Mental Health Billing

We recognize the unique needs of behavioral health providers. What sets TerMar Billing apart from other billing services is the desire to release the therapist from the BUSINESS of therapy so they can concentrate on helping their patients. Mental health billing is much different than medical billing for other specialties. Just trying to figure out a patient's benefits is often an exercise in frustration.

For example:

• Is medication management counted as a psychotherapy visit or an office visit?
• When should psychiatrists use E&M CPT codes?
• How is psychological testing preauthorized?
• How does a psychologist bill for testing administered by a technician or computer?
• Does a severe mental illness or biologically based diagnosis qualify the patient for mental health parity benefits?
• Which state laws apply to the policy, or is it an ERISA plan exempt from state regulation?

Because our focus is primarily psychiatric billing and mental health billing, we have knowledgeable specialists who take the guesswork out of getting paid. We understand billing for therapy, evaluation and management, neuropsych and academic testing - in private practices, nursing homes, day treatment centers and hospitals. We have experience working with the managed care companies and stay up-to-date with the latest coding changes and government regulations.

The mental health insurance industry is highly saturated by managed care. This means that determining which entity has been subcontracted for which service many times complicates verification of benefits and certification for services. Psychiatric diagnoses' differ from general medical diagnostic classification and coding. A general medical billing company may not be familiar with DSM classification. Especially as it pertains to psychological and neuropsychological testing, often times general medical billing companies do not understand the unique demands of billing for these services.