The Mental Health Billing Company That Actually Reads the Session Note


Behavioral health billing rarely fails on the code itself; 90837 isn't complicated. It fails on everything wrapped around the code: a start-and-stop time that doesn't match the note, a prior authorization that expired two sessions ago, a telehealth modifier that's one digit off. A federal audit of Medicare psychotherapy claims found roughly $580 million in improper payments in a single year, and the leading cause wasn't fraud, it was missing time documentation. CureBytes built its behavioral health division around billers who live inside psychotherapy notes and parity law every day.

ISO Certification Medical Certification
Nationwide Presence Across All States
No long term contracts • Individual, family, group, and collaborative care billing experience • 42 CFR Part 2 compliant substance use disorder billing workflows • Pay only on collections • Nationwide payer, MBHO, and Medicaid MCO coverage

Behavioral Health Billing

Behavioral Health Billing Runs on Documentation, Not Just Codes
Mental health claims get denied at a rate 20% to 30% higher than general medical claims, and it's rarely the CPT code itself causing the problem. Time-based psychotherapy codes require actual start-and-stop minutes documented in the note, not the length of the appointment slot. Telehealth claims need the exact modifier and place-of-service pairing; modifier 95 or 93, POS 10 or 02 or they deny outright. Prior authorizations expire mid-treatment plan, often after 6 to 8 sessions, and a missed renewal stops payment on session 9 even though the patient is still in active care. Layer in parity law, 42 CFR Part 2 consent requirements for substance use records, and state-specific Medicaid credential modifiers, and it's easy to see why a generalist billing team falls behind here.

Time-based psychotherapy codes billed against documented start-and-stop minutes, not appointment length

Telehealth modifier and place-of-service pairing verified on every claim

Session-limited authorizations tracked per patient, with renewals filed before the limit hits

Parity-law (MHPAEA) violations identified and cited in appeals when payers apply stricter rules to behavioral health than medical care

42 CFR Part 2 consent workflows built into every substance use disorder claim

State Medicaid credential modifiers (HO, HN, HE, HF) applied correctly by license level and program type

Your clinicians don't shorten a session to fit a code. We don't let a code cost you the session.

BENCH MARK

Performance You Can Check Against the Benchmark

17 Days

Avg. A/R Collection Time

98%

First-Pass Clean Claim Rate Behavioral Health Claims

48 Hours

Charge Entry Turnaround

$95M+

Behavioral Health Claim Value Processed Annually

42%

Avg. Denial Reduction — Psychotherapy & Telehealth Claims

100%

Session-Limit Authorization Tracking

Behavioral Health Service Line

Coding Expertise Across the Full Behavioral Health Service Line
Behavioral health coding isn't one skill set stacked on a fee schedule; it's psychiatric evaluation, time-based psychotherapy, medication management, and telehealth compliance, each governed by its own documentation standard. Here's how our team handles each part of your service line.Every Texas practice billing Medicare Part A or Part B answers to Novitas Solutions under Jurisdiction H,

a jurisdiction shared with six other states. DME claims split off entirely to CGS Administrators under Jurisdiction C,

a separate multi-state jurisdiction with its own coding edits.
Service Area & CPT CODES What We Handle

Diagnostic Evaluation & Psychiatric Assessment

90791 · 90792 · 96130–96146
  • ✓ 90791 billed for evaluations without medical services; 90792 reserved for prescribers who complete a medical evaluation
  • ✓ Psychological and neuropsychological testing billed by administration and interpretation time, not a flat per-test rate
  • ✓ ICD-10 diagnoses coded to the specificity payers expect past the first 1–2 visits, not left on an unspecified code

Individual, Family & Group Psychotherapy

90832 / 90834 / 90837 · 90846 / 90847 · 90853 · 90839 / 90840
  • ✓ Session length billed against actual documented start-and-stop psychotherapy minutes, never the scheduled appointment length
  • ✓ Psychological and neuropsychological testing billed by administration and interpretation time, not a flat per-test rate
  • ✓ Psychological and neuropsychological testing billed by administration and interpretation time, not a flat per-test rate
Service Area & CPT CODES What We Handle

Medication Management & E/M Add-On Codes

99213–99215 · 99204 / 99205 · 90833 / 90836 / 90838
  • ✓ E/M level selected by documented medical decision-making, not habit
  • ✓ Psychotherapy add-on codes billed only with a separately documented therapy note distinct from the E/M note
  • ✓ Modifier 25 appended to the E/M only where the specific payer requires it

Telehealth & Audio-Only Behavioral Health Billing

Modifier 95 / 93 · POS 02 / 10
  • ✓ Modifier and place-of-service pairing checked against payer-specific telehealth policy before submission
  • ✓ Medicare's in-person visit requirement for behavioral health telehealth tracked per patient, with rural HPSA exceptions applied correctly
  • ✓ Audio-only sessions billed under modifier 93 only when video access or consent genuinely isn't available

Collaborative Care Model & Integrated Behavioral Health

99492 / 99493 / 99494 (transitioning toward G0568–G0570)
  • ✓ Monthly time thresholds and psychiatric consultant documentation verified before every CoCM claim goes out
  • ✓ Initial-month code never billed past the first month of enrollment
  • ✓ Code-set transitions tracked as CMS updates take effect, so charge templates don't bill off a retired code

Service

Full-Service Behavioral Health Revenue Cycle Management

Behavioral health RCM carries more documentation-dependent codes than most specialties; diagnostic evaluation, time-based psychotherapy, medication management, and telehealth compliance all run on different rules inside the same patient chart. We manage all of it end to end. 

RCM

Revenue Cycle Management

Our end-to-end revenue cycle management keeps your practice financially strong from patient registration through final payment.

MEDICAL BILLING & CODING

Medical Billing and Coding

Incorrect codes threaten a streamlined RCM. Our specialty-specific, certified billers submit accurate claims, backed by automated pre-submission checks.

ELIGIBILITY VERIFICATION

Eligibility Verification

We verify coverage before every visit, automatically, and our team follows up on anything the system flags

CREDENTIALING

Provider Credentialing

Automated status tracking keeps your credentialing and re-credentialing on schedule, so payer enrollment never lapses

AR RECOVERY

Accounts Receivable Recovery

Our AR specialists work every aging balance the automation surfaces, so no dollar is left uncollected

DENIAL MANAGEMENT

Denial Management

Automated denial routing gets every rejected claim to the right specialist immediately, not days later.

AUDIT

Free Billing Audit

Find out how much manual work in your current process is costing you, with a free billing audit. There is no obligation, just a clear snapshot of your revenue cycle.

Works Inside the Behavioral Health Systems You
Already Run

You don't need to migrate your EHR or practice management system to work with us. Our
team has hands-on experience across the platforms behavioral health practices actually
use for scheduling, notes, and billing.

An Honest Comparison of What Behavioral Health Billing
Actually Costs

A transparent, side-by-side look at outsourced versus in-house behavioral
health billing.
Factor
Doing It In-House
Your Revenue, Our Priority!
Annual Cost
$55K–$75K+ salary per specialty-trained biller, plus benefits and turnover
Percentage of collections only — zero upfront
Behavioral Health Coding Credentials
Often one generalist coder covering every specialty
Certified coders fluent in time-based psychotherapy codes
Telehealth Modifier & POS Accuracy
Manual review, frequent modifier/POS errors
Verified against current payer telehealth policy on every claim
Authorization Tracking
Tracked by authorization number, often missed until denial
Tracked per patient by session count, renewed proactively
Parity Law (MHPAEA) Appeals
Rarely identified or cited
Cited directly in appeals when applicable
Denial Follow-Up
Often deprioritized due to staff bandwidth
100% of denials worked, appeals built with full clinical narrative
Onboarding Speed
Weeks to months of specialty-specific training
Live within days
Turnover Risk
AR stalls when a trained biller leaves
Zero — dedicated team always available
Compliance
Practice's sole responsibility
HIPAA, SOC 2, and 42 CFR Part 2 aware workflows

We Know How Payers Treat Behavioral Health Claims

Behavioral health claims don't just move through commercial payers and Medicaid; they also route through managed behavioral
health organizations (MBHOs) and Employee Assistance Programs that apply their own authorization and documentation rules on top
of the base plan. Mental health parity law requires payers to hold behavioral health to the same standard as medical care, but
Enforcement still depends on someone catching the violation and citing it. Our team tracks those differences by payer, by plan type,
and by service line.
EPIC
eClinical
DrChrono
healthcare
availity
Athenahealth
 advanced
waystar
nextgen
Kareo
aditional platforms

Credentialing Built for the Way Your Practice
Actually Operates

Solo & Group Therapy Practices

We keep authorization renewals and telehealth modifiers off your plate so you can focus on the session, not the superbill.

Psychiatric Medication Management Practices

E/M levels and psychotherapy add-on codes billed against documented decision-making, not a habit built into the template.

IOP & PHP Programs

Multi-session, multi-week authorizations tracked day by day, with renewal requests filed before a level-of-care denial interrupts treatment.

Substance Use Disorder & Addiction Treatment Centers

42 CFR Part 2 consent workflows and program-specific HCPCS modifiers built into every claim from intake forward.

Multi-Location Behavioral Health Groups

Consistent coding and authorization tracking across every location, with one team accountable for the whole revenue cycle.

Integrated & Collaborative Care Primary Care Practices

Collaborative Care Model billing (99492–99494) managed month by month, with psychiatric consultant documentation verified before submission.

Pricing

You Pay Only When We Collect for You.

No fee at the start. No retainer. Nothing buried in a contract. We charge a percentage of what we collect for your Texas practice and nothing when we don’t.

TEAM

How Our Behavioral Health Billing Team Makes Practices More Profitable

Every behavioral health practice that comes to CureBytes arrives with a different bottleneck; a solo therapist losing sessions to expired authorizations, a psychiatric practice under-billing E/M add-ons, a treatment center stuck on parity denials. We build a specific plan around what’s actually costing your practice money

50 States Strong

Ready to Find Out What Your Behavioral Health Practice Is Leaving on the Table?
Working with a behavioral-health-focused billing partner means fewer telehealth modifier denials, faster authorization renewals, and a team that already knows the difference between 90834 and 90837. Start with a complimentary billing audit; our specialists review your claims history, identify where revenue is leaking, and hand you a straight answer.

Complimentary 90-day claims review

Identification of your top behavioral health revenue leaks

Telehealth and authorization billing assessment specific to your EHR

Clear findings delivered with no strings attached

Pay only a percentage of what CureBytes collects for you

Dedicated behavioral health billing specialist assigned from day one

Frequently Asked Questions

Everything You Need to Know Before You Decide

What makes mental health billing different from general medical billing?

Mental health claims run on time-based codes that require documented start-and-stop minutes, session-limited prior authorizations that expire mid-treatment, and federal parity law that governs

We were writing off denials we didn’t even understand. CureBytes rebuilt our claims process and the money started showing up again

We were writing off denials we didn’t even understand. CureBytes rebuilt our claims process and the money started showing up again

We were writing off denials we didn’t even understand. CureBytes rebuilt our claims process and the money started showing up again

We were writing off denials we didn’t even understand. CureBytes rebuilt our claims process and the money started showing up again