Compassionate Billing. Consistent Results.
Behavioral Health Billing & Revenue Cycle Management
Get paid accurately for every therapy, telehealth, or psychiatry session. We simplify billing while supporting whole-person care.
Robust RCM Solutions for
Behavioral Health Practices
Behavioral health billing presents unique challenges including nuanced CPT coding for time-based services and managing payer variability across therapy, medication management, and telehealth services.
Health Prime brings deep specialty-specific expertise to behavioral health billing. In an environment where practices often face delayed payments, higher denial rates, and greater documentation scrutiny, our comprehensive RCM services help therapy groups, psychiatric practices, and integrated behavioral health providers succeed by providing:
• Psychiatry & therapy coding expertise in CPT, E&M, and add-on codes
• Telehealth and audio-only billing support
• Integrated eligibility & benefits verification workflows
• Behavioral health compliance audits and documentation training
• E/M coding support for psychiatric evaluations and med checks
• Real-time denial and AR analytics
The Tools You Need, Tailored for You
Technology that powers RCM performance
Health Prime’s software-agnostic technology platform is designed to navigate the unique reimbursement challenges of behavioral health practices. From time-based coding to complex payer requirements, our integrated platform simplifies billing complexities and powers every phase of your revenue cycle with intelligent tools that:
- Automate charge capture across therapy types, provider levels, and telehealth services
- Support time-based CPT coding and modifier use for individual, group, and family sessions
- Ensure compliance with evolving behavioral health billing guidelines, including incident-to and supervision rules
- Reduce denials with rapid eligibility verification and logic-powered coverage detection
Data-driven analytics and business intelligence
Health Prime equips your team with timely business intelligence and specialty-specific dashboards that simplify complexity and drive better outcomes. Our analytics identify the metrics that matter—from varied visit types to evolving payer rules.
With Health Prime’s clear, actionable insights, behavioral health organizations can:
- Track key metrics across therapy, psychiatry, and telehealth services
- Monitor authorization, claim status, and denial trends
- Drill into claim-level data to uncover bottlenecks and root causes
The People Powering Our Success
Behind the Health Prime name is a group of experienced professionals who have dedicated their careers to specialty billing and revenue cycle management. Get to know the people behind the name.
Sean Munster
Vice President of Behavioral Health
30+
Years
Behavioral Health Experience
Sean has worked as a consultant, systems analyst, and Director of Operations for both software firms and behavioral health providers. Sean's work has consistently improved financial performance and operational efficiency nationwide.
What makes behavioral health different in practice and rev cycle?
Most of the providers are mission driven, not profit seeking. However, as someone told me many years ago, “no money, no mission.” Patients who are struggling with behavioral health issues are often challenged to maintain employment and can change insurances frequently. This means every step of the revenue cycle, from verifying benefits to collecting payment, requires extra coordination and compassion to function successfully.
What do you hear most from clients in terms of challenges in behavioral health?
The biggest challenge is keeping up with changing payer regulations and billing rules. Each payer interprets behavioral health codes and documentation standards differently, and those requirements shift often. Managing authorizations, treatment plan updates, and session limits adds to the complexity. Many providers also struggle to train staff fast enough to keep up, which leads to denials and delayed payments.
What do you like about working in behavioral health rev cycle?
Behavioral health is such an important specialty to our society as a whole and the money that we help providers collect goes right back into providing the much needed services they perform in the communities they serve.
What makes Health Prime different?
We understand what the client does and needs. I have walked in the shoes of the administrators and providers. Our clients need us to focus on their cash flow and accounts receivable so that they can focus on providing much needed services. It feels good helping them make a such a difference, and knowing they can trust us to do it really well.
Results You Can Expect
Clean Claims & Quicker Turnaround
Reduce rework and get paid faster with mental health-specific billing workflows.
Improved Reimbursement Accuracy
Ensure proper documentation and billing for therapy sessions, group visits, and telehealth.
Patient-Centered Billing
Empathetic, easy-to-understand statements that support sensitive, ongoing care relationships
What Sets Us Apart for Behavioral Health Practices
Behavioral Health Billing Know-How
We understand the nuances of time-based codes, psychotherapy sessions, and payer rules.
Compliance-First Approach
Stay audit-ready with documentation support and billing compliance that reflects regulatory expectations.
Support for Multimodal Care
We scale with your care model—whether you're billing for therapy, psychiatry, or IOP/partial hospitalization.
Actionable Reporting
Partner with a team that gets behavioral health billing right—every time. Schedule a consultation today.
stats
It's all in the numbers
Success rate of claims being accepted on the first pass
Increase in reimbursement year-over-year
Increase in overall practice productivity
stats
It's all in the numbers
Success rate of claims accepted on the first pass
Increase in reimbursement year-over-year
Increase in overall practice productivity
Want More?
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Take The Next Step
Partner with a team that gets behavioral health billing right—every time.
Schedule a call today to learn how we can strengthen and simplify your revenue cycle.
Take The Next Step
Ready to simplify your revenue cycle and boost your practice’s financial performance?
Contact us today to learn more or schedule a consultation.