Healthcare Logic supports behavioral health organizations with end-to-end revenue cycle management, from eligibility and behavioral health verification of benefits through prior authorization, psychotherapy and psychiatry coding, claim submission, payment posting, denial management, A/R recovery and credentialing. Our workflows are built for outpatient mental health, psychiatry, substance use disorder programs, IOP/PHP and telehealth.
Behavioral health revenue cycle management has specialty-specific failure points: time-based psychotherapy documentation, behavioral health benefit and carve-out routing, prior and concurrent authorization, program billing rules, payer enrollment, telehealth policy differences and denial follow-up. A strong workflow connects those steps instead of treating billing as claim submission alone.
Psychotherapy codes 90832, 90834 and 90837 are time-based. Documentation should support the time used to select the code, and E/M plus psychotherapy encounters require the psychotherapy service and time to be separately identifiable. A pre-bill coding workflow catches missing time and documentation issues before they become payer questions or denials.
A patient's medical plan and behavioral health benefit may route through different networks or administrators. That makes verification of benefits, payer routing and provider enrollment status critical before claims are submitted. We connect eligibility and credentialing data to the billing workflow so provider-not-enrolled and wrong-payer denials are identified early.
Intensive outpatient and partial hospitalization programs can involve institutional claims, payer-specific HCPCS and revenue codes, prior and concurrent authorization, utilization review and level-of-care documentation. The claim path varies by payer and setting, so authorization status and billing configuration have to stay aligned throughout the episode of care.
MHPAEA generally requires mental health and substance use disorder treatment limitations to be no more restrictive than comparable medical and surgical benefits. When authorization, medical-necessity or other nonquantitative treatment limitations appear unusually restrictive, a parity-aware review can help determine what documentation and escalation path are appropriate.
Request a behavioral health RCM review to identify gaps in eligibility, authorization, coding, claim routing, credentialing, denials and aging A/R.
Our behavioral health and mental health billing services are configured around provider type, level of care, payer mix and workflow — from outpatient therapy and psychiatry to substance use disorder programs and IOP/PHP.
Mental health billing for therapists, psychologists, LCSWs, LMFTs, counselors and group practices, including time-based psychotherapy, benefits verification, claims, denials and A/R follow-up.
Psychiatry billing services for E/M, medication management, psychotherapy add-on codes, telehealth, prior authorization, credentialing and payer follow-up.
Substance use disorder billing for outpatient and structured SUD services, with benefit verification, authorization, utilization-review coordination, claims, denials and payer-specific workflows.
IOP and PHP billing with payer-specific claim configuration, prior and concurrent authorization, utilization review, program documentation and denial follow-up.
Revenue cycle support for FQHCs, community health centers and organizations combining medical and behavioral health services across multiple payer and encounter workflows.
Standardized behavioral health RCM across locations and providers, with payer enrollment, work queues, denial root-cause reporting, A/R aging and performance visibility.
From the first benefit check to the final payer follow-up, Healthcare Logic connects front-end access, specialty coding, claim submission and back-end collections in one behavioral health RCM workflow.
Verify behavioral health benefits, payer or carve-out routing, copay and deductible status, visit limits and authorization requirements before the claim is created.
Track initial and concurrent authorization requirements, dates, units and supporting documentation for payer-specific behavioral health services and structured levels of care.
Time-based psychotherapy coding plus psychiatry E/M and psychotherapy add-on workflows, with documentation checks designed around the service actually performed.
Clean-claim preparation, payer-specific submission workflows, remittance and payment posting, adjustment review and reconciliation so the account stays connected from charge to payment.
Denials categorized by payer and root cause, appealed with supporting documentation, and aging A/R prioritized by value, filing limits and recovery path. Parity-informed review is used where applicable.
Provider credentialing and payer enrollment tracked across medical networks and behavioral health administrators, with enrollment status tied back to scheduling and claim workflows.
Program billing configured to payer and setting, including institutional or professional claim workflows, authorization tracking, applicable HCPCS and revenue-code requirements, and denial follow-up.
Payer-specific telehealth billing using the required place-of-service, modifiers and coverage rules for audio-video or audio-only services when covered, maintained by payer and date of service.
Related capabilities: Eligibility & VOB · Prior Authorization · Medical Coding · Denial Management & A/R · Provider Credentialing
Healthcare Logic's behavioral health workflow connects patient access, authorization, coding, claims, payment and follow-up so outpatient, psychiatry, SUD, IOP/PHP and telehealth revenue stays visible from first verification through final resolution.
Behavioral health billing is more than code entry. Benefit routing, provider enrollment, authorization, time-based documentation, program billing, telehealth rules, denials and A/R all affect whether a service becomes collectible revenue. Healthcare Logic manages those dependencies as one operating workflow inside the systems your team already uses.
Psychotherapy time and documentation reviewed before submission so 90832, 90834, 90837 and related add-on workflows are supported by the record.
Behavioral benefit routing, payer enrollment and credentialing status connected to the front-end workflow to reduce avoidable wrong-payer and enrollment denials.
Authorization dates, units, concurrent review and program claim requirements tracked together so a level-of-care change does not become a billing handoff gap.
When a denial involves authorization, medical-necessity criteria or another treatment limitation, the appeal workflow can include parity-aware review where appropriate.
Behavioral health revenue cycles combine time-based psychotherapy coding, behavioral health benefit verification, payer carve-outs, prior authorization, multiple levels of care and specialty documentation rules. Psychotherapy codes such as 90832, 90834 and 90837 are selected by documented time, while psychiatry may combine E/M services with psychotherapy add-on codes. Payer rules and coverage requirements can also differ by plan, state, place of service and date of service.
Yes. Healthcare Logic supports psychiatry billing workflows including E/M services, medication-management encounters, psychotherapy add-on coding, eligibility and authorization, payer enrollment, claim submission, denial follow-up, telehealth billing and accounts receivable management. Exact coding and billing rules are applied according to the documented service and payer requirements.
Behavioral health benefits may be administered by a different payer or network than the medical benefit. We verify the applicable behavioral health benefit and network, track provider enrollment and credentialing status, and coordinate payer enrollment so avoidable provider-not-enrolled and routing denials are identified before they become an aged A/R problem.
Yes. Intensive outpatient and partial hospitalization programs can involve institutional or professional claim workflows, payer-specific HCPCS and revenue-code requirements, prior and concurrent authorization, utilization review and level-of-care documentation. We configure the billing and authorization workflow to the program, payer contract and date-of-service requirements rather than treating IOP and PHP like routine office billing.
Yes. MHPAEA generally requires mental health and substance use disorder financial requirements and treatment limitations to be no more restrictive than comparable medical and surgical benefits, subject to the applicable plan and law. When a behavioral health denial involves authorization, medical-necessity criteria or another nonquantitative treatment limitation, we can incorporate parity-aware review and documentation into the appeal workflow where appropriate.
Yes. We support telehealth behavioral health billing using payer-specific place-of-service, modifier and coverage requirements, including audio-video and audio-only services when covered. Because Medicare, Medicaid and commercial telehealth policies can differ and change over time, the billing configuration is maintained by payer and date of service rather than relying on one universal telehealth rule.
Healthcare Logic supports outpatient mental health and therapy groups, psychologists, counselors, LCSWs, LMFTs, psychiatrists, psychiatric mental health nurse practitioners, multi-provider behavioral health organizations, substance use disorder programs, and IOP and PHP programs. Scope is confirmed during the RCM assessment so workflows match the provider type, payer mix and level of care.
Get a focused review of eligibility and VOB, prior authorization, coding, claim workflow, credentialing, denials and aging A/R across your behavioral health revenue cycle.
Request a Free Behavioral Health RCM Review
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