Specialties › Mental Health & Behavioral Health
Behavioral health practices lose more revenue to administrative rules than to clinical complexity. Session-limit authorizations, payer-specific telehealth policies, and time-based psychotherapy codes create denials that repeat every single week until someone fixes the root cause. ERG bills mental health full-time — therapy, psychiatry, group and intensive outpatient — for practices across the United States.
These are the issues that repeat every month in mental health & behavioral health practices — and the ones we fix at the source rather than reworking claim by claim.
Many behavioral health plans authorize a fixed number of visits. When the count lapses mid-treatment, every subsequent claim denies — and the patient keeps being seen. We track auth counts and re-authorize before they run out, not after.
30, 45 and 60-minute psychotherapy codes are chosen by documented time. Mismatches between documented time and the billed code are a top audit and denial trigger.
Place-of-service and modifier requirements for virtual sessions differ between Medicare, Medicaid and commercial plans, and they change. One wrong POS can deny an entire month of sessions.
Behavioral health panels close more often than other specialties, and out-of-network claims price very differently. Enrollment gaps quietly become unpaid claims.
Psychiatry visits that combine medication management with therapy require the evaluation and management service plus the correct psychotherapy add-on. Getting this pairing wrong underpays the visit.
Listed for context only — this is not billing advice, and payer policy varies. Our certified coders work to AAPC and AHIMA standards.
We root-cause denials by payer and procedure, then fix the upstream workflow so the same denial stops recurring.
Your account is worked by people who bill mental health & behavioral health every day — not a general pool learning your rules on your claims.
Relentless follow-up on every claim, with aged A/R worked rather than written off.
Performance-based pricing — a percentage of what we collect. Stay because the results are good, not because you are locked in.
We run parallel with your current process until the transition is verifiably clean.
Our certified coders work every claim; AI tools help them catch more before submission.
Strict PHI controls, access limits and staff training across the whole workflow.
Yes. We bill for LPCs, LCSWs, LMFTs, psychologists, psychiatric nurse practitioners and psychiatrists — including practices that mix therapy with medication management, and group practices with multiple rendering providers under one tax ID.
Yes. Virtual behavioral health is a large share of the claims we process. We track each payer's place-of-service and modifier requirements so telehealth sessions are paid at the correct rate rather than denied or downcoded.
Yes. We track authorized visit counts per patient per payer and initiate re-authorization before the units run out, which is the single most common cause of avoidable denials in this specialty.
Our billing is a percentage of what we actually collect for you, tailored to your specialty, volume and payer mix. There is no long-term contract. We will quote your practice after an A/R analysis.
★★★★★US-hours coverage and someone who actually picks up the phone. Felt like a partner, not a vendor.
— Amanda L., Practice Manager
★★★★★Our A/R days dropped from 58 to 31 in one quarter. First time in years I actually trust my numbers.
— Sarah M., Practice Manager
A no-obligation A/R analysis. We review your aging, denial patterns and coding mix, then show you exactly where the recoverable revenue is.
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