MENTAL HEALTH | BEHAVIORAL HEALTH | AI + CERTIFIED BILLERS

Mental Health Billing Services for Therapists and Behavioral Health Practices

ARCM’s mental health billing services handle claims for solo therapists, group practices and psychiatry clinics, from eligibility and credentialing to denials and payment posting. AI checks every session’s time against the code billed, and certified billers review every claim before it reaches the payer.

✓ Certified billers & coders

✓ HIPAA compliant · BAA signed

✓ Billing + credentialing

Book now!

Reviewed by

Certified Billers

99% target

first-pass claim rate

Real-time

denial alerts

HIPAA + BAA

HIPAA-compliant AI

10+ years

certified billers & coders

The problem

Why Mental Health Claims Get Denied

Behavioral health billing breaks in places a general billing team rarely looks. Most denials trace back to one of five problems, and each one is preventable before the claim goes out.

01

Session time doesn't match the code

A 50-minute session billed as 90837 (53+ minutes) gets downcoded or denied.

02

Claim sent to the wrong payer

Many plans carve out behavioral health to a separate administrator with its own payer ID.

03

Clinician not credentialed yet

A new LPC or LMFT who isn’t enrolled and linked to the group means every claim for their sessions fails.

04

Telehealth coding errors

Wrong place of service (02 vs 10) or a missing modifier 95, with rules that differ by payer.

05

Visit limits and authorizations

Plans that cap visits or need prior authorization deny sessions once the limit is hit.

Not sure which one is costing you?

Our free audit reviews your recent denials and shows the pattern.

AI CLAIM REVIEW

Claim ••••4821 · Psychotherapy

1 flag held

Eligibility active

✓ Pass

Behavioral health payer matched

Carve-out administrator ID

✓ Pass

Session time vs code

48 min documented · 90837 billed → suggest 90834

⚠ Flag

Telehealth: POS 10 + modifier 95

✓ Pass

Clinician credentialed with plan

✓ Pass

CB

Certified biller review

Corrected to 90834 and approved

✓ Submitted

AI + human validation

AI Checks Every Session. Certified Billers Sign Off.

ARCM is a revenue cycle automation company, not only a billing team. AI reviews every claim line. A certified biller approves every fix before anything reaches a payer.

1

AI checks the claim

Session time vs code (90832, 90834, 90837), carve-out payer, eligibility, POS, modifiers and credentialing status.

2

Issues are flagged in real time

Anything that would deny or underpay is held before submission, not found on the remit.

3

A certified biller approves the fix

A human expert reviews every flag, corrects it and submits.

All AI we use is fully HIPAA compliant, and we sign a BAA with every practice.

FREE · NO OBLIGATION

Is Your Practice Leaving Therapy Revenue Unpaid?

We review your recent claims, denials and AR, and show exactly where revenue is slipping.

What's included

Full-Service Mental Health Billing, Start to Finish

One team covers your whole revenue cycle, so clinicians see clients and your front desk stops calling payers.

1

STAGE 1

Before the Visit

Eligibility & Benefits

Coverage, copays, visit limits and carve-out payer checked before the first visit.

Credentialing & Enrollment

CAQH, payer enrollment and group linking for every LCSW, LPC, LMFT and psychologist.

Authorizations & Limits

Visit caps and prior authorizations tracked so sessions don't go unpaid.

2

STAGE 2

On Every Claim

Time-Based Coding Review

Every psychotherapy, add-on and crisis code checked against documented session time.

Claim Scrubbing & Submission

Payer rules, POS, modifiers and diagnosis pointers checked before claims go out.

Telehealth Billing

POS 02 and 10, modifier 95 and audio-only rules applied per payer.

3

STAGE 3

After Submission

Denials & Appeals

Real-time alerts, corrected claims and appeals worked by certified billers.

Posting, AR & Reporting

Payments posted, AR followed up, patient statements and clear monthly reports.

Who we serve

Built for Every Behavioral Health Practice

Solo Therapists

LCSW, LPC, LMFT, psychologists

Group Practices

Mixed license types, one team

Psychiatry & PMHNP

E/M with therapy add-ons

Telehealth Practices

Virtual therapy across states

Community Clinics

Medicaid-heavy behavioral health

We work inside your EHR:

athenahealth

eClinicalWorks

AdvancedMD

NextGen

Tebra

Epic

and more

Why ARCM

Why Practices Choose ARCM Over Other Mental Health Billing Companies

Behavioral health specialists

Billers who know time codes, carve-outs and therapist credentialing.

Every claim checked twice

AI on every line, certified sign-off on every fix. Target: 99% first pass.

Billing and credentialing together

New clinicians are enrolled and linked to your group as part of onboarding.

Clear monthly reporting

Collections, denials and AR by payer and clinician.

ARCM certified billers reviewing mental health claims

TALK TO A BILLER

(929) 415-8885

FAQ

Mental Health Billing Services: FAQs

Straight answers to what practice owners ask us most.

Still have a question?

Talk to a certified biller, or let the free audit answer it with your own numbers.

Call us

(929) 415-8885

They handle the business side of therapy: checking insurance and visit limits, credentialing clinicians, coding sessions by time, submitting claims, posting payments, fixing denials and following up on unpaid claims. ARCM adds AI checks on every claim and certified biller review.

Most companies charge a percentage of collections, a per-claim fee or a monthly fee. ARCM quotes based on your claim volume and payer mix, and the free audit comes with a quote.

Yes. We manage CAQH, payer enrollment and linking each clinician to your group, including LCSW, LPC, LMFT and psychologist licenses.

Yes. We apply each payer’s telehealth rules, including place of service 02 or 10, modifier 95 and audio-only visits.

The terms are often used the same way. Behavioral health is broader and can include substance use treatment. Both use the same psychotherapy codes, carve-out rules and credentialing steps.

Yes. All AI we use is fully HIPAA compliant, and we sign a business associate agreement (BAA) with every practice.

We start with a free audit, then set up access to your EHR and clearinghouse and take over new claims while working your existing AR. We confirm the timeline during the audit.

Book now!

Reviewed by

Certified Billers

Free · No obligation

Your Strategic Advantage in Mental Health Billing

Send us a few details and a certified biller will review your recent claims, denials and AR. You get a clear list of what is costing your practice money and how to fix it.

PREFER TO TALK?

(929) 415-8885