Expert Mental Health Billing Services for Therapists & Private Practices
NextGenBillingSolution offers specialized billing solutions for therapists, psychologists, psychiatrists, and behavioral health professionals. Our comprehensive, HIPAA-compliant services—from eligibility verification to denial management—ensure faster reimbursements, streamlined operations, and more time to focus on patient care.
Result-Oriented Mental Health Billing Services
Higher, Faster & Better Reimbursements
NextGenBillingSolution offers specialized billing solutions for therapists, psychologists, psychiatrists, and behavioral health professionals. Our comprehensive, HIPAA-compliant services—from eligibility verification to denial management—ensure faster reimbursements, streamlined operations, and more time to focus on patient care.
Here’s what we handle:
- Revenue Cycle Management
- Insurance Contract Negotiations
- Patient Insurance Verification
- Provider Credentialing Services
- Compliance and Regulatory Support
- Coding & Documentation Review
- Electronic Claims Submission
- Claims Follow-up and Analysis
- Account Receivable Management
Streamline Your Practice with Comprehensive Mental Health Billing Solutions
Working with our professional mental health billing companies cuts down claim denials and speeds up payment cycles. Our mental health billing services include CPT and ICD-10 coding, address prior authorization challenges, denial management, and credentialing, so you don’t have to chase reimbursements.
The Challenges You Face Managing Mental Health Insurance Billing
Mental health billing is complex. From modifier applications to telehealth codes like GT and 95, plus differing state regulations, it’s a maze. Most therapists spend 10+ hours a week on billing and admin tasks—time that could be spent with patients. On top of that, insurance companies often reimburse behavioral health services at lower rates than general medical care, creating a revenue gap that generic billing services can’t close.
NextGenBillingSolution solves these challenges head-on. Our specialized mental health billing services manage the full revenue cycle and handle insurance credentialing, helping you secure better reimbursement rates faster. The result is better cash flow and higher collection rates.
Full-Spectrum Psychology & Psychiatry Billing Services
Most billing companies stop at basic claims processing—but mental health practices require more. You need psychiatric billing experts who truly understand the nuances of psychiatric coding, behavioral health reimbursement, and complex payer compliance. That’s where we come in. At NextGenBillingSolution, we specialize exclusively in mental health billing, ensuring behavioral health providers get paid accurately and on time, every time.
Revenue Cycle Optimization
We handle your finances from the moment a patient schedules an appointment to the final payment deposit. Our revenue cycle management spots what’s slowing down your reimbursements, like prior authorization challenges, and fixes it. We review your fee schedules against what payers actually owe you, cut accounts receivable aging by an average of 35%, and catch revenue leaks before they drain your income. You get detailed financial reports that show exactly where your money is and where it’s going with our mental health billing services.
Mental Health Credentialing & Insurance Enrollment
Credentialing can take 90–120 days and is often buried in endless paperwork—but we make it effortless. Our expert credentialing services for mental health providers handle the entire process: collecting documents, verifying credentials, submitting applications, and following up with payers. We manage your initial credentialing, track re-credentialing deadlines, and maintain your CAQH profile so you can start billing insurance faster and stay in-network without any interruptions.
Psychiatry Billing Focused Compliance Management
At NextGenBillingSolution, we ensure your mental health practice stays fully compliant with all regulations, including HIPAA, the Mental Health Parity Act (MHPAEA), 42 CFR Part 2 for substance abuse records, state laws, Medicare and Medicaid requirements, and the False Claims Act. Our proactive audits identify potential issues early, helping you avoid penalties or investigations. We also monitor telehealth billing updates closely, so you can focus on patient care without worrying about compliance changes.
If you want, I can also create a slightly more marketing-friendly, “benefit-focused” version that emphasizes ease and peace of mind for clients. Do you want me to do that?
Coding & Documentation Support
At NextGenBillingSolution, we know that incorrect coding leads to denied claims. Our certified coders are experts in mental health CPT codes, covering diagnostic evaluations (90791, 90792), individual therapy (90832, 90834, 90837), group therapy (90853), and everything in between. We ensure every service is paired with the correct ICD-10 code, apply necessary modifiers (25, 59, GT, 95), and verify that your documentation fully supports your claims.
Behavioral Health Billing Services
Therapists, counselors, and addiction specialists face unique billing challenges that differ from general psychiatry. At NextGenBillingSolution, we manage out-of-network superbills, sliding scale pricing, EAP coordination, and the specialized billing requirements for addiction treatment. Our comprehensive behavioral health billing services also cover intensive outpatient programs (IOP) and partial hospitalization programs (PHP), including proper HCPCS coding and authorization management tailored to these programs.
Robust Mental & Behavioral Health Billing with Maximus
NextGenBillingSolution offers AI-driven automation designed specifically for mental health practice billing. Our cloud-based platform integrates effortlessly with your current system, optimizing your entire revenue cycle—from eligibility verification to payment posting—so you can focus more on patient care and less on administrative tasks.
Automated Eligibility Verification
Instant insurance coverage checks at patient check-in prevent claim rejections before services are rendered.
Smart Claims Management
AI-powered claim scrubbing identifies coding errors and missing information before submission, achieving 98.5% clean claim rates.
Precision Mental Health Coding
Built-in validation for CPT codes for mental health and ICD-10 codes for mental health ensures accurate billing for every session type.
Integrated Patient Scheduling
Unified calendar management syncs appointments with billing workflows, reducing no-shows and optimizing provider schedules.
Automated Denial Prevention
Real-time alerts flag potential issues before claims are submitted, dramatically reducing denial rates and revenue loss.
Accelerated Payment Cycles
Automated ERA posting and payment reconciliation speed up cash flow while maintaining complete A/R control.
Looking for the best practice management software for your practice?
Maximus integrates with leading EMR/EHR systems and provides real-time financial performance dashboards. Schedule a demo to see how it transforms your mental health billing.
One Platform, Endless Possibilities
We offer integration with your existing EHRs and PMS. Our experts are trained in coding and billing across all common psychiatry EHR systems.
Serving a Wide Spectrum of Mental Health Practitioners
Mental health providers encounter unique billing challenges depending on their specialty. A psychiatrist managing medication codes has very different needs than an addiction treatment center navigating IOP authorizations. Generic billing services often overlook these nuances. At NextGenBillingSolution, our services are customized for your specific practice type, giving you billing support that truly understands your work.
- Psychiatrists & Psychologists
- Therapists and Counselors
- Solo Practitioners & Telehealth Providers
- Addiction Treatment Centers & Group Practices
- Community Mental Health Centers
- Outpatient Mental Health Programs
- Mental Health Professionals
What Our Clients Say About Working With Us
NextGen Billing Solution did a great job with our billing and helping clean up old AR. Regular updates and good communication were very appreciated.
NextGen Billing Solution has been and continues to be critical to the success of Ion Diagnostics. As our medical billing company, they consistently meet our needs for compliance and dedicated, responsive client service. They excel in revenue cycle management and truly feel like a partner.
I am impressed with NextGen Billing Solution promptness to respond to any inquiries, with the time they dedicate to reviewing each one of the cases.
I am very thankful to NextGen Billing Solution because they rectified all the mistakes which were done by my previous medical billing partner. They are so fast and efficient.
NextGen Billing Solution, as our medical billing company, has reduced our claim denials by up to 20% and resolved all of our billing challenges, including prior authorization and credentialing. We have regularly scheduled weekly meetings with them, and they have been very responsive and courteous during the calls
Our experience with NextGen Billing Solution is great. They help us to increase our revenue with their quality medical billing and customer support services. Always recommend them to others.
We have experienced tremendous improvements within our billing and claims department that we have entrusted NextGen Billing Solution to manage.
Why Choose Our Professional Billing for Mental Health?
Partnering with a specialized mental health billing company like NextGenBillingSolution revolutionizes your practice management. Our expert billing services streamline operations, minimize administrative workload, and maximize revenue—allowing your team to focus on patient care while achieving financial results that in-house billing can’t replicate.
Here’s what you gain with our services:
- Payer-specific filing protocols for faster claim acceptance
- Same-day claim submission with rigorous accuracy checks
- Dedicated account manager available around the clock
- Flexible service scaling as your mental health practice grows
- Proactive regulatory compliance monitoring and updates
- On-demand access to detailed financial reports and KPI dashboards
Frequently Asked Questions
What fee structures do you offer for your mental nextgen billing services?
With NextGen Billing Solution, you only pay a percentage of what we collect—nothing more. One all-inclusive fee handles everything: claims submission, eligibility verification, coding, denial management, patient statements, payment posting, and monthly reporting. No setup costs, no hidden fees. You pay only when you get paid—streamlined mental health billing made effortless.
What do you offer in your nextgen billing RCM services?
At NextGenBillingSolution, we manage the entire revenue cycle, streamlining your billing process from start to finish. Our services include patient registration, insurance verification, eligibility checks, prior authorizations, claims submission, payment posting, denial management, patient statements, and accounts receivable follow-up. We also assist with insurance credentialing to optimize your contracted rates and audit your fee schedules to identify and recover any underpayments.
Do you offer customized billing service plans?
Absolutely. Every practice is unique, which is why we tailor our services to meet your specific needs. Solo practitioners, large group practices, and addiction treatment centers all have different requirements—and we adapt accordingly. Whether you need full revenue cycle management or targeted support such as credentialing, denial management, or coding assistance, we’ve got you covered. Our pricing is flexible, based on your claim volume, specialty complexity, and chosen service level. Together, we’ll create a plan that aligns with your practice size, budget, and growth goals.
What is Maximus PMS and how does it help my practice?
NextGenBillingSolution is a cloud-based practice management platform designed to streamline your revenue cycle. It automates eligibility verification, pre-submission claim scrubbing to reduce errors, and ensures accurate CPT and ICD-10 coding. Payments are posted automatically, saving time and minimizing manual work. With seamless interoperability, it integrates easily with your existing systems—no platform switch required. Real-time financial dashboards provide instant visibility into claim status, payment timelines, and key revenue metrics, helping you make informed decisions faster.
How does billing work for mental health services?
The process begins by verifying the patient’s insurance status and understanding their coverage benefits. After each session, you record the treatment details and assign the appropriate CPT code (for example, 90834 for a 45-minute therapy session) along with the relevant ICD-10 diagnosis code that supports medical necessity. The claim is then submitted electronically to the insurance carrier. From there, the focus shifts to monitoring claim status, posting incoming payments, and addressing any denials efficiently to ensure proper reimbursement.
What is an incident to billing mental health?
Incident-to billing allows non-physician practitioners to bill under a supervising physician’s credentials, enabling claims at the full reimbursement rate rather than a reduced rate. In mental health settings, this means the psychiatrist must conduct the initial evaluation, develop the treatment plan, and maintain active oversight throughout care. Proper, thorough documentation of the supervision relationship is essential. Medicare audits these claims closely, and without complete records, submissions may be denied.
Boost Your Practice's Revenue by Up to 35%
Let’s team up to proactively handle denials, ensure providers get paid by getting reimbursed for their services, and convert delayed bills into payments with MedCare MSO’s expert mental health billing services, specifically designed to meet the unique needs of private practice. Our dedicated team ensures every claim meets the highest standards and gets resolved quickly.