Your dedicated behavioral health biller works your claims in SimplePractice, Therapy Notes, or AdvancedMD. No cost during the trial.
The Three Problems That Cost Behavioral Health Practices the Most
| Problem | What It Costs | How We Fix It |
|---|---|---|
| Carve-out claims going to wrong payer (CO-109) | Every claim for Magellan/Optum patients denied until corrected | Carve-out identified at eligibility: claim routed correctly before submission |
| Wrong CPT time code (90832 vs 90837) | Compliance exposure + revenue loss on every miscoded session | Session time verified against treatment notes before every claim |
| Prior auth expiration mid-session block | Entire session block denied retroactively | Daily tracking: expiration flagged 7 days ahead per payer |
What a Dedicated Mental Health Biller Does
Unlike a general biller who handles behavioral health claims alongside 10 other specialties, a Dr. Billerz mental health specialist does only this. They know that Magellan requires specific clinical phrasing in prior auth requests. They know that Optum Behavioral has different auth block sizes than the primary Blue Cross plan. They know that 42 CFR Part 2 restricts what can appear on a claim for SUD patients. That knowledge comes from spending years in this specialty: not from reading a manual.
EHR Systems We Work In
SimplePractice, Therapy Notes, AdvancedMD, NextGen, Kareo/Tebra, Office Ally, Practice Mate, and Kipu Health.
Pricing
| Option | Cost |
|---|---|
| Full-time dedicated biller (40 hrs/week) | $7/hr: $1,120/month |
| Part-time (20 hrs/week) | $7/hr: $700/month |
| Free dedicated RCM manager | Included: no extra cost |
| HIPAA infrastructure (BAA, encrypted devices, VPN) | Included |
| 4-week free pilot | No cost |
| Contract | None |
Results
A group behavioral health practice: 4 therapists, 1 psychiatrist on SimplePractice: went from $48,000–$64,000/month in collections to a stable $87,000/month after we fixed carve-out routing and CPT time code errors. The carve-out corrections alone recovered $19,000 in claims that had been sitting rejected for months.
Frequently Asked Questions
Do you handle substance use disorder billing?
Yes: including 42 CFR Part 2 compliance, ASAM level of care authorization, IOP/PHP H-code billing, and carve-out routing for SUD payers.
Can you manage prior authorization across multiple therapists?
Yes. Auth tracking is per patient, per payer, per session block: flagged at 7 days before expiration regardless of how many providers are on the account.
(313) 725-9746 | info@drbillerz.com