We provide complete billing, credentialing, financial, and operational solutions designed specifically for New York mental health and psychiatric practices. Our team handles everything from claim submission to insurance follow-up. So your practice gets paid faster and stays focused on patient care.
Mental health billing is not simple. There are different rules for Empire BlueCross BlueShield, NY Medicaid Managed Care and Medicare through National Government Services (NGS).A mental health biller without real experience can easily miss these rules and that means lost revenue for your practice.
There are over 90,000 physicians and mental health claims often go through one of 7 Medicaid Managed Care plans, like Fidelis Care, Healthfirst, MetroPlus, Molina Healthcare, MVP Health Care, UnitedHealthcare Community Plan and Empire BlueCross BlueShield HealthPlus. Each one has its own rules to follow. EmblemHealth was even fined $2.5 million for issues with ghost networks and mental health coverage. And in managed care plans, 60% of mental health claims get denied, much higher than regular claims.
We handle the complete mental health billing cycle for providers from claim submission and prior authorization to denial management and credentialing. So you get paid faster and keep more of what you earn.
Submit accurate, complete claims to insurers the first time, reducing rejections and getting your practice paid faster without the back-and-forth.
When claims get denied or delayed, we investigate why, fix the issue, and follow through until the revenue you’re owed actually comes in.
Handle authorization requests across USA’s major payers, so treatment isn’t delayed and coverage never lapses mid-care.
Accurately post every payment against the right claim and patient account, keeping your records clean and your revenue easy to track.
Manage your entire billing process end to end, from the first claim to final payment, keeping cash flow steady and predictable.
Send clear, easy-to-understand statements and handle patient payment questions, so your front desk isn’t stuck fielding billing calls all day.
All services are tailored to meet the unique needs of your mental health practice
Most denials follow familiar patterns: billing a 60-minute session when notes only support 45 minutes, psychiatrists billing both an evaluation and therapy without the right add-on code, missing or insufficient documentation, claims lacking clear medical necessity, missing telehealth modifiers or incorrect POS codes for virtual sessions and services billed by unlicensed providers.
We catch every one of these before submission. We review session notes for accurate timing, apply the correct add-on and telehealth codes, confirm documentation supports medical necessity and provide proper denial management services. So your claims go out clean the first time, not after a denial.
Specialized billing expertise across all mental health specialties
We know how insurance companies work, including Empire BCBS, all 7 NY Medicaid plans, and NGS Medicare, so nothing surprises us. Our team is trained and certified in mental health billing, which means fewer denied claims and faster payments for your practice.
As a trusted provider of mental health billing solutions across New York, we’re also more affordable than hiring your own billing staff, which can cost a lot every year. You also get one dedicated person to talk to, not a random call center. And we stay up to date with health rules, so your practice never falls behind.
NYC Metro
8.5M+
Western NY
276K+
Upstate NY
210K+
Hudson Valley
210K+
Central NY
146K+
State Capital
101K+
Westchester
82K+
Westchester
73K+
Capital Region
69K+
Mohawk Valley
60K+
Don’t see your city? We serve mental health providers throughout all 58 California counties. Contact us to discuss your location.
America’s Trusted Mental Health Billing Partner, Serving Providers in All 50 States.
Dr. Sarah Martinez
Dr. James Chen
“The team’s expertise in mental health billing is unmatched. They handle everything from credentialing to denials, and their claim acceptance rate is phenomenal. Highly recommend!”
Rebecca Thompson
“As a group practice with 12 therapists, we needed a billing partner who could scale with us. They’ve been amazing – transparent, efficient, and always available to answer questions.”
Mental health billing is complex, but it doesn’t have to be. With 12+ years of mental health experience and deep knowledge of payers, we handle your billing so you can focus on patient care.
We take a percentage of what we collect, not what we bill, if we don’t get you paid, we don’t get paid.We only accept 10 new New York clients per month to keep our service personal and hands-on. Spots fill quickly, so don’t wait.
Schedule a Call
Quick 15-minute discovery call to understand your practice
Free Audit
We analyze your recent claims and identify opportunities
Custom Proposal
Receive a tailored plan to maximize your revenue
Yes absolutely. New York Medicaid has its own strict billing rules that are completely different from regular Medicaid in other states. Mental Health Billing SRG stays on top of every NY Medicaid update so your claims always go out correctly and your practice never loses money over an outdated rule or missed guideline.
We can get started very quickly, usually within a few business days. Our onboarding process is simple and smooth. We gather your practice information, set up your billing workflow, and start submitting claims right away. No long complicated setup, just fast and efficient billing from day one.
Absolutely. Patient data security is something we take extremely seriously at Mental Health Billing SRG. We are fully HIPAA compliant meaning every piece of sensitive patient information your New York practice shares with us is handled with the highest level of security and confidentiality at all times.
We use all mental health specific CPT codes including 90837, 90834, 90832, 90847, 90853, 90792, and 90791. Our certified billing specialists know exactly which codes apply to individual therapy, group sessions, psychiatric evaluations, and medication management making sure every service you deliver gets billed accurately and paid completely.
We work with every major insurance company in New York including Empire BCBS, EmblemHealth, Healthfirst, UnitedHealthcare, Aetna, Cigna, Fidelis Care, MetroPlus, Medicare, and NY Medicaid. Our team knows the specific billing rules of every payer. So your claims always go out correctly no matter which insurance company your patients use.
