Comprehensive behavioral health billing built exclusively for substance abuse and addiction treatment facilities. We handle every level of care — from detox and residential treatment to PHP, IOP, and outpatient programs — so your clinical team can focus on patient recovery.
Get a Free Revenue Analysis →Behavioral health billing is fundamentally different from general medical billing. Substance abuse and addiction treatment facilities face reimbursement challenges that generic billing companies are not equipped to handle. From navigating complex medical necessity criteria to understanding authorization-based treatment levels, the margin for error in behavioral health billing is razor thin.
Insurance companies have built entire departments designed to find reasons to deny, delay, or underpay behavioral health billing claims. They employ clinical reviewers, prior authorization gatekeepers, and appeals teams whose sole purpose is to reduce their financial exposure on behavioral health cases. Your billing partner needs to understand their playbook and know how to counter it at every turn.
BC Billing Solutions was founded with one mission: to be the behavioral health billing partner that treatment facilities deserve. Every member of our billing team is trained specifically in substance abuse and addiction reimbursement. We understand CPT and HCPCS coding for behavioral health services, ASAM criteria and level-of-care designations, parity law compliance and enforcement, single case agreements and out-of-network negotiations, and authorization and continued stay requirements for every major payer.
Effective behavioral health billing requires more than just submitting claims. It requires a systematic approach that starts before the patient arrives and continues until every dollar is collected. Our behavioral health billing process is designed to catch problems before they become denials and to recover revenue that other billing companies leave behind.
Before treatment begins, we verify insurance benefits and confirm coverage for the requested level of care. Our team works with utilization review to secure initial authorization, eliminating billing surprises and ensuring your facility has coverage confirmation before the patient walks through the door.
We integrate with your EHR or accept encounter data in your preferred format. Our behavioral health billing coders review every encounter for completeness, ensuring that diagnosis codes, procedure codes, and modifiers are accurate for the specific level of care being provided.
Every behavioral health billing claim passes through our multi-layer scrubbing process that checks for coding errors, missing information, timely filing compliance, and payer-specific requirements. Clean claims are submitted electronically within 24 hours.
When payments arrive, our team posts every ERA and EOB with precision. We reconcile payments against contracted rates and flag any underpayments, incorrect adjustments, or unexpected denials for immediate follow-up through our denial management workflow.
Denied behavioral health billing claims enter our structured follow-up workflow. Every claim is worked systematically — from initial payer outreach to multi-level claim appeals — until it is resolved. Our team prepares detailed appeal packages supported by clinical documentation and medical records. Nothing falls through the cracks because every action is tracked in Claim Tracker.
Our behavioral health billing team handles claims across the entire continuum of addiction and substance abuse treatment. We have deep experience billing for every ASAM-designated level of care, and we understand the documentation and coding nuances that each level demands.
We provide behavioral health billing for detoxification programs at every ASAM level, residential treatment centers providing 24-hour clinical care, partial hospitalization programs (PHP) offering intensive day treatment, intensive outpatient programs (IOP) delivering structured therapy schedules, outpatient therapy including individual, group, and family sessions, and medication-assisted treatment (MAT) for opioid and alcohol use disorders.
Each treatment level has different CPT codes, revenue codes, authorization requirements, and payer expectations. Our behavioral health billing specialists know these differences inside and out, ensuring that claims are coded correctly and submitted with the documentation payers need to process payment promptly.
Behavioral health billing claims are scrubbed and submitted within one business day of receiving encounter data.
Multi-layer scrubbing catches coding errors before they become costly denials on your behavioral health claims.
Every unpaid behavioral health billing claim is worked systematically until fully resolved or escalated to appeals.
Monitor every behavioral health billing claim and payment through Claim Tracker — anytime, anywhere.
Our behavioral health billing team works with every major commercial insurance carrier, including Aetna, Blue Cross Blue Shield, Cigna, United Healthcare, Humana, and Optum, along with Medicaid and Medicare where applicable. We maintain up-to-date knowledge of each carrier's behavioral health billing requirements, including their specific authorization processes, timely filing deadlines, and documentation standards.
For out-of-network facilities, our behavioral health billing team negotiates single case agreements and handles the additional complexity that comes with non-contracted reimbursement. We understand how to present your facility's clinical value to payers and secure the best possible rates for your services.
Poor behavioral health billing practices cost treatment facilities thousands of dollars every month in lost revenue. Common problems include claims submitted with incorrect level-of-care codes, missing or expired authorizations that result in automatic denials, failure to appeal denied claims within payer deadlines, underpayments accepted without challenge, and aged accounts receivable that never receive proper collections follow-up.
When you partner with BC Billing Solutions for behavioral health billing, these problems disappear. Our team catches errors before claims are submitted, tracks every authorization through utilization review, builds strategic appeals for denied claims, challenges underpayments against contracted rates, and ensures aged receivables receive consistent follow-up.
Ready to see what expert behavioral health billing can do for your treatment facility? Contact us today for a free revenue analysis. You can also explore our other medical billing services for mental health, urology, and primary care practices.