A division that does nothing else. Certified behavioral health coders, carve-out expertise, real-time telehealth modifier tracking, and a clear promise: your first-pass rate improves or you do not pay.
Built exclusively for behavioral health practices. We handle carve-out payers, telehealth modifiers, and the documentation standards that separate approved claims from rejected ones.
Behavioral health has the highest claim denial rate of any specialty.
Psychotherapy CPT codes require precise session-length documentation. Payers downcode claims without exact treatment minutes in the clinical record.
Behavioral health benefits are carved out to separate insurance entities with entirely different billing rules, forms, and portals than medical claims.
Mental health and substance use records carry heightened federal privacy protections requiring specific handling in billing documentation.
Therapists joining insurance panels face complex credentialing where one lapse can freeze billing eligibility for an entire clinician panel.
Virtual behavioral health services require specific modifiers (95, GT), Place of Service codes (02, 10), and state-by-state telehealth law compliance.
IOP, PHP, and residential programs require prior authorization with clinical criteria documentation that differs from standard outpatient billing.
Our dedicated BH billing division delivers a 96% first-pass rate. Get your free audit today.