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Services

Complete Medical Billing & Revenue Cycle Management

Every stage of the revenue cycle, delivered as one connected service for mental health and behavioral health practices — and for other healthcare specialties we support.

Mental Health Medical Billing

Full-cycle billing built around behavioral health workflows, including psychotherapy, intake evaluations, group and family sessions, and medication management.

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Claims Submission

Charges are reviewed and scrubbed before electronic submission so claims reach the payer complete and correctly formatted the first time.

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Clearinghouse Management

Daily monitoring of clearinghouse queues, with rejections corrected and resubmitted promptly instead of sitting unworked.

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Denial Management & Appeals

Denials are researched to root cause, corrected claims or appeals are filed with supporting documentation, and outcomes are tracked.

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Accounts Receivable Management

Aging is worked by bucket and payer, with consistent follow-up on unpaid, underpaid, and no-response claims.

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Payment Posting

ERA and EOB payments posted accurately, with adjustments, write-offs, and patient responsibility reconciled and variances flagged.

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Insurance Eligibility Verification

Benefits checked before the visit: active coverage, behavioral health benefits, copay, coinsurance, deductible, and session limits.

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Prior Authorization

Authorization requirements identified, requests submitted, and visit counts tracked so sessions are not delivered outside an approved authorization.

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Credentialing

Credentialing applications prepared and submitted, CAQH profiles maintained, and revalidations handled on schedule.

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Provider Enrollment

Enrollment with commercial, Medicare, and Medicaid plans, with payer follow-up through to confirmed effective dates.

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Payer Portal Management

Claim status, remittances, correspondence, and appeals managed directly in payer portals alongside your practice management system.

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Revenue Reporting

Recurring reporting on submissions, collections, denial trends, and AR aging so practice decisions rest on current numbers.

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Systems We Work With

EHR, Practice Management & Clearinghouse Experience

We work with leading mental health EHRs, practice management platforms, electronic clearinghouses, and payer portals to manage the complete medical billing workflow — from eligibility verification and claim submission to ERA/payment posting, denial management, and AR follow-up.

Mental Health EHR & Practice Management

  • SimplePractice
  • TherapyNotes
  • Valant
  • ICANotes
  • Headway
  • eClinicalWorks (eCW)
  • AdvancedMD
  • Kareo / Tebra
  • Athenahealth

Clearinghouse, Claims & Payer Portals

  • Availity
  • Office Ally
  • Waystar
  • ClaimMD
  • TriZetto
  • UHC Provider Portal
  • Cigna Provider Portal
  • Aetna Provider Portal
  • BCBS Provider Portals
  • Medicare / Medicaid Provider Portals

Listed systems reflect our team's working experience. We are not an official partner of, or affiliated with, any of these companies. All trademarks belong to their respective owners.

Not Sure Which Services Your Practice Needs?

We review your current billing workflow, payer mix, and open AR, then recommend only what will actually move your collections.

info@mentalhealthmedicalbillingusa.com