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Provider Services

Behavioral health billing that keeps sessions paid

Session-based billing, authorization limits and telehealth rules handled carefully — so clinicians can stay focused on clients.

How MedValue helps

Behavioral health revenue depends on authorizations, time-based codes and detailed documentation. We track all three so recurring sessions never bill outside the approved window.

  • Time-based and unit-based coding review for therapy, evaluation and group services
  • Authorization tracking with alerts before approved units or dates run out
  • Telehealth place-of-service and modifier handling by payer
  • Medicaid, managed behavioral health and commercial claim submission and follow-up
  • Parity-aware appeals when medically necessary services are denied or cut back
  • Credentialing and panel enrollment for therapists, psychologists and prescribers

The challenges we hear

These are the bottlenecks that quietly cost revenue. Our team removes them with a documented workflow, clear ownership and weekly reporting.

  • Sessions delivered after authorized units expire go unpaid
  • Time-based codes are billed inconsistently across clinicians
  • Telehealth modifier rules change payer by payer
  • Managed behavioral health carve-outs are handled by the wrong payer
  • Small billing teams cannot keep up with appeals

Authorizations tracked, not assumed

We monitor approved units and date ranges per client and flag renewals before sessions fall outside the window — the single largest preventable loss in behavioral health billing.

Documentation-aligned coding

Our reviewers match session length, service type and rendering credential to the correct code and modifier, keeping claims defensible if a payer requests records.

No-cost revenue check

See exactly what your practice is leaving on the table

Our billing assessment team reviews a sample of your claims, denials and aging AR, then walks you through the findings. Most practices are surprised by the first slide.

  • A claim-level look at what is being denied and why
  • Aged AR you can still recover, quantified in dollars
  • Coding and fee schedule gaps costing you per visit
  • A plain-English action plan you can keep either way

Prefer to talk first? Call 630-430-1040

Get your free billing audit

Takes 2 minutes. No commitment, no obligation to switch.

Questions first? Read the billing FAQ or build a custom quote.

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