Mental Health Billing for Practices Who'd Rather
Treat Patients Than Chase Claims
Therapy billing services, psychiatry billing services, and full behavioral health RCM — handled by specialists, not generalists. Session-time CPT codes, prior authorizations, parity rules, claim rejections that come back with no clear explanation — it adds up to hours you don't get back and revenue you never actually collect. We handle the billing side, correctly and transparently. Starting at 2.99%. Live in 7 days.
- 98% clean claims rate — vs. 75% industry average
- CPT 90791/90837 specialists for therapists, psychiatrists & group practices
- Live in under 7 days — no migration, no downtime, no setup fees
- 400+ behavioral health practices across 40+ states
Trusted by Behavioral Health Practices Across 40+ States
Practice Management Software Supported
And 50+ more systems supported
Works with Your Existing Practice Software
No migration. No downtime. Live in days. We connect directly to your practice management system without disrupting a single session or patient record.
- Go live in under 7 days from contract signing
- Zero data migration — we work inside your existing system
- 24/7 technical support during and after onboarding
- Dedicated integration specialist for your practice
The Billing Problems Every Mental Health Practice Runs Into
Most behavioral health practices aren't losing revenue because of bad clinical work. They're losing it to billing friction that's specific to mental health — friction that generic billing tools and general medical billers often aren't built to catch.
Claim Denials
A psychotherapy claim gets denied and the reason code is vague. Documentation issue? Coding error? A benefit limit no one mentioned? Without someone dedicated to investigating, denied claims often just stay denied.
Prior Authorizations
Every payer has its own session limits, renewal windows, and forms. Miss a renewal by even a few days and you've delivered care you may never get paid for — through no fault of the clinical team.
Complex CPT & ICD-10 Coding
Individual psychotherapy alone has separate codes depending on whether a session ran 30, 45, or 60 minutes — before factoring in add-ons, E/M components for psychiatric visits, or the ICD-10 pairing each payer expects. One wrong digit and the claim comes back.
Inconsistent Cash Flow
When claims sit unworked and denials go unappealed, collections become unpredictable. That unpredictability makes it harder to plan staffing, growth, or even payroll with any real confidence.
Collection Rate Comparison
Our behavioral health clients recover an average of 15-30% more revenue within the first 90 days of going live.
Everything Your Practice Needs to Get Paid Right
We manage your full behavioral health revenue cycle — from the moment a patient schedules their first session to the moment that claim is paid in full. Every piece works together, so nothing falls into the gap between "someone else's job" and "nobody's job."
Insurance Verification & Eligibility
Before every session, we confirm active coverage, mental health parity benefits, session limits, deductibles, copays, and telehealth eligibility — so neither you nor your patient is surprised after the fact.
Get Started
Prior Authorization & Session Tracking
We own every authorization from submission through renewal. Session limits tracked per patient, per payer, per benefit year. Your team gets alerts before approvals expire — zero treatment interruptions from missed renewals.
Get Started
CPT Coding & Charge Entry
Every session reviewed by coders who specialize in behavioral health — psychotherapy time codes, E/M components, add-ons, and the ICD-10 pairing each payer expects. Mental health coding isn't generic medical coding, and it isn't treated that way here.
Get Started
Claim Scrubbing & Submission
Claims checked against payer-specific rules before they're ever submitted — catching missing modifiers, place-of-service mismatches, and documentation gaps before they become denials instead of after.
Get Started
Denial Management & Appeals
When a claim is denied, we find the actual reason, fix it, and resubmit with the documentation to support it. Denial management for behavioral health takes a different playbook than general medical billing — and we work it that way.
Get Started
AR Follow-Up & Collections
Outstanding claims don't get to quietly age out. We follow up on every unpaid balance — commercial, Medicare, Medicaid, and telehealth claims — and handle patient balance conversations in a way that protects the therapeutic relationship.
Get Started6 AI Agents Working for Your Practice 24/7
Proprietary billing technology works in parallel with certified human specialists — catching errors, preventing denials, and tracking revenue around the clock. The technology moves fast; the people make the judgment calls.
SiriusVerify™
Checks behavioral health insurance benefits before every session — session limits, annual maximums, deductibles, telehealth coverage status, prior authorization requirements, and mental health parity compliance. No surprises for you or your patient.
SiriusCode™
AI-assisted CPT code suggestions reviewed by certified behavioral health coders. Every psychotherapy code, add-on, modifier, and ICD-10 diagnosis verified for accuracy — covering the full range of time-based therapy codes, E/M components, and newer behavioral health integration add-on codes.
SiriusScrub™
Claims checked against 2,000+ payer-specific behavioral health rules. Telehealth modifier errors (95 vs GT), place-of-service mismatches, time documentation gaps, and missing add-on codes caught before submission — never reaching the payer.
SiriusGuard™
Monitors every transaction for compliance issues, parity law violations, payer audit flags, and unusual billing patterns. Keeps your behavioral health practice fully protected — including telehealth compliance and Medicare behavioral health requirements.
SiriusCollect™
Automated follow-up that never lets a behavioral health claim age past its threshold. Tracks every outstanding balance across commercial, Medicare, Medicaid, and telehealth payers. Patient balance notifications handled professionally and sensitively.
SiriusAudit™
Runs a continuous audit against your billing history. Identifies patterns of undercoding, missed add-on codes, session time mismatches, and payer-specific trends before they compound into significant losses. Catches what your EHR never will.
Every Behavioral Health Specialty. Billed Right.
Mental health billing is not one-size-fits-all. Each practice type carries unique CPT codes, payer rules, and documentation standards. We have specialists for every one.
Live in 7 Days. Not 7 Weeks.
Onboarding is straightforward and built to avoid disrupting care. Most behavioral health practices are submitting cleaner claims within a week of signing.
Free Behavioral Health Billing Audit
We review your billing process, aging AR, and denial trends. In about 30 minutes, you'll know where revenue is slipping through and roughly what it's costing you.
Revenue Analysis & Strategy
Your dedicated account manager builds a custom revenue cycle strategy with benchmarks, quick wins, and a 90-day improvement roadmap specific to your practice type and payer mix.
System Integration
We connect directly to TherapyNotes, SimplePractice, DrChrono, or whatever you already use. No data migration, no downtime — average integration time is under two days.
Billing Optimization & Go-Live
First claims go out with our full team monitoring every submission, resolving payer-specific edge cases and telehealth nuances early to build clean-claim momentum.
Continuous Revenue Improvement
Monthly performance reviews and proactive optimization. As CMS and payer rules evolve, your billing strategy gets adjusted to protect — and grow — your revenue.
Why Practices Choose Sirius as Their Behavioral Health Billing Company
There's no shortage of medical billing companies. There's a much shorter list that understands behavioral health specifically — and that difference shows up directly in your denial rate.
AI + Human Expertise
Every claim processed by AI, reviewed by a certified behavioral health billing specialist. Speed and accuracy — not one or the other.
Fully HIPAA Compliant
256-bit AES encryption, zero data breaches in 6+ years, PCI-DSS Level 1 certified. Mental health records carry a higher sensitivity bar than general medical data — and our workflows are built around that from the ground up.
Real-Time Visibility
Live dashboard showing every claim, payment, and denial. Know exactly where your revenue stands — any moment, from anywhere — without needing to interpret it yourself.
Trusted by Behavioral Health Professionals
Real results from real practices — not projections.
"Our telehealth claims kept getting denied over place-of-service and modifier errors before we switched. Since moving to Sirius, our reimbursement rate recovered completely, and the team knew exactly what was wrong from week one."
"When CMS rolled out new behavioral health integration billing codes, our in-house biller didn't even know they existed. Sirius had it mapped out before we submitted a single claim that quarter. Our AR days went from 71 to under 20 in about 90 days."
"I had no idea I was undercoding on psychiatry add-ons. Missing 90838 on combined sessions, no Modifier -25 on evaluations. Sirius ran a 90-day audit and found nearly $44K I had simply left uncoded."
"We run a five-therapist group and billing was inconsistent across everyone. Sirius standardized it all, AR days dropped from 68 to 19, and the monthly reports give us visibility we never had before."
"90% of our sessions are now telehealth and our denials were through the roof. Sirius fixed the place-of-service codes, the modifier issues, and retrained our EHR workflow. Telehealth revenue jumped 24% within 60 days."
Real Results. Real Practices.
The kinds of outcomes practices see once revenue cycle friction stops quietly draining revenue.
Telehealth Billing Chaos Fixed — $58K Recovered in 60 Days
A solo therapist running a telehealth-first caseload had persistent denials from incorrect place-of-service coding — claims were going out as in-office (POS 11) instead of telehealth (POS 02). Every telehealth session was denying.
New Care-Management Codes, Real Revenue Found — $52K Identified in 90 Days
A three-psychiatrist group had a collaborative care program running well clinically, but their in-house biller hadn't incorporated the newer behavioral health integration codes CMS introduced for practices using Advanced Primary Care Management. Sirius corrected the coding structure and got every claim billing accurately from day one.
$180K in Recoverable Revenue Found Across 4 Locations
A growing behavioral health group had inconsistent coding across four locations and no consolidated reporting, so leadership had no visibility into which sites had revenue cycle problems — until each location's billing was standardized under a single system.
Certified. Audited. Accountable.
Every badge below is independently verified — not self-claimed.
Mental Health Billing Services: Frequently Asked Questions
Clear answers to what behavioral health practices ask most before making the switch.
Talk to a Mental Health Billing Expert
In about 30 minutes, we'll show you exactly where your practice is losing revenue — and exactly how to recover it. No obligation, no sales pressure.
- Free, comprehensive billing audit of your current claims
- Revenue recovery overview specific to your practice type and payer mix
- Response from a real specialist within one business day
HIPAA-compliant. Your information is never shared.