Specialties We Support

We provide comprehensive services for all behavioral health providers, including but not limited to:

✅Psychiatrists – Medical doctors specializing in mental health, including medication management and psychotherapy.
✅Psychologists – Experts in cognitive and emotional assessment, therapy, and behavioral interventions.
✅Licensed Clinical Social Workers (LCSW) – Professionals who provide therapy, crisis intervention, and community resource coordination.
✅Licensed Professional Counselors (LPC) – Therapists specializing in individual, group, and family counseling.
✅Marriage and Family Therapists (MFT) – Specialists in relationship dynamics and family therapy.
✅Substance Abuse Counselors – Providers who assist with addiction treatment and rehabilitation.
✅Behavioral Analysts (BCBA) – Professionals focused on applied behavior analysis (ABA), often for autism and developmental disorders.

All-in-One Behavioral Health Services

1. Credentialing & Payer Enrollment

We ensure that providers are credentialed quickly and accurately with Medicare, Medicaid, and commercial payers, reducing delays in claim reimbursement.

✅Insurance Credentialing & Re-Credentialing
✅EDI, ERA, and EFT Enrollment
✅CAQH Profile Setup & Maintenance

2. Medical Billing & Coding for Mental Health Services

Behavioral health billing is complex due to session-based reimbursement, pre-authorization requirements, and different coverage levels. We streamline your billing to maximize revenue.

✅Accurate CPT & ICD-10 Coding for therapy, medication management, assessments, and more.
✅Pre-Authorization & Eligibility Verification for insurance approval before treatment.
✅Claim Submission & Denial Management to prevent revenue loss.
✅Out-of-Network & Patient Billing Support for smoother payments.

3. EHR/EMR Setup & Integration

Selecting the right EHR/EMR is critical for behavioral health practices to maintain compliance and workflow efficiency. We help implement and integrate systems that align with your practice.

✅Custom Mental Health EHR Setup with specialty-specific templates.
✅Integrated Telehealth Platforms for virtual therapy and remote sessions.
✅HIPAA-Compliant Data Management to protect patient privacy.

4. Compliance & Regulatory Support

Behavioral health practices must adhere to state and federal regulations, insurance guidelines, and documentation requirements.

✅HIPAA, Mental Health Parity, and Medicaid Compliance
✅Audit Readiness & Risk Management
✅State-Specific Licensing & Documentation Requirements

5. Revenue Cycle Management & Practice Growth

We ensure providers get paid faster, reduce denials, and grow their practice through strategic operational support.

✅Financial Reporting & Performance Analytics
✅Provider Contract Negotiation with Insurance Payers
✅Marketing & Referral Network Optimization

Types of Behavioral Health Services Billed

✅ Individual & Group Therapy (CPT 90832, 90834, 90837, 90853)
✅ Psychiatric Diagnostic Evaluations (CPT 90791, 90792)
✅ Medication Management (CPT 99212-99215)
✅ Psychological & Neuropsychological Testing (CPT 96130-96133, 96136-96139)
✅ Substance Use Disorder Treatment (CPT H0001-H2036, 99408, 99409)
✅ Applied Behavior Analysis (ABA) Therapy (CPT 97151-97158)
✅ Crisis Intervention Services (CPT 90839, 90840)
✅ Telehealth Therapy & Psychiatry Services (CPT 98966-98969, 99441-99443)

Required Knowledge for Successful Behavioral Health Billing

1. Understanding Insurance Coverage & Reimbursement Policies

Behavioral health services often have limitations on coverage, requiring knowledge of session caps, frequency limits, and authorization rules.

2. Mastery of CPT & ICD-10 Codes for Mental Health

Accurate coding is essential to avoid denials. Providers and billers must stay updated on the latest mental health procedure codes and diagnostic coding guidelines.

3. Compliance with HIPAA, Medicare, and Medicaid Regulations

Privacy laws and state-specific requirements impact how patient data is handled, how claims are submitted, and how reimbursements are processed.

4. Credentialing & Payer Contracting Knowledge

Understanding insurance credentialing and negotiating favorable contracts with insurance companies ensures better reimbursement rates and smoother claim approvals.

5. Telehealth & Virtual Care Regulations

With the rise of teletherapy and online psychiatric consultations, knowing telehealth billing codes and licensing requirements is crucial to ensure compliance and reimbursement.

Why Choose Solubillix for Behavioral Health Practice Management?

✔ Expert Credentialing & Billing Services to minimize delays and maximize reimbursements.
✔ Specialty-Specific EHR & Compliance Support for a smooth workflow and legal adherence.
✔ Seamless Insurance Enrollment & Claims Processing to prevent revenue loss.
✔ Telehealth Enablement & Virtual Care Support to expand patient access.
✔ Dedicated Support for Behavioral Health Providers with customized solutions tailored to individual specialties.

Get Started with Solubillix Today!

Let us handle the complexities of billing, credentialing, compliance, and practice management, so you can focus on patient care. Contact us today to see how we can support your behavioral health practice!