MedCare Billing Solutions provides specialized behavioral health billing for psychiatrists, psychologists, LCSWs, LPCs, and group therapy practices. We navigate mental health parity laws, telehealth billing, and the unique credentialing requirements of behavioral health providers.
Behavioral health practices bill thousands of therapy sessions per year — and the margin for error is small. Payers scrutinize mental health claims closely. Common costly errors include:
Mental health parity laws require payers to cover behavioral health services at the same level as medical services — but many payers still apply stricter limits. MedCare knows how to appeal these denials and enforce parity compliance.
| CPT Code | Service | Common Billing Issue |
|---|---|---|
| 90791 | Psychiatric diagnostic evaluation | Confusion with 90792; incorrect provider type billing |
| 90837 | Psychotherapy, 60 minutes | Time documentation insufficient; audit risk without clear notes |
| 90834 | Psychotherapy, 45 minutes | Underbilling when 60-min criteria are met |
| 90853 | Group psychotherapy | Not billed per-patient; group size documentation missing |
| 90785 | Interactive complexity add-on | Missed entirely — adds $25–$40 per qualifying session |
| 99213 + 90833 | Medication management + therapy | Billing combined as single code instead of E/M + add-on |
| 96130–96131 | Psychological testing | Test administration vs. interpretation billed under same code |
| H0031–H2019 | HCPCS behavioral health codes | Medicaid-specific codes missed when applicable |
Accurate time-based billing for all psychotherapy codes. We ensure proper documentation requirements are flagged and all add-on codes are captured.
Combined E/M + psychotherapy billing for psychiatrists who provide both medication management and therapy in the same session.
Expert telehealth billing with correct modifiers, originating site codes, and payer-specific telehealth coverage rules for all 50 states.
We identify and appeal parity law violations when payers apply stricter limits to behavioral health than medical/surgical benefits.
Fast-track behavioral health credentialing with all major payers. We handle NPI, CAQH, and individual payer enrollment to eliminate revenue gaps.
Extra-strict HIPAA protocols for behavioral health records. We handle sensitive mental health data with the highest level of confidentiality.
Get a free behavioral health billing audit. We'll review your therapy codes, telehealth billing, and parity compliance — and show you what you're missing.