Welcome to NexCure
Overview
Why Psychiatry and Behavioral Health Billing Needs Expertise
Behavioral health and psychiatry charging is one of the most complicated, compliance-oriented, and expedient aspects of the healthcare revenue cycle. The specialty does not just deal with evaluations and consistent therapy care, but also emergency care, telepsychiatry, group therapy, medication control, and substance abuse.
The variety of these services is associated with specific CPT codes, billing time-based regulations, prior authorization requirements, and regulations unique to individual payers that create the imperative of accuracy.
The Billing Matters Involving Psychiatry and Behavioral Health
Behavioral health billing is much more complicated than code entry into a system. Among the most common difficulties are:
Rounding Errors or Time Recording Issues
Psychiatry CPT codes include psychotherapy (90832, 90834, 90837) and psychiatric evaluations (90791, 90792), where most of them are time-sensitive. The in-mixing of a variety of services to accomplish a unit in mixing can lead to denials.
Specialty Prior-Authority Services
As virtual care increases, mental health telehealth services have an associated set of modifiers (e.g., 95) and place of service (POS) codes that differ by payer. Errors in this case will result in serious revenue losses.
Complying with Behavioral Health Parity
Psychiatrists may administer both medication management and psychotherapy in a single session. This entails adequate usage of add-on codes and modifiers to have both services reimbursed.
Billable Psychiatry & Behavioral Health Services
Neuropsychological testing, intensive outpatient programs (IOP), and substance abuse treatment are just some services that many payers need to be pre-authorized.
Behavioral Health Coding Expertise
Mental health services should be covered by insurance similarly to medical/surgical care, but accurate billing is essential to avoid underpayment or denial. Telehealth services also require correct POS codes and modifier use.
At NexCure LLC We Provide End-to-End
Revenue Cycle Management For Mental Health Practices, Hospitals, and Behavioral Health Clinics
- Psychotherapy (90832, 90834, 90837)
- Psychiatric assessment (90791, 90792)
- Group therapy (90853)
- Family therapy (90846, 90847)
- Proper use of add-on codes (e.g., 90785 interactive complexity)
- Telepsychiatry billing with accurate modifiers (-25, -95, -59)
- Verifying patient coverage before services
- Ensuring payer-specific rules for audio-only vs. video visits
- Avoiding telehealth-specific claim rejections through correct modifiers
- Payer-mandated coverage confirmation
- Securing pre-approvals for high-cost services like neuropsychological testing and residential treatment
- Avoiding revenue loss on non-covered services
- Acceptable insurance and payer-specific compliance
- Awareness of non-payment risks
- Correct bundling/unbundling to prevent errors
- Addressing inconsistencies quickly
- Patient billing support and clear statements
- Tracking denials to prevent recurring issues
- Sliding payment services
- HIPAA-compliant patient privacy
- Payment plan arrangements for self-pay patients
- 90791, 90792 mental status codes
- Keeping up with mental health billing policy updates
Partner with NexCure LLC for Behavioral Health Billing Excellence
Billing services in psychiatry and behavioral health require a partner that understands both the medical and regulatory complexities of the practice. At NexCure LLC, expertise, technology, and dedication come together to help your practice thrive with:
- Maximized collections
- Minimized denials
- Strong financial health
Standard Psychiatry and Behavioral Health Services We Bill
We bill a wide range of obstetrics and gynecology services, including:
Neuropsychological testing
(96132, 96139)
Crisis intervention
(90839, 90840)
Collaborative care management (CoCM)
Medication management
Substance abuse treatment – inpatient, outpatient, IOP
Telepsychiatry services
Why Partner with NexCure LLC
Psychiatry Behavioral Health Billing –
We achieve excellence in behavioral health billing through:
- Deep knowledge of mental health coding and reimbursement
- Understanding payer regulations and compliance traps
- Clean claim submission processes to reduce rejections
- Specialty Expertise
- Increased Reimbursements
- Identifying and charging all payable services
- Never giving up on reimbursement opportunities
- Administrative Relief
- Freeing your staff from paperwork so they can focus on patient care
We address the most common income leakages in psychiatry billing:
- Optimum documentation training for staff
- Preventing underbilling of group/family therapy
- Conducting pre-claim checks for accuracy
- Analyzing denial patterns to prevent recurrence
- Daily claim tracking for faster reimbursement
Client Testimonials
What Healthcare Providers Say About Us
"Working with NexCure LLC has been a relief for my clinic. They took care of my credentialing process from start to finish, no delays, no confusion. I also like how they keep up with CMS quality programs and explain things clearly. Honestly, they’ve made my life much easier."
Dr. Ayesha Rahman, MBBS
"Before NexCure LLC, our billing was a nightmare — denials, delays, you name it. Their team stepped in and fixed our revenue cycle quickly. What I appreciate most is their guidance on MIPS reporting; they walked my staff through the requirements and we’ve already seen the results. Dependable and professional."
Dr. James Whitman, MD
"The attention to detail at NexCure LLC is impressive. They helped us get credentialed with several payers and made sure everything stayed compliant. Their support with HEDIS reporting boosted our scores, which directly benefited our contracts. I’m grateful for their hard work."
Dr. Maria Gonzalez, MD
"I’ve been very satisfied with the services from NexCure LLC. They keep me updated on payer rules and compliance, which is something many billing companies overlook. My billing cycle is smoother now, and their assistance with MIPS reporting has been a real plus. It feels like they are part of my team."
Dr. Omar Al-Farouq, MD
"Our practice needed someone who really understood billing and coding. NexCure LLC improved our collections and made the whole process less stressful. They’re straightforward, easy to reach, and they actually deliver on what they promise. I recommend them without hesitation."
Dr. Alejandro Ramirez, DO
12+
Years of Expertise in Medical Billing & Revenue Cycle Management
85+
Providers Across Multiple Specialties Trust NexCure LLC Consultancy
97%
Clean Claims Rate Achieved on First Submission of Project Delivery
15K+
Claims Accurately Processed Every Month
Book Consultation
(929) 587-3833
Email address:
Info@nexcurellc.com
1500 N Grant ST #5001, DENVER, CO, 80203
United States
WhatsApp:
(929) 587-3833