Mental and Behavioral Health Billing Services

EZE Medical Billing Services | Expert Billing Support for Mental Health Providers

Payer guidelines are always changing, and at EZE Medical Billing Services we make sure your mental health practice stays ahead. We handle all aspects of billing codes, payer policies, and fee schedule reimbursements so you can focus on patient care. With our support, you will have the right tools to improve revenue and maintain compliance.

Navigating new payer rules and state coverage directives can be a full‑time job. Our team tracks updates from Medicaid, Medicare, and private insurers to ensure claims are submitted correctly the first time. We verify fee schedules and adjust billing codes as policies evolve, reducing claim rejections and speeding up reimbursements.

When you partner with EZE Medical Billing Services, you gain access to deep expertise in mental health billing. Our specialists understand the unique challenges of behavioral health practices, from group therapy sessions to individual counseling. We provide clear guidance on documentation requirements and authorization processes so your team can deliver uninterrupted care.

Our goal is to help your practice adapt quickly to any change in payer guidelines. We offer regular training sessions and easy‑to‑read updates on policy shifts. Whether it’s a new CPT code or revised reimbursement rate, you will receive practical advice and hands‑on support. This proactive approach minimizes surprises and keeps your cash flow steady.

Choose EZE Medical Billing Services for reliable mental health billing support. With our expert team by your side, you will transform complex payer guidelines into simple solutions and continue making a positive impact on the lives of patients with behavioral health needs.

Revenue Cycle Management for All Therapy Types

At EZE Medical Billing Services, our in‑house AAPC‑certified coders bring deep expertise in billing for a wide range of therapy methods. Whether you offer individual counseling, group sessions, play therapy, or behavior modification, we know the right codes and rules to maximize your reimbursements.

Obsessive‑Compulsive Patterns
Emotion Regulation and Instability (Borderline Personality)
Substance Misuse and Dependence
Cognitive Decline Disorders (Alzheimer’s Disease)
Intellectual and Developmental Challenges

Mental Health Pre-Billing Process Includes

Our certified billing team handles patient registration and secures approval for every hour of your treatment plan.
We know the rules of major payers and submit precise medical documents to get prior authorizations without delay.
With our streamlined billing and claims process, we achieve an 85 percent first‑pass acceptance rate, boosting your overall reimbursements

Patient Registration
Coverage Confirmation
Pre‑Authorization Approval
EMR Oversight & Charge Validation
Claim Submission
Denial Resolution

Who We Bill For

We support psychiatrists, psychologists, psychiatric nurse practitioners, licensed clinical social workers, licensed professional counselors, marriage and family therapists, group practices and community mental health centers. Each provider type has its own coding and supervision rules, and we set up your billing around them from day one.

Mental Health Codes We Get Right

Therapy billing depends on time, setting and whether a medical service was provided in the same visit. Small errors here cause a large share of mental health denials.

Service	Common codes
Diagnostic evaluation	90791, 90792
Individual psychotherapy	90832, 90834, 90837
Psychotherapy with an E/M visit	90833, 90836, 90838
Family therapy	90846, 90847
Group therapy	90853
Crisis psychotherapy	90839, 90840

Individual psychotherapy codes depend on actual face to face time, so session start and end times must be documented clearly. When a psychiatrist or psychiatric NP provides medication management and therapy in the same visit, the therapy is billed as an add on code with the E/M service, not as a standalone session. We check these rules on every claim before it goes out.

Telehealth Therapy Billing

Telehealth rules vary by payer, including place of service codes and modifiers. We keep each payer’s telehealth requirements on file so virtual sessions are paid the same as in person visits.

Higher Levels of Care

If your organization runs structured programs, we handle those as well. Learn more about our IOP billing services in New Mexico and PHP billing services in New Mexico.

Behavioral Health Billing in New Mexico

Based in Albuquerque, our team bills mental health services for all four Turquoise Care plans, Medicare and major commercial payers across New Mexico, so local practices get a billing partner who knows the payers they deal with every day.

Get in Touch

Let’s Talk About Your Billing Needs

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Frequently Asked Questions

What makes mental health billing different from regular medical billing?

Mental health billing relies on time based therapy codes, frequent authorizations, session limits and payer rules that often sit with a separate behavioral health administrator. Documentation must support the exact time and type of each session, which leaves less room for error than most medical specialties.

Which providers do you bill for?

We bill for psychiatrists, psychologists, psychiatric nurse practitioners, licensed clinical social workers, licensed counselors, marriage and family therapists, group practices and community mental health centers.

Can you bill therapy and medication management in the same visit?

Yes. When a prescriber provides both services in one visit, we bill the E/M service with the correct psychotherapy add on code, as long as the documentation clearly separates the time spent on therapy.

Do you handle authorizations and session limits?

Yes. We verify mental health benefits before the first session, request authorizations when needed and track session counts so treatment is not interrupted by unexpected denials.

Do you bill telehealth therapy sessions?

Yes. We apply each payer’s telehealth rules, including the right place of service codes and modifiers, so virtual sessions are paid correctly.

Do you bill Turquoise Care plans for mental health services?

Yes. We bill mental health services for all four Turquoise Care plans in New Mexico, along with Medicare and commercial payers.

Why are mental health claims denied so often?

Common reasons include missing session times, wrong time based codes, therapy billed separately instead of as an add on, expired authorizations and claims sent to the medical plan instead of the behavioral health administrator. We check for each of these before submission.