Behavioral Health

Behavioral Health Billing Services

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HIPAA Compliant Billing
Mental Health Parity Expertise
All Major Payers Accepted
DSM-5 & ICD-10 Coding Specialists
No Long-Term Contracts
HIPAA Compliant Billing
Mental Health Parity Expertise
All Major Payers Accepted
DSM-5 & ICD-10 Coding Specialists
No Long-Term Contracts

Finally, a Billing Partner Who Actually Gets Behavioral Health

Mental health and substance use billing isn’t like general medical billing. The rules are different, the payers are tougher, and the stakes are higher. Theiatrics was built to handle exactly this โ€” so your team can stop chasing claims and start focusing on care.

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Prior auth denials that delay patient treatment by days or weeks
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Claim rejections for "insufficient documentation" with no clear guidance
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Staff time eaten up by phone calls to payers instead of supporting patients
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Underpayments that quietly erode your reimbursement rate over time
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CPT coding errors specific to behavioral health that trigger audits
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Credentialing gaps that leave providers billing out-of-network unknowingly
Optimize Operations for Maximum Efficiency

Contact us to explore how our consulting can position your business as a frontrunner.

Credentialing Section
The Reality

Behavioral Health Billing Is Hard. Most Billing Companies Don't Warn You.

If you run a therapy practice, a psychiatric clinic, or a substance use treatment program, you already know: getting paid is harder than it should be. Prior authorizations get denied. Claims come back rejected for documentation issues that seem arbitrary. Insurers apply different rules for behavioral health than they do for other specialties โ€” and they bank on you not noticing.

The Mental Health Parity and Addiction Equity Act (MHPAEA) was supposed to level the playing field. In practice, payers still find ways to limit benefits, require excessive documentation, and delay reimbursements on behavioral health claims. Without a billing team that knows the rules cold, you're leaving real money on the table.

That's where Theiatrics comes in. We work exclusively with healthcare providers, and we've built deep expertise in behavioral health revenue cycle management โ€” from initial eligibility checks all the way through final payment posting.

Optimize Operations for Maximum Efficiency

Contact us to explore how our consulting can position your business as a frontrunner.

98%
First-pass claim acceptance rate
15-21
Average days to reimbursement
30%
Average revenue increase for new clients
100%
HIPAA compliant โ€” always
WHO WE WORK WITH

Built for Every Type of Behavioral Health Provider

Whether you're a solo therapist or a multi-site treatment center, our billing services are designed around your workflow.
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Psychiatrists & Psychiatric NPs

Medication management, evaluations, and psychotherapy billing handled precisely.

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Therapists & Counselors

Individual, group, and family therapy โ€” LCSWs, LPCs, LMFTs, and psychologists welcome.

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Substance Use Treatment Centers

Residential, IOP, PHP, MAT, and outpatient SUD billing โ€” all levels of care.

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Group & Multi-Provider Practices

Scalable billing solutions that grow as your team and patient volume grow.

WHAT WE HANDLE

Full-Cycle Behavioral Health Billing Services

From the moment a patient schedules their first appointment to the day your payment posts โ€” we manage every step in between.
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Insurance Verification & Eligibility

We verify every patientโ€™s behavioral health benefits before their appointment โ€” coverage levels, deductibles, copays, and any session limits. No more billing surprises for you or your patients.

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Prior Authorization Management

Our team submits, tracks, and follows up on prior authorizations for psychiatric evaluations, therapy sessions, IOP, PHP, and residential treatment. When a payer says no, we appeal โ€” with documentation that wins.

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Medical Coding (CPT & DSM-5 / ICD-10)

Accurate behavioral health coding is the foundation of clean claims. Our certified coders know the CPT codes that apply to psychotherapy, psychiatric services, and substance use treatment โ€” and how to match them to the right diagnoses.

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Claims Submission & Tracking

We submit claims electronically to all major payers and track every single one. You get real-time visibility into where each claim stands โ€” pending, paid, or flagged for follow-up.

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Denial Management & Appeals

Denied claims donโ€™t stay denied with Theiatrics. We analyze the denial reason, build a strong appeal, and resubmit โ€” recovering revenue that most practices simply write off. Our denial overturn rate speaks for itself.

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Payment Posting & Reconciliation

We post all payments and reconcile EOBs against expected reimbursements โ€” flagging underpayments and ensuring you receive every dollar youโ€™re owed, not just what payers decide to send.

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Patient Billing & Statements

We generate clear, patient-friendly billing statements and manage your self-pay and patient responsibility collections professionally and compassionately, in a way that preserves the therapeutic relationship.

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Provider Credentialing

Getting paneled with payers is often the first roadblock for behavioral health providers. We handle the credentialing and re-credentialing process across all major insurance networks so your providers can bill in-network from day one.

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Reporting & Revenue Analytics

We give you monthly reports that actually make sense โ€” collection rates, denial trends, average reimbursement by payer, and revenue forecasts. Know your numbers and make smarter decisions for your practice.

Why Theiatrics

We're Not a General Billing Company That Does Behavioral Health on the Side

Plenty of medical billing companies will tell you they handle behavioral health. But there's a big difference between billing for a primary care visit and billing for a 90-minute intensive outpatient session with a multi-diagnosis patient on a managed Medicaid plan.

We've built our processes around the specific documentation requirements, medical necessity standards, and payer policies that behavioral health claims demand. Our team knows which payers routinely underpay for certain CPT codes. We know which documentation gaps trigger automatic denials. And we know how to write appeals that actually get overturned.

When you work with Theiatrics, you get a dedicated billing specialist โ€” not a ticket system and a generic help desk.

  • Behavioral Health Billing Specialists Our team trains exclusively on mental health and SUD billing rules โ€” not general medical billing.
  • Parity Act Compliance Knowledge We identify when payers are violating mental health parity rules and pursue the reimbursement you're owed.
  • Transparent, Performance-Based Pricing We only win when you win. Our fee is based on collections โ€” no flat monthly fees that don't reflect results.
  • EHR-Agnostic Integration We work with TherapyNotes, SimplePractice, Kareo, AdvancedMD, Epic, and most other behavioral health EHRs.
  • No Long-Term Contracts We earn your business every month. If you're not seeing results, you're not locked in.
  • Real People, Real Accountability You get a named billing specialist and a direct line โ€” not a support ticket and a 48-hour wait.
HOW IT WORKS

Getting Started Is Simpler Than You Think

Most practices are fully onboarded and billing through Theiatrics within two weeks.
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Free Revenue Audit

We review your current billing setup, denial rate, and collection performance โ€” at no cost and no obligation.

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Tailored Onboarding

We configure our systems to match your EHR, credentialing details, and payer mix. Your workflow stays intact.

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We Take Over Billing

From verification to claim submission to follow-up โ€” we handle it all while you focus on patients.

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You See the Results

Faster payments, fewer denials, and clear monthly reports so you always know how your revenue is performing..

Stop Losing Revenue to Preventable Billing Errors

Let's take a look at your current billing performance โ€” for free. You'll walk away knowing exactly where revenue is slipping and how to fix it, whether you work with us or not.

Schedule My Free Audit โ†’
COMMON QUESTIONS

Answers to What Behavioral Health Providers Ask Us Most

We believe in full transparency โ€” no jargon, no runaround.

Have a specific charge entry question? Our specialists respond within 4 hours.

๐Ÿ“ž Call Our Charge Team
What exactly is behavioral health billing?
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Behavioral health billing covers the full process of submitting and collecting on insurance claims for mental health, psychiatric, and substance use disorder services. It includes eligibility checks, prior authorizations, CPT and DSM-5 coding, claims submission, and denial appeals โ€” all with rules specific to behavioral health payers.
Why is behavioral health billing harder than general medical billing?
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Behavioral health claims face unique hurdles: stricter documentation requirements, frequent prior auth demands, payer-specific medical necessity criteria, and a history of inequitable treatment under insurance rules. Without a team that knows these nuances, denial rates climb and revenue suffers.
Do you handle billing for substance use disorder treatment?
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Yes, absolutely. We bill for all levels of SUD care โ€” outpatient counseling, intensive outpatient programs (IOP), partial hospitalization programs (PHP), medication-assisted treatment (MAT), and residential treatment. We're experienced with both commercial insurance and Medicaid managed care for SUD.
How do you handle prior authorizations?
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We manage the entire prior auth process: submitting requests, providing clinical documentation, following up with payers, and filing appeals when requests are denied. Our goal is to protect your patients from treatment delays and protect your revenue from unnecessary gaps.
What EHR systems do you work with?
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We've worked with most major behavioral health EHR and practice management systems, including TherapyNotes, SimplePractice, Kareo, AdvancedMD, Valant, TheraNest, and Epic. If you use a system that isn't on this list, ask us โ€” chances are we already work with it.
How quickly can my practice get onboarded?
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Most practices are fully onboarded within 10 to 14 business days. We handle the setup, system connections, and payer coordination โ€” your team's involvement is minimal. We want you billing cleanly as fast as possible.
FREE CHARGE AUDIT

Find Lost Revenue Before Claims Are Filed

We review recent encounters, identify missed or undercoded charges, and show exact revenue impact โ€” before you commit to anything.

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Missed charge scan
90 days of encounters reviewed
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E/M validation
Codes matched with documentation
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Revenue impact
Exact dollar value identified
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24-hour results
From certified specialists
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No cost, no commitment
100% risk-free audit
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Talk to a specialist (+1) 713-281-4490

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