Mental Health Practice Billing Built Exclusively for Behavioral Health

Dedicated Mental Health Billing Division

Medtransic has launched a specialized behavioral health billing team staffed exclusively by AAPC-certified coders with deep expertise in psychotherapy CPT codes (90832–90837), psychiatric E/M codes, telehealth modifier rules, and mental health parity enforcement. Generic billing companies apply one-size-fits-all workflows to behavioral health — our coders understand the specialty from the ground up.

• 96% First-Pass Claim Rate — Precision coding prevents denials before they happen
• 32% Average Revenue Increase — Capture all billable minutes with correct time-based coding
• 48-Hour Onboarding — Fast, zero-disruption transition from your current billing workflow
• HIPAA-compliant, SOC 2 certified, OIG-monitored processes

Who We Serve

• Solo Therapists & LCSWs — Eliminate time-based coding errors on 90837 and 90847; get paid for every session minute
• Group Practices — Unified billing across multiple providers, multiple payers, and multiple license types
• Psychiatrists & Nurse Practitioners — Correct E/M coding (99213–99215) with medication management add-ons; fight downcoding proactively
• Telehealth Providers — Real-time payer eligibility checks and correct virtual-visit modifier application for every active payer contract

The 3 Billing Problems Destroying Mental Health Revenue

Time-Based Coding Errors (90837)

Psychotherapy billing is driven by timed codes. A 53-minute session billed as 90834 instead of 90837 loses $35–$60 per encounter — multiplied across hundreds of sessions per month. Our coders audit every encounter for correct time-based code selection.

Insurance Carve-Out Denials (Evernorth/Cigna, Optum)

Behavioral health benefits are routinely carved out to separate managed-care organizations like Evernorth (Cigna) or Optum (UnitedHealth). Claims billed to the wrong payer are automatically denied. We maintain a live carve-out directory for all active payer contracts and route every claim correctly on submission.

Telehealth Modifier Rules

Post-2023 telehealth policy changes have left many practices applying outdated modifiers. A single missing or incorrect modifier triggers denial across an entire payer's virtual-visit claims. We update modifier protocols per payer contract in real time.

How It Works: 3 Steps to Better Mental Health Billing

1. Free 30-Minute Billing Audit — We review your denial reports, coding patterns, and payer mix to identify exactly where revenue is leaking. No commitment required.
2. 48-Hour Onboarding — Our team integrates with SimplePractice, TherapyNotes, or your existing EHR. We map your payer contracts, update carve-out routing, and verify credentialing status before going live.
3. Ongoing Collections & Reporting — Real-time dashboards show clean claim rates, denial reasons, and collections by payer. Monthly performance reviews keep revenue trending upward.

Frequently Asked Questions — Mental Health Billing

How much does mental health billing outsourcing cost?

Medtransic charges a percentage of collections — typically 5–7% for mental health practices — with no flat fees or hidden charges. Most practices recoup the cost immediately through improved clean claim rates and recovered denials.

Do you integrate with SimplePractice and TherapyNotes?

Yes. We integrate directly with SimplePractice, TherapyNotes, ICANotes, and most other behavioral health EHR and practice management platforms. Setup takes 48 hours with zero disruption to your session schedule.

Can you help with provider credentialing for mental health?

Yes. Our credentialing team handles CAQH profiles, payer panel applications, and Medicare/Medicaid enrollment for therapists, psychologists, psychiatrists, and NPs. Learn more about credentialing services.

What CPT codes do mental health billers need to know?

Core psychotherapy codes include 90832 (30-minute individual therapy), 90834 (45-minute), 90837 (60-minute), 90847 (family psychotherapy with patient), and 90853 (group psychotherapy). Psychiatric codes include 90791 (psychiatric diagnostic evaluation) and 99213–99215 for E/M with medication management. Our coders are certified in all of these.