Behavioral Health Billing Services
Arule Health provides specialized behavioral health billing services for practices offering structured programs for mental health practices, substance abuse facilities, outpatient care, and hospitalization.
What we bill for
CPT codes we work with
Why Behavioral Health Billing is Different
The billing requirements for behavioral health practices such as mental health and substance abuse facilities could get mishandled by general billing teams. Under the Mental Health Parity Act, therapy claims depend on a wide range of factors, including service duration, the number of approved sessions, and authorization, while billing for treatments involving hospitalization or telehealth is entirely different.
So, when minor details slip through the cracks, you could end up with a denied claim, leading to payment delays and additional work for resubmission.
Every claim depends on
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Behavioral Health Billing Services We Provide
Arule Health’s behavioral health billing services ensure specialized billing support for mental health treatments, substance abuse programs, and structured behavioral health programs.
Eligibility & Benefits Verification
We verify behavioral health coverage, copays, session limits, and authorization requirements to ensure seamless claim submissions.
Behavioral Health Coding
We provide support for CPT codes including 90837, 90847, and 90853, in alignment with the requirements and documentation.
IOP & PHP Billing
We offer program-specific billing support for Intensive Outpatient Programs (IOP) and Partial Hospitalization Programs (PHP).
Authorization & Denial Management
We track and assist you with authorization renewals and follow up on medical necessity, session limits, and coding denials.
Our Process for Behavioral Health Billing
Our structured medical claim submission process ensures every charge associated with each service is accurately mapped and translated into timely payment.
Behavioral Health Charge Capture
We begin by capturing accurately coded therapy, psychiatric, and IOP/PHP encounters, including service details, units, and applicable charges.
Claim Creation & Normalization
We prepare claims with the required patient, provider, service, and payer information, accounting for behavioral health-specific billing requirements.
Validation Against Payer Rules
We review each claim for eligibility, prior authorization, session limits, CPT codes, modifiers, revenue codes, and payer-specific requirements before submission.
Claim Submission
We submit validated behavioral health claims through secure electronic channels to the appropriate payers and clearinghouses, ensuring accurate reporting.
Rejection Handling & Resubmission
We monitor claim acknowledgements, identify rejected claims, and help you navigate resubmissions to address coding errors, authorization gaps, and payer-specific requirements.
Why Choose Arule Health for Behavioral Health Billing
Behavioral health billing requires attention to details that distinguish one service from another and are often overlooked in generic billing workflows.
Arule Health’s behavioral health billing services account for differences between a routine psychotherapy visit and a structured PHP program:
Expertise in Behavioral Health Billing
We handle all aspects of behavioral health billing, like coding, authorization tracking, and payer-specific requirements.
Support for IOP and PHP Billing Workflows
We support program-specific billing for PHP and IOP, including units, revenue codes, and payer requirements.
Attention to Payer-Related Issues
We proactively identify and follow up on behavioral health claim denials involving medical necessity, authorizations, and more.
Experience Medical Billing Partner
We manage billing details and outstanding claims so that you can focus on running your practice and caring for patients.
Ready to get started?
Talk to our behavioral health billing team about your practice.
Place an EnquiryHow We Compare
| Behavioral Health Billing Criteria | General Medical Billing Provider | Arule Health |
|---|---|---|
| Experience with behavioral health CPT codes | May vary by team and specialty | Focus on behavioral health billing requirements |
| Track prior authorizations and session limits | Depends on the workflow | Included in behavioral health billing service |
| Understands IOP/PHP billing requirements | Partial or no support for program-specific billing | Supports IOP and PHP billing workflows |
| Supports telehealth billing considerations | Depends on payer knowledge and process | Accounts for telehealth billing requirements |
| Denial Follow-up | General claim follow-up | Focus on specific aspects of behavioral medical billing process |
Frequently Asked Questions
What makes behavioral health billing more complex than general medical billing?
Behavioral health billing involves several aspects such as payer-specific authorizations, session limits, specialized CPT codes, and documentation requirements that make it more complex. Practices must also account for IOP and POP programs and their specific billing requirements.
How do you handle session limits and prior authorizations for therapy visits?
We verify behavioral health benefits, track authorized visits or units, monitor authorization periods and renewal requirements, and follow up on denials related to expired authorizations or session limits.
Do you bill for IOP and PHP programs specifically?
Yes, we support billing for Intensive Outpatient Programs (IOP) and Partial Hospitalization Programs (PHP). Our behavioral health billing services account for program-specific services, units, revenue codes, documentation, and payer requirements.
How does the Mental Health Parity Act affect my practice's claims?
The Mental Health Parity and Addiction Equity Act addresses certain differences in how health plans apply mental health and medical benefit limitations. We understand these requirements to help practices review coverage, authorization decisions, and payer-related billing issues.
Can you bill for telehealth mental health sessions?
Yes, we support billing for eligible telehealth mental health services. For such cases, the claims are prepared according to applicable CPT codes, modifiers, place-of-service requirements, and payer-specific rules.
What behavioral health CPT codes do you have experience with?
Our experience includes common behavioral health codes such as 90837 for psychotherapy, 90847 for family psychotherapy, and 90853 for group psychotherapy. We also support other service-specific codes based on the care provided and payer requirements.
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