Mental Health Billing Services
Mental health billing is different from regular medical billing. Therapists, psychologists, and counselors must follow special rules for insurance claims. Many insurance companies have strict policies on session limits, diagnosis codes, and documentation.
We help mental health providers handle billing correctly. Our team submits claims, tracks payments, and fixes rejected claims. We also check insurance benefits before sessions to avoid problems later. With our service, you get paid faster and reduce claim denials.
Why Mental Health Claims Get Denied
Common Reasons
- Wrong Service Codes: Entering incorrect or outdated CPT codes can lead to claim rejection.
- Provider Not Approved: Claims are denied if the provider isn’t registered with the insurance company.
- Mistakes in Patient or Claim Information: Missing or incorrect details on forms cause issues.
- Services Not Covered by Insurance: Some treatments may not be included in the patient’s plan.
- Sent to the Wrong Insurance: Filing claims with the wrong payer delays or denies payment.
- Same Claim Filed Twice: Duplicate billing results in claim rejection.
- Conflicting Claims for Same Service: Claims with overlapping dates for the same service get denied.
- Unmet Insurance Rules: Failing to follow contract rules or limits set by the insurer blocks payments.
We resolve these issues by checking full benefits, ensuring network eligibility, and verifying authorization needs. This helps make your claims accurate and ensures faster payment.
Solutions with MZ Billing
- Provider Type Verification: We ensure provider type is verified during eligibility checks, and all correct details are added for accurate billing.
- Comprehensive Benefit Check: We verify if the payer covers mental health services for the appointment date. If not, this information is shared with the client.
- Accurate Payer Details: We confirm payer ID and address before claim submission and documents the data in the system.
- Authorization Expertise: We review client requirements and either notifies the client to obtain prior authorization or secures the authorization on their behalf, updating it in the system.
MZ Billing simplifies mental health claims processing to minimize errors, ensure compliance, and improve payment timelines.
Our Mental Health Billing Services
Daily Claims Filing and Processing
At MZ Billing, we handle claim submissions and processing every day. We ensure all claims are submitted on time and accurately. If your practice uses an in-house billing system like Therapy Notes or Theranest, we can sometimes work directly from your software or transfer the data to ours for smooth processing.
Eligibility and Benefits Verification
We verify patient eligibility and benefits within two business days. This includes identifying co-payment requirements, deductibles, maximum allowed visits, and claims mailing addresses. This ensures there are no surprises when it comes to billing.
Payment Accounting
Our team processes Explanation of Benefits (EOB) and insurance payments quickly and accurately. We make sure that all payments are properly recorded and matched to patient accounts for clear financial tracking.
Claim Tracking and Updates
We provide detailed claim tracking and timely updates. Our team processes EFT and ERA forms, ensuring all claim submissions and their statuses are monitored closely.
Appointment Reminders
We help your practice stay organized with appointment reminder services. Reminders can be sent to your clients via email or SMS to reduce no-shows and keep your schedule full.
Billing for Various Programs
MZ Billing specializes in handling complex billing needs for programs such as EAP, Medicare, Medicaid, and TriCare. Our experience ensures your claims for these programs are submitted correctly and reimbursed efficiently.
Credentialing Services
We assist in handling credentialing services and verifying your provider network status. This ensures your practice is properly set up to work with various insurance payers and networks.
Verification of Benefits
Before a patient receives treatment, we call insurance companies to verify their mental health benefits and eligibility. This includes confirming copayments, deductibles, visit limits, and any authorization requirements to avoid later complications.
Why Choose MZ Billing for Your Mental Health Billing Needs?
Handles Complex Insurance Billing – As your practice grows, dealing with multiple insurance companies becomes harder. We manage this complexity for you.
Reduces Claim Errors – Our advanced software checks claims for mistakes before submission, ensuring faster approvals and fewer denials.
Expert Claim Follow-Up – If a claim is rejected, we quickly fix and resubmit it, so you don’t lose time or revenue.
Ensures Accurate Payments – We track payments, verify insurance reimbursements, and follow up on unpaid claims to maintain steady cash flow.
Clear Minds, Clean Claims – Let Us Handle Your Mental Health Billing!
Managing a mental health practice is already demanding—don’t let billing add to the stress. Our specialized mental health billing services ensure accurate coding, timely claim submissions, and maximum reimbursements, so you can focus on patient care without financial roadblocks. From insurance verification to denial management, we streamline the entire process for you. Let us take care of the numbers while you take care of your patients! ✅
FAQS
Frequently Ask Questions.
Common CPT codes include 90834 (45-minute individual therapy), 90837 (60-minute individual therapy), 90847 (family therapy with patient), and 90791 (psychiatric diagnostic evaluation).
Some insurers allow back-to-back sessions under different billing codes, but others may restrict multiple same-day claims. Proper documentation is essential to avoid denials.
Through accurate eligibility verification, clean submissions, and routine assessments using denial tracking tools.
