Behavioral & Mental Health Billing — Glatzel Group

Behavioral health is the hardest book in medical billing to get paid on — and the easiest to lose money in quietly. Denials hide as "documentation," authorizations lapse mid-treatment, and parity violations go unappealed. That is exactly the work we specialize in.

Why behavioral health is its own discipline

General billers treat mental health like any other claim. It isn't. The rules that govern it are specific, and missing any one of them is a denial:

MHPAEA parity. When a payer treats a behavioral claim worse than a medical one, that's often an appealable parity violation — and we write those appeals for a living.
Prior authorization & medical necessity. Tracked before the session, documented to the payer's standard, renewed before they lapse.
Session limits & re-authorization. We watch the count so treatment never stops over a paperwork gap.
Psychotherapy add-on logic. E/M plus psychotherapy add-on coding, timed-session rules, and the modifiers payers actually require.
Telehealth correctness. Place-of-service and modifiers kept current as payer telepsych rules shift.
Credentialing across commercial + Medicaid. The panels behavioral providers actually need, kept active.

What we handle

The whole behavioral cycle.

Intake-to-claim flow

Clean capture from the first appointment so claims go out right the first time.

Behavioral CPT coding

90791/90792 evals, 90832/90834/90837 psychotherapy, 90846/90847 family — coded and scrubbed to payer edits.

Prior authorizations

Requested, tracked, and renewed before they lapse mid-treatment.

Parity-rule appeals

Behavioral denials challenged on parity grounds — our highest-leverage win.

Credentialing

Commercial and Medicaid panel enrollment and re-credentialing on schedule.

Reporting you can read

Clean-claim %, days-in-A/R, denial reasons — trended monthly.

Questions

Behavioral-health billing FAQ.

Do you handle prior authorizations and re-authorizations?

Yes — we request, track, and renew authorizations so treatment never stops because a paperwork window closed. Session counts are monitored against each payer's limits.

What is a parity appeal and why does it matter?

Federal parity law (MHPAEA) requires payers to treat behavioral-health benefits no more restrictively than medical ones. When they don't, the denial is often appealable on parity grounds — and those appeals are a specialty of ours.

Which behavioral CPT codes do you work with?

The full set — 90791/90792 diagnostic evals, 90832/90834/90837 psychotherapy, 90846/90847 family, plus E/M with psychotherapy add-ons and the correct timed-session and telehealth modifiers.

Do you credential new providers with payers?

Yes. CAQH upkeep, commercial and Medicaid panel applications, and re-credentialing on schedule so new clinicians are billable as fast as the payers move.

Will you ever need patient health information from our website?

No. Our contact and audit process uses aggregate aging data only — never PHI. Patient data is exchanged exclusively through secure, HIPAA-compliant channels after engagement.

Behavioral & mental-health billing, built as a specialty — not a sideline.