Behavioral health practices lose money in two places: months spent waiting on payer panels before a single claim can go out, and timed-code billing that gets denied on technicalities once it does. Both are fixable.
Generic billing services treat every claim the same. These are the patterns we look for first in behavioral health practices.
Behavioral health panels are among the slowest and most frequently closed. Enrollments sit for months because nobody is chasing them. We drive them to completion and escalate when a panel goes quiet.
90832, 90834 and 90837 are separated by session length, and payers audit the longer ones. Documented time has to support the code billed, every time.
Telehealth rules changed repeatedly and payers did not change together. The wrong POS code or a missing modifier denies an otherwise clean claim.
Coverage limits applied to behavioral health that would not be applied to a medical claim are frequently appealable under parity rules. Most practices never appeal them.
Benefits and authorizations checked before the visit, not after the denial.
CPT, ICD-10 and modifiers validated against your documentation, with 100% audits for new clients.
Categorized by root cause, appealed with evidence, and fixed upstream so they stop recurring.
Oldest and largest first, with payments validated against your contracted fee schedule.
Payer enrollment and re-credentialing as part of the standard package, not an add-on.
Accuracy, turnaround and collections sent to you, not buried in a portal.
If your panels are stuck or your telehealth claims are denying, tell us which payers and how long. We will tell you honestly whether it is fixable and how fast.
Request a free A/R review