Mental Health Medical Billing & Credentialing Services

Streamlined, Secure, and Scalable Support for Mental Health Professionals

At Oakview Medical Billing Solutions, we understand that mental health professionals face distinct challenges in billing, credentialing, and payer reimbursement. Whether you're a solo Licensed Clinical Social Worker (LCSW), Licensed Professional Counselor (LPC), Licensed Marriage and Family Therapist (LMFT), psychologist, or psychiatrist, our mental health-specific RCM services are built to support your practice at every stage — from insurance credentialing to clean claims submission, denial management, and beyond.

Unique Challenges in Mental Health Billing

Mental health billing is notoriously complex and different from general medical billing due to:

• Frequent Code Changes & Policy Updates: Insurance policies for behavioral health evolve rapidly, including updates on telehealth coverage, session limits, and modifiers.

• Time-Based CPT Coding: Mental health services are typically billed by time (e.g., 90837 for 60-minute psychotherapy), requiring precise documentation and coding compliance.

• Prior Authorization Hassles: Payers often require pre-approval for therapy sessions, psychological testing, or medication management.

• Session Caps & Frequency Rules: Many plans have limits on therapy frequency, creating the need for detailed tracking.

• High Denial Rates: Mental health claims face denial for vague diagnosis codes, authorization issues, or improper use of modifiers (like -95 or -GT for telehealth).

• Multiple Provider Types: A single practice may include LCSWs, LPCs, psychologists, and MDs — all billed differently.

Oakview’s team ensures your mental health billing is precise, compliant, and timely — so you get paid without delays or write-offs.

Mental Health Insurance Credentialing Services

Your credentialing is your gateway to revenue. We make it effortless.

• Individual & Group NPI Setup

• CAQH Registration & Attestation

• Commercial & Government Insurance Applications (Medicaid, Medicare, BCBS, UHC, Aetna, Cigna, etc.)

• Follow-ups & Panel Status Tracking

• Revalidations & Updates

Whether you're starting your solo practice or expanding your group, Oakview ensures you're paneled and in-network faster — without the paperwork chaos.

Our Mental Health Billing Solutions Include:

• Accurate CPT Coding for Therapy Services

• Real-Time Claims Submission

• Automated ERA Posting

• Denial Management & Resubmissions

• Patient Balance Billing & Statements

• Pre-Authorization Tracking

• Monthly Reporting & Insights