Behavioral Health Billing

Behavioral health practices operate in one of the most regulated and scrutinized billing environments in healthcare. Frequent CPT updates, evolving CMS policies, payer-specific authorization rules, and rising telehealth utilization make behavioral health billing especially vulnerable to errors and denials.

Behavioral health billing failures rarely stem from lack of care. They happen because of incorrect behavioral health CPT codes, mismatched ICD-10 diagnosis codes, missing modifiers, or breakdowns in revenue cycle coordination. These issues quietly inflate A/R, increase denial rates, and disrupt cash flow.

Info Hub Consultancy Services delivers specialized behavioral health billing services for U.S.-based mental health providers, psychiatry clinics, therapy groups, FQHCs, and community behavioral health centers. Our offshore billing team in India works as an extension of your practice to ensure accuracy, compliance, and financial stability across commercial insurance, Medicaid, and Medicare.

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    Behavioral Health Billing Services for Complex Care Models

    Behavioral health billing services must support diverse care models including outpatient therapy, intensive outpatient programs, inpatient admissions, case management, and telehealth encounters.

    Our behavioral & mental health billing services cover:

    •  Individual, group, and family therapy billing
    • Psychiatry and medication management billing
    • Community behavioral health billing programs
    • Outpatient and inpatient behavioral health billing

    As a behavioral health billing company focused on U.S. compliance, we align workflows with CMS behavioral health billing guidelines and payer-specific policies to reduce downstream denials.

    Behavioral Health CPT Codes and Coding Structure

    Accurate CPT selection is foundational to compliant reimbursement. Our certified behavioral health coders manage the full range of behavioral health CPT codes, including evaluation, therapy, intake, screening, and care coordination.

    We routinely support:

    • CPT code for behavioral health assessment (90791, 90792)
    • Psychotherapy codes (90832–90837)
    • Family and group therapy codes
    • CPT code for behavioral health intake assessment
    • CPT code for case management behavioral health
    • Health and behavior CPT codes for integrated care

    Our team stays current with behavioral health CPT codes 2024 and prepares providers for behavioral health CPT codes 2025, including new behavioral health CPT codes introduced for collaborative and integrated care models.

    Behavioral Health Revenue Cycle Management (RCM)

    Billing alone does not protect revenue. Effective behavioral health revenue cycle management ensures predictable cash flow and visibility across the entire lifecycle of a claim.

    Our behavioral health RCM services include:

    • Eligibility verification and benefit checks
    • Authorization tracking and renewal management
    • Clean claim creation using verified billing codes for behavioral health
    • Denial management for behavioral health claims
    • Payment posting and reconciliation

    We also monitor key metrics for RCM performance in behavioral health, including first-pass resolution rate, denial percentage, days in A/R, and net collection rate.

    Behavioral Health Diagnosis Coding and ICD-10 Mapping

    Correct diagnosis coding determines medical necessity and coverage. We manage behavioral health diagnosis codes and ensure alignment with payer policies.

    Our expertise includes:

    • ICD 10 behavioral health codes for depression, anxiety, ADHD, bipolar disorder, and substance use disorders
    • Behavioral health ICD 10 codes list validation against payer edits
    • Behavioral health ICD 10 codes cheat sheet updates
    • Historical ICD-9 behavioral health codes mapping for audits and legacy claims

    This structured diagnosis management reduces denials caused by diagnosis mismatches and unsupported services.

    Unique RCM Challenges in Behavioral Health Practices

    Behavioral health practices face challenges not common in other specialties:

    • High authorization dependency
    • Session-based and time-based billing complexity
    • Telehealth parity variations by state
    • Frequent policy changes across Medicaid programs

    Our RCM solutions for behavioral health address these challenges through automation, payer rule tracking, and proactive denial prevention.

    Behavioral Health Credentialing and Provider Enrollment

    Without credentialing, claims fail before submission. We provide complete behavioral health credentialing services to support payer enrollment and ongoing compliance.

    Our credentialing support includes:

    • Behavioral health insurance credentialing
    • CAQH profile setup and maintenance
    • Behavioral health provider credentials verification
    • Behavioral health credentialing checklist and flowchart management

    We also ensure accurate use of behavioral health taxonomy codes, NAICS code for behavioral health, and SIC code for behavioral health across payer systems.

    Behavioral Health Billing Technology and EHR Integration

    Our billing infrastructure integrates with modern EHR and EMR systems used in behavioral health.

    We support:

    • Behavioral health billing EHR and behavioral health billing EMR workflows
    • Behavioral health billing electronic medical record synchronization
    • Audit-ready reporting dashboards
    • Behavioral health medical billing platforms for multi-location practices

    For virtual care, we apply correct behavioral health telehealth billing rules and telehealth CPT codes for behavioral health.

    Medicare and Medicaid Behavioral Health Billing

    Government programs apply strict rules to behavioral health claims. We manage:

    • Medicare behavioral health billing codes and documentation requirements
    • Medicaid behavioral health billing guidelines by state
    • AHCCCS behavioral health billing codes
    • FQHC behavioral health billing for community clinics

    Our team stays aligned with CMS behavioral health billing updates to reduce audit and recoupment risk.

    Outsourced Behavioral Health Medical Billing (India → USA)

    Many U.S. practices choose outsourced behavioral health billing to control costs and improve performance.

    Our offshore behavioral health billing model provides:

    • HIPAA-compliant workflows
    • Dedicated billing specialists
    • Faster turnaround times
    • Scalable support for growing practices

    We support outsourcing behavioral health medical billing services for providers across Florida, Texas, Delaware, Ohio, and other U.S. states.

    Why is Offshore Medical Billing Necessary to Drive Success?

    Offshore Medical Billing has become increasingly demanding for healthcare providers
    across the globe to drive steady success. Let’s dive in. Why?

    Significant Cost Reduction

    Endured Professionals

    Strong Security Measures

    More Results & Faster issues

    100 HIPAA biddable

    Lower Claim Denials in 48 hrs

    Flexible US Working Windows

    Who We Are?

    Optimizing Revenue via Quality Medical Billing Services

    We’re a team of Indian grounded experts streamlining medical billing
    services to US-based healthcare professionals for more than 10 years. We strategise specialty-specific conditions and are available 24/7 throughout the year, offering customized services alongside enhancing your profit by at least 30%.

    Common Challenges in Medical Billing

    Understanding the Hidden Risks

    Medical Billing frequently faces various issues that may slow down the billing
    process. They include

    Regulatory Complexity

    Navigating to the continuously upgrading healthcare rules, payer programs, and rendering guidelines frequently leads to a chain in the medical billing process.

    High Denial Rates

    Incomplete patient information or late forms can lead to rejected claims, forcing time consuming fixes.

    Delayed Payments

    Missing information can delay remittances, disrupting cash inflow and day-to-day operations.

    Staffing Limitations

    Internal brigades might not have the technical knowledge to keep up with evolving regulations and payer conditions, which can lead to functional inefficiencies.

    Administrative Burden

    The redundant burden of billing liabilities can overload healthcare workers, reducing the time and focus available for patient care.

    Lack of  Transparency

    Lacking access to real-time data makes it difficult for providers to pinpoint backups or assess how well their profit cycle is performing.

    Our Custom Solutions

    Customized Offshore Solutions Built for You

    Our approach to these challenges involves substantiated, budget-friendly strategies.

    • Expert Team

      Hiring Infohub for medical billing can cut your billing and executive costs by up to 40% due
      to cheaper labor and more efficient processes.

    • Minimized Denials

      By enforcing quality checks throughout the process, we minimize rendering miscalculations and
      help prevent claim rejections. Our effective operation ensures optimal profit recovery.

    • Transparent Communication

      You will receive regular updates and substantiated account assistance. We ensure you stay
      streamlined throughout each phase of the billing process.

    • Clean Claims and Faster Payments

      We aim to file correct claims from day one. Our smooth system speeds up payments and reduces
      the need to follow up later.

    • Flawless Integration

      Our results seamlessly connect with EHR platforms similar to AdvancedMD, Athenahealth, Kareo,
      and others. We build our approach to fit your current workflows.


    Speak to our Experts on

    +1 888-502-0537

    End-to-End Medical Billing Services provider across entire US.

    Benefits of Offshore Medical Billing Services with ICS

    Streamlining Your Revenue, Offshore and On-Point

    Outsourcing medical billing overseas, particularly to India, provides substantial benefits. Many US
    healthcare providers have found that partnering with Indian medical billing enterprises leads to
    successful outcomes, regardless of their practice size.

    Cost Savings

    Outsourcing medical billing to Infohub can reduce your billing and executive charges by as much as 40%. The combination of lower pool costs and streamlined procedures makes medical billing in India a cost-effective option.

    Skilled Professionals

    We boast a large pool of certified billing professionals who retain in-depth knowledge of U.S. healthcare regulations, rendering norms, and insurance procedures.

    Cost Savings

    Outsourcing medical billing to Infohub can reduce your billing and executive charges by as much as 40%. The combination of lower pool costs and streamlined procedures makes medical billing in India a cost-effective option.

    Why Choose Us?

    Experience the ICS Advantage

    We’re one of the leading medical billing enterprises, delivering reliable and HIPAA-compliant services
    customized for healthcare providers across the United States. That’s what makes us the favored choice
    for many practioners.

    HIPAA Security

    HIPAA Security

    Specialty Knowledge

    Specialty Knowledge

    Personalized Assistance

    Personalized Assistance

    Adaptable Pricing

    Adaptable Pricing

    Individualized Workflows

    Individualized Workflows

    spec-we-serv-left

    Specialties We Serve

    We offer medical billing services that feed to different types of medical practices.

    Ambulance

    Cardiology

    Radiology

    Family Practice

    Ophthalmology






       

      Whether you operate as an individual practitioner or manage a healthcare association with multiple sites, we offer a solution tailored to your requirements.

      States We Serve

      With over a decade of experience serving diverse specialties and provider groups across the U.S., we ensure you get local-quality support, regardless of location.

      • Trusted by 140+ Providers in All 50 States
      • HIPAA-Compliant Offshore Billing Experts
      • Specialized Teams for State-Specific Billing Needs

      Select your location below to learn how we support practices like yours.






         

        Tools and Technology We Use

        To ensure top-notch service delivery, we use premier industry platforms similar to

        Also, we offer support for custom APIs and integrations with customer systems, streamlining data synchronization and billing operations.

        Frequently Asked Questions

        How to bill for behavioral health services?

        Behavioral health billing requires accurate CPT selection, valid ICD-10 diagnosis linkage, proper modifiers, and documentation supporting medical necessity.

        What is the CPT code for behavioral health assessment?

        90791 (without medical management) and 90792 (with medical management).

        How to code behavioral health encounters correctly?

        Use the latest behavioral health CPT codes (2024–2025), pair them with valid ICD-10 behavioral health codes, and follow payer-specific time rules.

        How to bill for telehealth for behavioral health?

        Use standard psychotherapy CPT codes with modifier 95 and correct place-of-service codes, following payer telehealth guidelines.

        What causes high denial rates in behavioral health billing?

        Missing authorizations, diagnosis mismatches, incorrect modifiers, and incomplete session documentation.

        What are CMS behavioral health billing guidelines?

        CMS requires accurate CPT–ICD linkage, credentialed providers, time documentation, and compliance with telehealth and supervision rules.

        What are key metrics for behavioral health RCM?

        Days in A/R, denial percentage, clean claim rate, and patient collection ratio.

        Can behavioral health billing be outsourced safely?

        Yes. When handled by a HIPAA-compliant offshore provider with U.S. payer expertise, outsourcing improves accuracy and efficiency.

        What are common behavioral health diagnosis codes?

        Examples include F33.x (major depressive disorder), F41.x (anxiety disorders), and F90.x (ADHD).

        What is integrated CRM–EMR–RCM for behavioral health?

        A unified system connecting clinical documentation, billing, and patient engagement to improve accuracy and transparency.

          What People Say About Us

          “ Partnering with ICS transformed our revenue cycle. Claim approvals are faster, denials have dropped significantly, and we finally have clear visibility into our billing performance. ”

          Dr. Asha Kulkarni,

          Founder, Sunrise Family Clinic

          “ The ICS team is knowledgeable, responsive, and deeply committed to helping our practice grow. Their customized dashboard gives us real-time insights we never had before. ”

          Dr. Vivek Nair,

          Orthopedic Surgeon, CareAxis Hospital

          “ We were drowning in paperwork and delays before ICS stepped in. Their team streamlined everything, from eligibility checks to patient billing, and gave us time to focus on care. ”

          Meera S.,

          Practice Manager, Lotus Women's Health Center

          “ ICS is more than a billing service—they’re a strategic partner. Their compliance-first approach gives us confidence, and their results speak for themselves. ”

          Dr. Arjun Deshmukh,

          Pulmonologist, Airway Specialty Clinic

          “ With ICS, we saw a 35% increase in collections within the first quarter. Their billing accuracy and follow-up on aging claims are unmatched. ”

          Dr. Neha Jain,

          Dermatologist, ClearSkin Clinic

          For Enquiry

          Business:

          +1 (888) 694-8634 (US Office),

          +91 93459 12455 (India Office)

          Landline:

          0422 4212 455