of psychotherapy codes, but the details decide whether you get paid. Psychotherapy codes are chosen by actual time spent with the patient, psychiatrists add psychotherapy add-on codes to E/M visits, and family, group and crisis sessions each have their own rules.
Many plans carve out behavioral health to separate managed-care companies, require authorizations after a set number of sessions, and apply different telehealth rules. Credentialing is another obstacle: therapists often see claims denied because they are not yet enrolled with a plan or because the wrong rendering provider was listed.
A mental health billing partner verifies benefits and carve-outs before the first session, tracks authorizations and session counts, codes from documented session times, and follows up on every unpaid claim, while handling patient balances with the sensitivity your clients deserve.
Common mental health billing challenges
Time-based psychotherapy codes
Codes depend on documented face-to-face time; rounding errors lead to downcoding or audit risk.
Behavioral health carve-outs
Claims sent to the medical plan instead of the behavioral health carrier are denied.
Session authorizations
Plans approve limited sessions; unnoticed expirations mean unpaid visits.
Telehealth variations
Place of service 02/10 and modifiers 95 or 93 vary by payer and change often.
Credentialing delays
New clinicians cannot bill until enrolled, and incorrect provider data causes denials.
Sensitive patient balances
Collections must be handled carefully to protect the therapeutic relationship.
What a mental health billing partner should handle
- Benefits checks including behavioral health carve-outs
- Authorization requests and session tracking
- Psychotherapy, E/M and add-on code review
- Telehealth POS and modifier management
- Group, family and crisis session billing
- Credentialing and CAQH maintenance
- Claim submission and ERA posting
- Denial management and appeals
- Discreet patient statements and payment plans
- Practice and clinician productivity reporting
Key codes in mental health billing
| Code(s) | What it covers |
|---|---|
| 90791 / 90792 | Psychiatric diagnostic evaluation, without and with medical services. |
| 90832 / 90834 / 90837 | Individual psychotherapy, about 30, 45 and 60 minutes. |
| 90833 / 90836 / 90838 | Psychotherapy add-on codes billed with an E/M visit. |
| 90846 / 90847 | Family psychotherapy without / with the patient present. |
| 90853 | Group psychotherapy. |
| 90839 / 90840 | Psychotherapy for crisis, first 60 minutes and each additional 30 minutes. |
| 96127 | Brief emotional or behavioral assessment (screening instruments), per instrument. |
Code examples are for orientation only. Always code from the current CPT®, HCPCS and ICD-10-CM code sets and payer policies.
Protecting privacy
Behavioral health records receive extra protection. Billing partners should share only the minimum necessary information on claims, sign a BAA, and never include psychotherapy notes in claim attachments unless legally required.
Find the right billing partner in four steps
Share your goals
Tell us your specialty, monthly claim volume, EHR and the problems you want fixed, denials, slow A/R or staffing gaps.
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We review a sample of your claims and aging report to show where revenue is leaking and what a specialist could recover.
Compare vetted companies
Shortlist billers with proven mental health experience, transparent pricing and verified client reviews.
Onboard with confidence
Sign a BAA, connect your EHR and clearinghouse, and track clean-claim rate, days in A/R and collections from month one.
Top-rated medical billing companies
Billing companies listed on BillerFirms, ranked by client reviews. Ask each one about their mental health experience.
GreenSense Billing is a trusted leader in medical billing and revenue cycle management, providing comprehensive solutions tailored to the unique needs of healthcare providers across the United States. Our mission is to streamline administrative complexities, optimize reimbursements, and enhance financial performance, allowing medical professionals to focus on delivering exceptional patient care. Our Services • We offer end-to-end medical billing and revenue management solutions, including: • Medical Billing & Coding - Accurate claims processing to maximize reimbursements and minimize denials. • Revenue Cycle Management (RCM) - A holistic approach to managing claims, payments, and collections. • Provider Credentialing - Seamless enrollment with insurance networks to ensure timely reimbursements. • Financial Solutions - Data-driven insights and financial reporting to optimize practice...
Let’s face it, medical billing shouldn’t be the most challenging part of running a practice. At Medical Lean Management, we take the chaos out of revenue cycle management so you can get back to what matters: delivering excellent patient care. Based in Corona, California, we’re not just another faceless billing company, we’re your partners in efficiency, here to simplify the financial side of healthcare. Why Us? Because We Get It. Paperwork piles up. Claims get denied. Regulations keep changing. It’s enough to make anyone’s head spin. That’s where we step in. We don’t just process claims, we optimize your entire revenue cycle, cutting through the red tape to get you paid faster and with fewer headaches. Our goal? To make your billing so smooth, you’ll wonder how you ever managed without us. Here’s How We Help: ✔ Fewer Denials, More Revenue - Our precision-driven approach slashes claim den...
Overview & Mission Access Revenue Hawaii, founded in 2022 in Holualoa, Hawai‘i, is a specialized medical billing and revenue cycle management (RCM) company with a primary focus on behavioral and mental health providers. Drawing deeply from social work roots, the leadership team recognized the administrative friction mental health professionals face, credentialing delays, complex payer regulations, EMR documentation requirements, and chose to build a firm that helps clinicians focus fully on patient care. Their mission centers on removing financial and operational barriers so therapists, counselors, and behavioral health groups can thrive financially while delivering quality care to Hawai‘i’s communities. Origin Story & Local Presence The company was born out of a clear insight: behavioral health providers in Hawai‘i suffer unique administrative challenges. From intricate Medicaid billing...
How much does mental health billing cost?
Most billing companies charge a percentage of what they actually collect, so their incentive matches yours. Complex specialties sit at the higher end of the range because of prior authorizations, modifiers and appeal work.
Most common. You pay only on money collected.
Predictable for high-volume, low-complexity claims.
Dedicated billers working inside your systems.
Typical market ranges; actual quotes depend on claim volume, payer mix and scope. Compare quotes from several companies.
Mental Health billing FAQs
Psychotherapy of 53 minutes or more is reported with 90837; 38 to 52 minutes is 90834; 16 to 37 minutes is 90832.
Yes. Psychiatrists bill an E/M code for medication management plus a psychotherapy add-on code when separate therapy time is documented.
Usually with the same CPT codes, the payer-required place of service (02 or 10) and modifier 95 or 93 when required. Rules vary by payer.
Yes. Many mental health billing companies credential new clinicians, maintain CAQH profiles and re-credential on schedule.
Billers track authorized sessions and request extensions before they run out to avoid unpaid sessions.
Most companies charge 5% to 9% of collections, or a flat fee per claim for solo practitioners.
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