Don’t Risk Denials in 2026 — Get the Free Coding Guide Now

AI-Powered Revenue Optimization

Precision Behavioral Health Billing Powered by AI and Certified Experts

Eliminate billing errors, reduce denials, and accelerate reimbursements with our AI-powered Behavioral Health Medical Billing services backed by certified coding specialists. We combine intelligent automation with deep expertise in mental and behavioral health billing to ensure accurate documentation, clean claim submission, and full payer compliance. From eligibility verification and prior authorizations to denial management and real-time reporting, our precision-driven approach streamlines your revenue cycle, improves cash flow, and frees your team to focus on delivering exceptional patient care.

The Unique Challenges of Behavioral Health Medical Billing

Behavioral health billing is more complex than standard medical billing due to unique session formats, strict documentation, and varying payer rules. Key reasons include:

Session-Based Billing Complexity

Behavioral health services are billed based on session duration and type (30, 45, 60 minutes). Incorrect time tracking or CPT selection can reduce reimbursement or trigger denials.

Therapy Type & Service Variations

Individual therapy, group sessions, family counseling, and psychiatric evaluations all require different CPT codes. Misclassification leads to payment delays or rejections.

Strict Medical Necessity Requirements

Payers require detailed treatment plans, progress notes, and outcome documentation. Insufficient clinical justification often results in claim denials.

Telehealth & Hybrid Care Rules

Behavioral health frequently involves virtual care. Incorrect place-of-service codes, modifiers, or payer-specific telehealth rules can impact reimbursement.

Authorization & Visit Limits

Many plans require prior authorization and enforce session caps. Failure to track approvals or visit limits can lead to unpaid services.

Payer-Specific Coverage Variability

Behavioral health benefits, reimbursement rates, and documentation standards vary widely by payer and state, increasing compliance risk and administrative workload.

Given this complexity, many behavioral health practices rely on specialized billing experts to maximize revenue and reduce administrative workload.

Our Services

AI-Powered Behavioral Health Medical Billing Tailored to Your Needs

We bring end-to-end billing solutions tailored for Behavioral Health practices nationwide:

Accurate Medical Coding & Claims Preparation

We correctly code therapy, psychiatric services, medication management, and telehealth to maximize clean claims and reimbursement, reduce denials, ensure compliance, and accelerate payment turnaround times.

Time-Unit Tracking & Documentation Review

We ensure that session duration, units of service, and any add-on services are accurately documented and fully compliant with behavioral health billing and payer requirements.

Claims Submission & Follow-Up

We submit claims on your behalf, actively track them through payment, and manage denials, appeals, and resubmissions to ensure timely and accurate reimbursement.

Accounts Receivable (AR) & Denial Management

Proactively monitor unpaid claims, perform timely follow-ups, resolve denials quickly, and keep your revenue cycle moving to maintain consistent cash flow.

Reporting & Analytics

Receive clear, actionable reports on clean claim rates, denials, days in A/R, and outstanding balances—giving you full visibility into revenue performance and helping identify and resolve bottlenecks quickly.

Compliance & Up-to-Date Practices

We stay up to date with behavioral health CPT and ICD coding changes, evolving payer policies, and regulatory requirements—ensuring full compliance with HIPAA, documentation standards, and payer-specific guidelines.

Our Services

Better Billing Performance Backed by Data

Increase in Net Collections
0 %
First-Pass Clean Claim Rate
0 %
Reduction in AR Days
0 %
Container (35)

I have been using 5 Star Billing Services, Inc. for over two years now. I am impressed with the detail and thoroughness that they consistently demonstrate. The team assigned to us is very familiar with the coding necessary for our specialty (chronic pain), and they excel at preventing rejections.

unnamed

Gary L. Child, D.O.

Medical Director

Our Process

A Smarter Workflow Built for Behavioral Health

Our AI-Enhanced Billing Process

Container 37 1

Data Intake & Verification

Seamless integration with your EHR, practice management, and behavioral health documentation systems for efficient and accurate data flow.

Container (36)
Container 39 1

AI-Assisted Coding + Expert Review

AI-driven machine learning validates coding accuracy, while certified billing specialists review and ensure full compliance with payer and regulatory requirements.

Container (38)
Container 40 1

Claim Submission With Automated Follow-Up

Clean claims are submitted promptly with AI-enabled tracking and proactive follow-ups to accelerate payments and reduce delays.

Container (41)
Container 42 1

Payment Posting + Revenue Insights

Access a real-time dashboard with actionable insights on collections, denials, A/R, and payer trends—empowering smarter decisions and driving practice growth.

Continuous Expert Oversight

Every step monitored by senior billing analysts specializing in Behavioral Health

Seamless EHR & Behavioral Health Software Integration​

No workflow disruptions. Our team adapts to your clinical system and billing tools, supporting efficiency from day one.

Commonly Used  CPT and ICD Codes in Behavioral Health

Behavioral Health CPT Codes

Psychiatric Diagnostic Evaluation
  • 90791 – Psychiatric diagnostic evaluation (without medical services)

  • 90792 – Psychiatric diagnostic evaluation (with medical services)

 
Psychotherapy Services
  • 90832 – Psychotherapy, 30 minutes

  • 90834 – Psychotherapy, 45 minutes

  • 90837 – Psychotherapy, 60 minutes

 
Psychotherapy Add-On Codes
  • 90833 – 30 min psychotherapy with E/M

  • 90836 – 45 min psychotherapy with E/M

  • 90838 – 60 min psychotherapy with E/M

 
Family & Group Therapy
  • 90846 – Family psychotherapy (without patient)

  • 90847 – Family psychotherapy (with patient)

  • 90849 – Multiple-family group psychotherapy

  • 90853 – Group psychotherapy

 
Psychological & Neuropsychological Testing
  • 96130 – Psychological testing evaluation (first hour)

  • 96131 – Each additional hour

  • 96136 / 96137 – Test administration and scoring

  • 96132 / 96133 – Neuropsychological testing evaluation

 
Medication Management & E/M (Psychiatry)
  • 99202–99205 – New patient office visits

  • 99211–99215 – Established patient visits

 
Crisis & Other Services
  • 90839 – Psychotherapy for crisis (first 60 minutes)

  • 90840 – Each additional 30 minutes

  • 99417 – Prolonged services (when applicable)

Depression Disorders
  • F32.x – Major depressive disorder, single episode

  • F33.x – Major depressive disorder, recurrent

  • F34.1 – Persistent depressive disorder (dysthymia)

 
Anxiety Disorders
  • F41.1 – Generalized anxiety disorder

  • F41.0 – Panic disorder

  • F40.x – Phobic anxiety disorders

 
Trauma & Stress-Related Disorders
  • F43.10 – Post-traumatic stress disorder (PTSD), unspecified

  • F43.23 – Adjustment disorder with mixed anxiety and depressed mood

 
Bipolar & Mood Disorders
  • F31.x – Bipolar disorder

  • F39 – Unspecified mood disorder

 
Substance Use Disorders
  • F10.x – Alcohol-related disorders

  • F11.x – Opioid-related disorders

  • F12.x – Cannabis-related disorders

  • F19.x – Other psychoactive substance use

 
ADHD & Neurodevelopmental Disorders
  • F90.0 – ADHD, predominantly inattentive

  • F90.2 – ADHD, combined type

 
Other Common Conditions
  • F42 – Obsessive-compulsive disorder

  • F50.x – Eating disorders

  • F84.0 – Autism spectrum disorder

Why Behavioral Health Providers Trust 5 Star Billing Services

Container 54

AI-powered claim validation reduces errors, denials, and payment delays.

Container 55

Certified behavioral health coding experts ensure accurate and compliant billing.

Container 54

End-to-end revenue cycle management improves collections and cash flow.

Container 56

Proactive denial management and follow-ups accelerate reimbursements.

Container 56

Real-time reporting and analytics provide full visibility into your financial performance.

Frequently Asked Questions

Behavioral health medical billing is the process of coding, submitting, and managing claims for mental health and substance use services such as psychotherapy, psychiatric evaluations, medication management, and counseling. It requires accurate CPT and ICD-10 coding, detailed documentation, and compliance with payer-specific guidelines.

Behavioral health billing involves time-based sessions, multiple therapy types, strict medical necessity requirements, prior authorizations, and varying payer policies. These factors increase the risk of errors, denials, and delayed reimbursements without specialized expertise.

Comprehensive services typically include eligibility verification, prior authorization, CPT/ICD coding, claim submission, denial management, payment posting, accounts receivable follow-up, and detailed financial reporting.

AI-powered billing tools help validate codes, check payer rules, identify documentation gaps, track claims in real time, and flag potential denials before submission. This improves clean claim rates, reduces errors, and speeds up reimbursements.

Yes, professional billing providers integrate seamlessly with most EHR and practice management systems to ensure secure data flow, accurate documentation, and efficient claim processing without disrupting your workflow.

Benefits of Outsourcing Behavioral Health Billing

Partnering with a specialized billing service like ours offers clear advantages:

Focus on Patient Care, Not Paperwork

Free your in-house staff from complex billing tasks so they can concentrate on clinical duties.

Fewer Denials & Faster Reimbursements

Expert coding, accurate documentation checks, and prompt follow-up significantly reduce claim denials and delays.

Improved Cash Flow & Financial Stability

Consistent, accurate billing and AR management helps maintain predictable revenue even across multiple payers and states.

Scalable & Flexible

As your practice grows, or if you operate across multiple specialties, our services scale with you — no need to hire or train additional billing staff.

Compliance & Risk Mitigation

Keep up with ever-evolving coding and payer regulations to avoid underpayment or audit risk.

Our Tailored Behavioral Health Billing Service is ideal for

Container 54

Solo behavioral health specialist in private practice

Container 55

Multi-specialty group practices that offer Behavioral Health services

Container 54

Surgical centers, hospital units, and ambulatory surgical centers (ASCs)

Container 56

Practices operating across multiple states or with complex payer mixes

ImageWithFallback (1)

AI-Powered Compliance & Precision: Why 5 Star Billing Leads in Behavioral Health

Simplify Your Behavioral Health Billing Today

Contact us today to learn how we can tailor our Behavioral Health Billing Service — across any state.

Contact Information

Phone

+1-480-999-0180

Email

info@drbillingservice.com

Service Area

Nationwide Service

CPC Certificate
HIPAA certificate
BBB A+-01

Request a Free Consultation