Mental Health Claim Submission Services

High patient volume shouldn’t create a backlog of dead A/R. Dastify Solutions guarantees 24-hour claim submission, ensuring your revenue flow is as consistent as your patient care.

MHPAEA ComplianceASAM-Aligned DocumentationCMS/Medicare Part B RulesTelehealth Regulations Compliance

150+ Validation Rules

20% Revenue Increase

Successfully Achieving Highest Clean Claim Rate for Mental Health Practices

Mental health care takes a lot of emotional toll. We believe claim denials shouldn’t add to the stress. We have helped practices that were constantly running low on hanging fruit achieve their desired results through successful reimbursements.

Compliance Mastery

  • Adherence to 2026 federal, state, and payer-specific mental health guidelines

  • Monitor NQTL patterns and appeal unfair 90837 denials per 2026 MHPAEA guidelines

Technical Accuracy

  • Real-time concurrent coding with pre-submission scrubbing to prevent denials

  • Payer-specific edits and authorization verification

  • Precision coding for psychotherapy (90832, 90834, 90837)

  • E/M + Psychotherapy add-ons (99213 + 90833)

  • G2211 add-on for longitudinal chronic mental health care

  • 2026 Virtual Supervision for compliant auxiliary billing

  • Crisis & Group Therapy coding (90839, 90853)

Strategic Appeals

  • ERISA Appeals Management

  • Payer carve-out verification for mental health plans

  • State Prompt Pay enforcement

  • High-risk CPT defense (90837, 90839, 90853)

How do We Handle Psychiatry Billing Claim Submission?

At Dastify Solutions, we combine powerful technology with billing brains. Our experts hold AHIMA/CPC certifications, so your claims & compliance are never at risk.

First-Pass Accuracy, Not Rework

Clean claims start with clinical accuracy, not just data entry. At Dastify, our mental health billing experts ensure every claim is correct from the start:

  • Concurrent Coding: mental health services are coded as they are documented, to avoid errors.

  • Provider Credential Checks: We confirm the CPT code matches the provider's license, scope of practice, and state regulations.

  • Clinical Verification: Session notes and rendered services are reviewed on our end to ensure the claim reflects the actual care provided.

  • Error Prevention Before Submission: To maintain a first pass rate, we identify and fix mismatches or missing information immediately, preventing denials before submissions.

Precision Coding for Psychotherapy, Crisis & Group Sessions

At Dastify, we understand that mental health billing is not one-size-fits-all. Our experts apply specialty-specific coding logic that generic psychiatry billing companies often neglect.

  • Time-Based Psychotherapy Codes: We carefully select 90832, 90834, and 90837 based on the actual session duration.

  • E/M + Psychotherapy Add-Ons: For psychiatrists, we apply the correct combination codes (e.g., 99213 + 90833) to capture both evaluation and therapy services without errors.

  • Revenue Capture for Complexity: Apply G2211 for established patients to reflect longitudinal chronic care management and maximize per-visit revenue.

  • 2026 Virtual Supervision: We use the updated CMS definition of 'Direct Supervision,' enabling compliant billing for auxiliary personnel even when the supervising psychiatrist is off-site.

  • Crisis & Group Therapy: Our team ensures accurate billing for 90839 (crisis intervention) and 90853 (group therapy), so no billable service is left unclaimed.

Rules-Based Claim Scrubbing Engine

We go beyond basic data entry to ensure every claim is clean, compliant, and optimized for approval:

  • Taxonomy Codes: We verify that the provider's taxonomy code is correct at the header level of the 837P claim.

  • RPA (Robotic Process Automation): Our RPA engine runs 150+ validation rules against your claims, catching taxonomy mismatches and MIPS reporting gaps before the payer ever sees the claim.

  • Incident-to Billing: Services delivered by non-physician practitioners under a psychiatrist's NPI require strict adherence to CMS rules.

  • Cross-Over Claims: Dual-eligible patients often require crossover processing between Medicare and Medicaid. Our team ensures these behavioral health claims are handled accurately.

We Master the Time-Based Psychotherapy Coding

CPT CodeTime Threshold2026 Documentation Requirement
9083216–37 minsExact start/stop times + specific intervention.
9083438–52 minsProgress toward treatment plan + Risk Assessment.
9083753+ minsDetailed medical necessity for extended duration.

Ready to Simplify Your Mental Health Billing?

Join hundreds of behavioral health practices using Dastify to reduce administrative burden, maximize revenue, and get paid faster.

Written byStephanie Jason
Reviewed byAnum NaveedDirector of Compliance
Last updated