Specialties/Behavioral Health
Behavioral Health
medical billing
Session-based billing where authorisation and time thresholds decide whether you are paid.
Where it leaks
Why this specialty
loses money.
Behavioral health claims turn on time thresholds and prior authorisation more than on diagnosis. A session that runs slightly under a threshold drops to a lower code, and an authorisation that lapsed mid-course of treatment can make weeks of delivered care unbillable.
What makes it different
- Time-threshold codes where minutes change the code
- Authorisation that must be tracked across a course of treatment
- Parity rules that payers apply unevenly
- Telehealth place-of-service and modifier requirements
How it is covered
The same eight disciplines,
tuned to this specialty.
Behavioral Health billing is not a separate service — it is the same revenue cycle, with the rules that matter here applied at each stage. The assessment reviews all eight against your own data.
Revenue assessment
How is behavioral health
billing performing for you?
A revenue assessment reviews all eight disciplines end to end and shows you where the reimbursement is going.