Behavioral Health Billing Services

Specialized behavioral health GOP billing that boosts collections, reduces denials, and keeps you compliant.

Why Choose Our Behavioral Health Billing Solutions?

  • Deep Behavioral Health Expertise: Support for individual and group therapy, psychiatric visits, tele-behavioral health, and other GOP services. We handle both session-based billing and time-based CPT/HCPCS codes.

  • Mastery of Behavioral Health Rules: Deep knowledge of medical necessity, frequency limits, prior authorizations, and parity requirements. We also understand payer-specific coverage rules that affect behavioral health reimbursement.

  • Custom In-House Technology: Our proprietary billing system integrates with hospital EMRs and scheduling systems. This integration improves speed, accuracy, and flexibility.

  • Regulatory Compliance: Stay compliant with CMS, HIPAA, and changing payer guidelines. This reduces audit risk and protects your revenue.

Consulmed’s Expertise

  • General Outpatient Programs (GOP): We bill for routine outpatient therapy, psychiatry, medication management, and counseling services. Our services support private practices, clinics, and multi-site behavioral health groups.

  • Coding & Documentation Support: We provide guidance on time-based and complexity-based codes, add-on codes, and modifiers. We also support accurate diagnosis coding for mental health and substance use disorders

  • Session‑Based Billing Workflows: Our workflows support weekly or monthly visits and recurring authorizations.

  • Denial Management & Appeals: We provide dedicated follow-up on medical necessity denials and authorization issues. Our team coordinates with payers to recover underpaid or rejected claims.

Benefits of Partnering with Us

    • Increased Revenue: Capture every eligible unit, session, and code. Reduce write-offs caused by benefit limitations, carve-outs, and missed authorizations.
    • Lower Denial Rates: Proactive eligibility checks, benefit analysis, and front-end edits raise first-pass payment rates.
    • Faster Cash Flow: Streamlined workflows and focused follow-up help shorten days in A/R for behavioral health claims.
    • Less Administrative Burden: Your clinicians spend more time with patients and less time on insurance calls and benefit checks. They also spend less time on re-billing.

    • Clear Reporting & Analytics: Clear reporting and analytics with transparent views of collections and denial trends.

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Get Started

Ready to simplify behavioral health billing?

Contact us for a personalized consultation to see how our experience, technology, and support can help your practice thrive.