Mental Health Medical Billing Built For Complex Revenue Cycles
Therapy and psychiatry practices across Kansas lose more revenue to time-based coding and authorization rules than to anything clinical. We bill mental health claims to those rules exactly.
Why Mental Health billing is financially complex
The unit of revenue is time, the payer rules change by plan, and documentation thresholds are enforced more aggressively than almost any other specialty.
Time-based CPT precision
90832 vs 90834 vs 90837 is a minutes question with a dollars answer. Payers audit the 53-minute threshold on 90837.
Session limits and medical necessity
Most Kansas commercial plans cap sessions or trigger reviews after a set count.
Telehealth parity nuance
Place-of-service codes and modifier 95 rules differ between BCBS of Kansas, KanCare MCOs, and Medicare.
Credential-sensitive reimbursement
The same CPT pays differently for an LSCSW, LCPC, or psychologist.
Our mental health billing workflow
Plan-level eligibility plus behavioral health carve-out checks.
Eligibility & Authorization
Plan-level eligibility plus behavioral health carve-out checks — many Kansas plans route mental health to a separate administrator.
Specialty Coding Accuracy
Time-based CPT selection verified against documented session length and clinician credential.
Claim Scrubbing & Submission
Claims scrubbed for POS, modifier 95, and credential-panel matches before submission.
Payer-Specific Optimization
Edits tuned per payer — BCBS of Kansas session rules, KanCare MCO documentation thresholds.
Ready to fix this for your practice?
A revenue assessment is a working session, not a sales call \u2014 we review your numbers and hand you the findings either way.