Behavioral Health Medical Billing Services
Behavioral health billing covers everything from individual outpatient visits to intensive outpatient (IOP) and partial hospitalization (PHP) programs — each with its own per-diem, level-of-care, and authorization rules. CoreStone's behavioral-health-trained billing team keeps program, group, and facility claims clean and on schedule.
Billing That Understands Behavioral Health
From outpatient counseling to IOP, PHP, and residential level-of-care programs, behavioral health organizations bill a mix of per-session, per-diem, and bundled program services — each with its own authorization and utilization-review requirements. Our coders and billers are trained specifically on the codes and payer rules unique to behavioral health programs.
- ICD-10 coding for substance-use, mood & co-occurring disorders
- CPT/HCPCS coding for IOP, PHP & per-diem program billing
- Level-of-care documentation to support authorized length of stay
- Prior authorization and concurrent-review support for program admissions
- Group therapy and case-management billing accuracy
Medical Practices Who Can Use Our Behavioral Health Billing Services
Whether you're a solo provider just getting started or a multi-location group, our team scales to fit how your practice actually operates.
- Solo Physicians
- Independent Practice Groups
- Medical Clinics
- Physician Groups
- Hospital-Owned Practices
- Urgent Care Centers
- In-Home Health Providers
- Laboratories
- Freestanding ER Centers
- Hospitals
- Non-Emergency Medical Transport
- New & Growing Practices
Behavioral Health Billing Services We Handle
Every claim type your behavioral health program generates, coded and billed by a team that already knows program-based care.
Group & Program Billing
IOP, PHP, and group therapy sessions billed with the correct per-diem and bundled program codes.
Prior Authorization & Concurrent Review
Admission authorizations and concurrent utilization reviews handled so length-of-stay claims aren't denied mid-program.
Level-of-Care Documentation
Level-of-care assessments documented and coded to support every authorized day of treatment.
Case Management Billing
Care coordination and case-management services billed accurately alongside clinical program services.
Denial Management
Appeals for medical-necessity and length-of-stay denials common to program-based behavioral health claims.
Specialty Credentialing
Payer enrollment and credentialing for behavioral health facilities and program providers.
Caring Revenue Cycle Management For Behavioral Health Practices
Behavioral Health practices are under constant pressure to raise the standard of care while facing reduced reimbursement, growing regulatory risk, and thinner margins. Maximizing your revenue cycle — billing, coding, and accounts receivable — is essential to keeping up with an increasingly complex payer landscape.
CoreStone is committed to offering the best behavioral health billing services available, covering nearly every aspect of the billing and patient revenue cycle. We work to secure the fastest possible reimbursement for your practice — the sooner a clean claim goes out, the sooner you get paid. That's why our billing experts are on call around the clock, working while you sleep.
Behavioral Health Billing: Your Needs, Our Solutions
Behavioral Health billing isn't one-size-fits-all — practices across the country have different needs when it comes to revenue cycle management. That's why our behavioral health billing solutions are highly personalized, giving your practice real autonomy over its finances and workflow while we handle the coding, claims, and collections behind the scenes.
Our Medical Billing Process
A clear, repeatable process from intake to payment. The steps below outline how this service runs day to day — other CoreStone services follow their own version of this same process.
Practice Audit & Assessment
We start with a free trial-base audit of recent claims and reports to pinpoint exactly where your practice is losing revenue.
Enrollment & Credentialing
We confirm payer enrollment status and handle any outstanding credentialing before your first claim goes out.
Data Entry & Charge Capture
Patient encounters and superbills are entered into our system quickly and accurately, saving your staff hours of manual work.
Certified Coding & Billing
Certified coders and billers scrub, code, and submit every claim — compliant, accurate, and up to date with current payer policy.
We Work Within The Software You Already Use
No need to switch systems — our billing team plugs directly into the EHR and practice management platform you're already running.
98%
Clean Claim RatioUp to 30%
Average Revenue IncreaseSpecialty-Trained
Behavioral Health Coding & Billing TeamHere to Help You
Revenue cycle management is a complex maze of coding, claims, registrations, collections, remittance, and follow-ups — but we can help.
Enhanced Infrastructure
CoreStone has the infrastructure and expertise to avoid the costly troubles that come from regulatory changes and unexpected billing errors.
Higher Competency
Revenue cycle management is one of the biggest challenges healthcare organizations face. We streamline the process with proven technology and experienced medical billing experts.
One-Stop Solution
We're your trusted, one-stop outsourcing partner for every healthcare billing need — medical billing, coding, claims adjudication, credentialing, and more.
Offering Behavioral Health Billing Services at Affordable Rates
We believe in offering quality Behavioral Health billing services at reasonable prices, so your practice stays financially stable and healthy.
Starter
Collections under $10,000 / mo.
- Credentialing
- Dedicated Billing Team
- Claim Submission
- Payment Posting
Growth
$10,001 – $25,000 / mo.
- Credentialing
- Dedicated Billing Team
- Claim Submission
- Payment Posting
- Daily Reporting
Established
$25,001 – $50,000 / mo.
- Credentialing
- Dedicated Billing Team
- Claim Submission
- Payment Posting
- Daily Reporting
Enterprise
Collections over $50,000 / mo.
- Credentialing
- Dedicated Billing Team
- Claim Submission
- Payment Posting
- Daily Reporting
Frequently Asked Questions
Behavioral health relies on per-diem and level-of-care program billing — IOP, PHP, and residential — with authorization rules that general billing teams often miss.
Yes. We manage admission authorizations and concurrent utilization reviews so length-of-stay claims aren't denied mid-program.
Yes. We bill per-diem program days and individual or group sessions correctly, without duplicate or bundled-service denials.
Our coders review level-of-care assessments against payer criteria, so every authorized day of treatment is documented and billed correctly.
Yes. Our billing team plugs directly into the EHR and practice management platform you're already running — no need to switch systems.
Most practices are fully onboarded and submitting claims within 5-10 business days, depending on payer credentialing and EHR access.
Request Your Free Billing Quote
Tell us about your practice and one of our billing specialists will follow up within one business day.
CoreStone Medical Billing Services
Serving healthcare providers across all 50 states with accurate, compliant, and technology-enabled medical billing.