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Behavioral Health Claims Submission & Follow-Up

Clean, timely claim submission is the foundation of a healthy revenue cycle. Our billing specialists use behavioral health-specific coding knowledge to submit accurate claims the first time — and follow every single one through to payment.

Claims Services We Provide

  • ✓ICD-10, CPT, and HCPCS coding for behavioral health
  • ✓UB-04 and CMS-1500 claim form preparation
  • ✓Electronic and paper claim submission
  • ✓Eligibility and authorization verification pre-submission
  • ✓Claim scrubbing and pre-submission audits
  • ✓ERA/EOB posting and reconciliation
  • ✓Accounts receivable follow-up and aging management
  • ✓Denial analysis and root-cause reporting
Our Results

97% Clean Claim Rate — Industry Average is 75%

Our pre-submission scrubbing process catches errors before they reach the payer, dramatically reducing denials and accelerating your cash flow.

Pre-Submission Scrubbing

Every claim is reviewed for coding accuracy, authorization match, patient eligibility, and payer-specific requirements before submission.

Aggressive A/R Follow-Up

We work claims aging reports daily, escalating unpaid claims at 30, 60, and 90+ days with targeted payer-specific strategies.

Denial Pattern Analysis

Monthly reporting identifies systemic denial causes so we can fix root issues — not just chase individual claims.

FAQ

Claims Submission — Common Questions

What EMR/EHR systems do you work with? +
We integrate with all major behavioral health EHR platforms including Kipu, Procentive, TheraNest, SimplePractice, Netsmart myAvatar, and others. We also work with facilities using practice management systems like Kareo, AdvancedMD, Waystar, CollaborateMD, and Practice Mate/Office Ally.
How do you handle behavioral health-specific coding challenges? +
Behavioral health billing involves complex H-codes and facility vs. professional billing distinctions that general billers often mishandle. Our team is specifically trained in substance abuse and mental health CPT and revenue codes, HCPCS modifiers, and payer-specific coding requirements.
What is your average days in accounts receivable? +
Our clients typically see average days in AR between 28 and 35 days for commercial claims, compared to the behavioral health industry average of 55–75 days. Results vary by payer mix and facility type.

Stop Leaving Money on the Table

Let us audit your current claims process and show you exactly where revenue is being lost.