Behavioral health billing for group practices takes more than claims sent on time. Credentialing has to line up across providers, workflows have to stay clean and you need to see performance by clinician, payer and service type.
Dastify BH handles that billing for you. We check that each claim goes out under the right rendering provider and location so each clinician's work is billed correctly.
Every claim needs rendering provider accuracy. Some denials in a multi-provider practice trace back to who rendered the service:
Each clinician documents and codes a little differently. We apply one workflow across the practice so claims go out consistently.
Reporting has to work at both the individual clinician and group level. A group total alone can hide which provider's claims are stuck.
Supervision decides whose name goes on the claim. Medicare allows behavioral health services by auxiliary staff incident to a practitioner under general supervision. That means the supervising practitioner directs the care but does not have to be in the room.
Where direct supervision applies, Medicare allows real-time audio/video presence, not audio-only. Commercial and Medicaid plans may set their own rules. We check supervision under current Medicare rules and each payer's policy before claims go out.
Multi-location practices add place of service considerations and payer contracts that may vary by location. Adding or dropping a practice location has to be reported to Medicare within 30 days. Most other enrollment changes are due within 90 days.
Telehealth across state lines brings state-specific licensure requirements to keep in view.
New hires need to be credentialed before they can bill, and existing providers need active credentialing maintenance. Group practices adding new therapists can start billing before every provider is credentialed with every payer. Claims for uncredentialed providers can process as out-of-network or be denied.
A group practice adds group NPI setup on top of each clinician's own billing. When the two don't line up the claim can land under the wrong provider.
Medicare billing for a new clinician generally starts no earlier than the date an approved enrollment was filed. Medicare lets enrolled clinicians bill back only up to 30 days before their effective date in most cases. Our behavioral health credentialing services start enrollment early so new hires can be set up before their first session.
Want a clear look at your group practice billing?
Claim your free 90-day auditDastify BH runs full revenue cycle management for multi-provider practices. Each piece is set up by rendering provider.
Our eligibility verification covers insurance verification with carve-out identification, benefit review, and cost share confirmation before services are delivered.
Our prior authorization services cover authorization tracking, submission, and reauthorization monitoring based on payer requirements.
Our billing and coding services bill psychiatry visits, psychotherapy and psychological testing under the right provider and code set. For 90853 and other group and family therapy codes we follow the documentation rules on our mental health page.
Our A/R and denial management team works process-related denials as well as provider-related ones. We fix the root cause first. Then we correct and resubmit.
Accurate posting of ERA and EOB payments with underpayment identification.
Clear reporting on A/R, denials, collections, and provider performance.
Behavioral health is all Dastify BH does. Your practice isn't pushed through a generic medical billing workflow.
We adjust to practice structure rather than applying the same workflow across every type of practice.
We check each payer's supervision rules before claims go out.
Our Growth plan is built for group practices, clinics, and multi-provider behavioral health organizations. See pricing for group practices.
See all our behavioral health billing specialties.
Medicare lets enrolled clinicians bill back only up to 30 days before their effective date in most cases. Sessions outside that window usually can't be billed to Medicare at all. We flag start dates early to help keep a new hire's first weeks of visits from becoming write-offs.
Every claim names a billing provider and a rendering provider. In a multi-provider practice those often differ. A mismatch can stop payment even when the visit was fine. We check that each claim lists the clinician who actually saw the patient and who the payer will pay.
Sometimes. Medicare allows behavioral health services by auxiliary staff incident to a practitioner under general supervision. Commercial and Medicaid plans may set their own rules. We check each payer's policy before claims go out so supervised services are billed under the provider who can actually be paid.
Adding or dropping a practice location has to be reported to Medicare within 30 days. Commercial payers have their own update steps too. We keep the service location on each claim current to help keep visits at a new office from stalling or denying as an unlisted site.
These X12 codes mean the payer sees the provider as not eligible for that service or date. In multi-provider practices it often traces to a rendering provider mismatch or a clinician not yet active with that payer. We fix the cause first. Then we correct and resubmit.
Yes. Psychiatry visits, psychotherapy and psychological testing each follow different coding and documentation rules. We bill each service line under the right provider and code set so one specialty's issues are less likely to hold up the rest. Reporting covers A/R, denials, collections, and provider performance.
