Behavioral Health Billing Services

Every claim is reviewed before submission to minimize preventable errors and reduce payer delays.

Services include:

• Eligibility verification and benefits checks when applicable
• Claim scrubbing for common behavioral health billing errors
• Electronic claim submission through secure clearinghouses
• Claim status monitoring and follow-up workflows
• ERA and EOB payment posting
• Reconciliation of insurance payments to claims
• Identification of missing payments or payer processing errors
• Transfer of remaining balances to patient billing

Our goal is straightforward: claims are submitted correctly the first time, and every payment is properly accounted for.

Denied claims represent revenue that should not simply be written off. Therassistant applies a structured review process to determine whether denials can be corrected, resubmitted, or appealed.

Denial management services include:

• Review and categorization of denial reasons
• Correction and resubmission of claims when appropriate
• Identification of payer processing errors
• Appeals support where applicable
• Tracking of recurring denial patterns by payer
• Coordination with providers when documentation clarification is needed

The level of denial management varies by service package, but every denial is reviewed so preventable revenue loss is minimized.

Maintaining organized patient receivables helps prevent confusion for both providers and patients.

Patient billing support includes:

• Patient balance transfer after insurance adjudication
• Statement and balance tracking within the billing platform
• Support for payment collection workflows
• Balance monitoring and aging visibility
• Refund coordination when required

Our goal is to keep patient accounts accurate, transparent, and professionally managed.

Many behavioral health clinicians unintentionally underbill because their documentation does not fully reflect the range of services performed during a session. Clinical training focuses on treatment—not payer billing structures—so legitimate billable activities are often recorded informally or omitted entirely.

Therassistant helps align documentation with recognized billing standards so the full scope of work already performed during a visit is accurately represented on the claim.

Coding and documentation support may include:

• Review of CPT, HCPCS, and ICD-10-CM selection for consistency with documentation
• Identification of common behavioral health coding issues such as incorrect time thresholds, service types, or units
• Guidance on documentation elements that support compliant billing
• Clarification support when payers question medical necessity or coding

When documentation clearly reflects the services already provided—such as assessment, planning, coordination, or therapeutic interventions—many practices discover that legitimate billable services had previously gone unrecognized.

This process does not create new services. Instead, it ensures that claims accurately represent the clinical work already performed.

Practices should always understand the status of their claims and payments.

Therassistant provides ongoing visibility into the revenue cycle, including:

• Monthly billing activity summaries
• Claim and denial trend visibility
• Insurance and patient accounts receivable monitoring
• Identification of operational issues affecting reimbursement
• Q&A sessions for providers who need billing guidance

These reports help practices identify patterns early and maintain financial stability.

Insurance companies periodically request refunds or initiate recoupments when they believe a claim was paid incorrectly. In many cases these requests are legitimate. In other cases they result from payer processing errors, incorrect coordination of benefits, or internal audit findings that do not align with the provider’s contract or applicable billing rules.

Therassistant reviews refund requests before funds are returned to ensure they are valid and properly supported.

Services include:

• Review of payer refund or recoupment requests
• Verification that the request is supported by claim history and remittance data
• Identification of payer processing errors or duplicate refund demands
• Coordination with the payer when clarification is required
• Documentation and tracking of refunds that are legitimately owed
• Monitoring of payer recoupments taken directly from future claim payments

When refund requests appear inconsistent with claim history or payer processing rules, additional review may be required before any funds are returned. This helps practices avoid unnecessary revenue loss while maintaining proper compliance with payer requirements.

Effective billing begins with accurate provider setup and payer alignment.

Onboarding may include:

• Coordination of payer and clearinghouse access
• EDI enrollment support
• Review of provider and group profile information
• Alignment of billing workflows with the practice’s EHR and operational structure

Establishing these systems correctly helps prevent long-term billing disruptions.