Behavioral health billing is one of the most complex areas in medical reimbursement. With varying payer rules, stringent documentation requirements for medical necessity, and unique coding for therapy sessions and psychiatric care, managing your practice’s revenue cycle can be a significant distraction from patient care.
Health Align Solutions specializes in behavioral health billing. We understand the nuances of psychiatry, psychology, and therapy practices. Our expertise ensures you capture the full revenue you deserve for your critical services, allowing you to dedicate more energy to your patients’ well-being.
Complex Payer Policies: Navigating the differing requirements of Medicare, Medicaid, and numerous commercial insurers for services like psychotherapy, crisis management, and group therapy.
Medical Necessity Documentation: Ensuring patient records robustly support the need for treatment to prevent denials and audits.
Place of Service Complexities: Correctly billing for services provided in-office, via telehealth, in hospitals, or in community settings.
Telehealth Compliance: Staying current with evolving rules and modifiers for virtual therapy sessions across multiple states and payers.
We provide an end-to-end revenue cycle management solution designed for the specific needs of your practice.
Our certified coders are experts in CPT codes like (family therapy), and psychiatric evaluation codes. We ensure every session is coded correctly to maximize reimbursement.
We ensure your telehealth claims are submitted with the correct place of service (POS) codes and modifiers (e.g., POS 02, Modifier 95), keeping you compliant and paid for virtual care.
We streamline the process of getting your psychiatrists, therapists, and other providers credentialed with major insurance panels, avoiding delays in reimbursement.
We proactively verify patient benefits and secure necessary treatment authorizations and pre-certifications before services are rendered to minimize claim rejections.
We specialize in overturning behavioral health claim denials. Our team identifies the root cause, corrects the issue, and crafts compelling appeals to recover your revenue.
Gain clear insights into your practice’s health with customized reports on key metrics like denial rates by payer, therapist productivity, and overall collection rates.
Contact Health Align Solutions today for a free, confidential billing assessment. We’ll review your current processes and show you how we can increase your revenue and reduce your administrative load.
Our team has deep, specialized knowledge in mental health billing, from solo practitioners to large community health centers.
We expertly navigate time-based coding, telehealth rules, and complex payer policies to ensure you are fully compensated for your work.
Free your clinical staff from billing tasks, reducing burnout and allowing them to focus on therapeutic work.
We keep you updated on changing regulations, reducing your audit risk and ensuring long-term stability.