Mental & Behavioral Health RCM
Streamlining reimbursement for Psychiatry, Psychotherapy, and Behavioral Health Facilities across the U.S.
Supporting the Continuum of Behavioral Healthcare Revenue
Behavioral health billing is uniquely complex due to the heavy reliance on time-based coding, session frequency limits, and varying payer rules for telehealth. MediHub4U understands these hurdles. We help solo practitioners and large facilities alike navigate the transition to value-based care while ensuring maximum reimbursement for essential services.
Telehealth Optimization
Expert application of telehealth modifiers (95, GT, FQ) and place-of-service codes to ensure full reimbursement for virtual therapy and tele-psychiatry sessions.
Time-Based Coding
Rigorous review of psychotherapy codes (90832-90837) and add-on codes for interactive complexity to ensure documentation supports the time billed.
Facility & Intensive Care
Specialized billing for Intensive Outpatient (IOP) and Partial Hospitalization (PHP) programs, including per-diem rate management and revenue cycle auditing.
Credentialing Support
Active management of provider enrollment in commercial and government behavioral health networks to prevent "out-of-network" rejections and denials.
Our Behavioral Health Focus
- Authorization Management: We track session counts and obtain re-authorizations before they expire to prevent unpaid visits.
- Payer Policy Monitoring: Staying ahead of changing rules for "parity" and mental health coverage through our compliance audits.
- Patient Balance Sensitivity: Professional management of recurring copays and deductibles with a patient-first communication style.
Our data-driven mental health strategies allow providers to focus on patient outcomes while we handle the complexities of clinical documentation and insurance recovery.