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Behavioral Health & Addiction Treatment Billing

Revenue Cycle
Management for
Behavioral Health.

Cipher Billing delivers specialized billing for psychiatrists, psychologists, IOP programs, detox centers, and addiction treatment facilities — maximizing revenue while keeping you fully compliant.

Free Consultation

See How Much Revenue You're Leaving Behind

Our billing specialists will review your current revenue cycle and identify exactly where you're losing money — at no cost to you.

  • Full billing documentation review
  • Coding error & compliance audit
  • Revenue opportunity analysis
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No commitment. 100% confidential.

$1,821

Avg. Inpatient Day Rate

$1,149

Avg. Outpatient Day Rate

9 Min

Eligibility Turnaround

100%

Pre-Payment Review Pass Rate

30 Days

To First Payment

10+ Yrs

Behavioral Health Expertise

The Cipher Difference

Before Cipher. After Cipher.

Most practices don't realize how much revenue they're losing until they see the numbers side by side. Here's what changes when you switch to Cipher Billing.

MetricBefore CipherAfter Cipher

Eligibility Verification

30 min

Industry average turnaround

9 min

Cipher average turnaround

First-Pass Claim Acceptance

~65%

Typical behavioral health biller

97%+

Cipher clean claim rate

Denial Follow-Up

Written off

Most billers abandon denials

100% pursued

Every denial appealed

Time to First Payment

60–90 days

Typical onboarding lag

30 days

Cipher onboarding guarantee

Pre-Payment Review

Clawbacks happen

Documentation gaps trigger audits

0 clawbacks

100% pre-payment pass rate

Your Point of Contact

Call center

Anonymous reps, long hold times

Named executive

Dedicated Partner Experience Exec

Real Revenue Impact

Based on actual client results. Numbers reflect monthly revenue before and after switching to Cipher Billing.

Psychiatry Practice

80 sessions/mo

Before

$18,400

After

$26,800

+$8,400/mo

Recovered via proper 99214 coding + psychotherapy add-ons

IOP Program

25 patients/mo

Before

$41,200

After

$67,500

+$26,300/mo

H-code optimization + concurrent review compliance

Detox Facility

15 beds avg census

Before

$89,000

After

$134,000

+$45,000/mo

Per diem billing accuracy + ASAM documentation

See My Revenue Potential

Free audit. No commitment. Results in 30 days.

Our Specialties

Built for Every
Practice Type.

Whether you're a solo psychiatrist, a multi-provider mental health group, a large IOP facility, or a detox and addiction treatment center — Cipher Billing has the specialized expertise to maximize your revenue and keep you compliant.

01

Medical Billing for Psychiatrists

Specialized psychiatric billing capturing every CPT code — medication management, psychotherapy add-ons, prior authorizations, and payer-specific appeals.

02

Medical Billing for Psychologists

Comprehensive billing for psychological testing, evaluation, and therapy. Proper documentation and coding for all assessment CPT codes to maximize reimbursement.

03

IOP & PHP Billing

Intensive Outpatient and Partial Hospitalization Program billing with H-code expertise, utilization review documentation, and concurrent review processes.

04

Detox & Residential Treatment Billing

Expert billing for detoxification and residential addiction treatment facilities — including per diem billing, ASAM level-of-care documentation, and payer-specific authorization management.

05

Addiction Treatment Center Billing

Full revenue cycle management for substance use disorder treatment programs. We handle H-codes, HCPCS codes, and the complex prior authorization requirements unique to addiction treatment.

06

Mental Health Billing Services

Expert billing for outpatient practices, group practices, and community mental health centers. We navigate complex payer rules so your revenue cycle runs smoothly.

07

Private Practice Billing

Tailored billing solutions for solo and small group private practices. We handle the administrative burden so you spend more time with patients.

08

Behavioral Health RCM

End-to-end revenue cycle management built specifically for behavioral health and addiction treatment — from eligibility verification to final payment posting.

09

Psychiatric Billing Services

Dedicated billing for inpatient and outpatient settings, including E&M levels, time-based billing, and collaborative care models.

10

Sober Living & Outpatient Billing

Billing support for sober living facilities and outpatient addiction programs — ensuring proper coding, documentation, and reimbursement at every level of care.

Get a Free Revenue Audit

No commitment. Results in 30 days.

Why Cipher Billing

We Treat Your
Revenue Like
Our Own.

Most billing companies promise results. Cipher Billing proves them. From mental health practices to detox and addiction treatment centers, our numbers speak for themselves — and our clients stay because we treat their revenue like our own.

See What We Can Do For You

9 Min

Eligibility Turnaround

Industry standard is 30 minutes. We verify eligibility in 9 minutes on average — catching coverage issues before they become denials.

100%

Pre-Payment Review Pass Rate

Our documentation and compliance teams ensure every claim passes pre-payment review the first time, every time.

30 Days

To First Payment

From onboarding to your first payment in 30 days. Our audit-based onboarding gets your documentation pristine before a single claim is submitted.

1:1

Dedicated Partner Executive

You get a named Partner Experience Executive — not a call center. Real-time insights, proactive guidance, and a direct line when you need answers.

PsychiatryPsychologyIOP / PHPDetox CentersAddiction TreatmentPrivate Practice

Getting Started

From Audit to
First Payment.

We don't just take over your billing — we optimize it from the ground up. Our audit-based onboarding ensures your documentation is pristine and your revenue cycle is firing on all cylinders before a single claim is submitted.

01Discovery

Comprehensive Documentation Audit

We start with a deep-dive audit of your current billing documentation, coding practices, and payer contracts — identifying compliance gaps and missed revenue before a single claim is touched.

"Most practices discover 15–25% in recoverable revenue during this step alone."

Completed within 5 business days
02Foundation

Workflow Optimization & Setup

We rebuild your billing workflow around behavioral health best practices — coding protocols, documentation standards, and payer-specific rules baked in from day one.

03Integration

Seamless EMR Connection

We establish a frictionless connection with your existing EMR/EHR system with zero disruption to clinical operations or patient care.

04Execution

Clean Claim Submission

Every claim passes a pre-billing audit before it's submitted — catching errors before payers do and maximizing your first-pass acceptance rate.

05Recovery

Aggressive A/R & Denial Management

We pursue every outstanding claim and appeal every denial. Nothing is written off without a full fight — including escalation to payer commissioners when necessary.

06Visibility

Transparent Reporting & Insights

Monthly reconciliation reports, real-time revenue dashboards, and a dedicated Partner Executive who proactively flags issues before you even notice them.

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Most clients receive their first payment within 30 days of onboarding.

Sound Familiar?

Problems We
Solve Every Day.

Most behavioral health providers come to us after months — sometimes years — of revenue loss they didn't even know was happening. These are the six most common problems we fix on day one.

The Problem

Denials pile up with no follow-through

Your previous biller submits claims and moves on. Denials sit unworked for weeks — or get written off entirely.

The Cipher Fix

We appeal every single denial. Our A/R team tracks every outstanding claim until it's resolved or exhausted. Nothing gets written off without a fight.

The Problem

Eligibility isn't verified until it's too late

Coverage issues surface after services are rendered — leaving you holding the bill for sessions that were never going to be paid.

The Cipher Fix

We verify eligibility in 9 minutes on average, before every appointment. Coverage gaps are caught before they become your problem.

The Problem

Wrong codes, undercoded, or upcoded claims

Generic billers don't know behavioral health CPT codes. They undercode psychiatric sessions, miss add-on codes, and leave thousands on the table every month.

The Cipher Fix

Our team is trained exclusively in behavioral health coding — from psychiatric E&M levels and psychotherapy add-ons to H-codes for IOP/PHP. Every code is optimized and compliant.

The Problem

No one to call when something goes wrong

You're routed to a call center, put on hold, or passed between reps who don't know your account. Problems linger for weeks.

The Cipher Fix

Every Cipher client has a named Partner Experience Executive — a real person who knows your practice, answers directly, and proactively flags issues before you even notice them.

The Problem

Pre-payment reviews fail and trigger clawbacks

Payers audit your documentation and claw back payments months after the fact — creating cash flow chaos and compliance risk.

The Cipher Fix

Our documentation and compliance teams review every claim before submission. Our pre-payment review pass rate is 100% — zero clawbacks.

The Problem

Onboarding takes months and disrupts your practice

Switching billers feels like a massive undertaking. Revenue stalls during the transition and your team is left scrambling.

The Cipher Fix

Our audit-based onboarding is designed for speed and zero disruption. Most clients are fully operational and receiving their first payments within 30 days.

Fix My Billing Today

Free audit. No commitment. Results in 30 days.

Billing Expertise

The Codes That
Most Billers Miss.

Behavioral health billing is a specialty. Generic billers don't know the nuances — and that ignorance costs you money every single month. Here's a look at the codes we optimize that most practices are getting wrong.

99213 / 99214

Established Patient E&M

The most commonly undercoded psychiatric visit. 99214 requires medical decision-making of moderate complexity — which most 20–30 min medication management visits qualify for. Many billers default to 99213 and leave $40–80 per visit on the table.

Cipher Best Practice

Document time spent, complexity of problems addressed, and prescription drug management to support 99214 or higher.

90833 / 90836 / 90838

Psychotherapy Add-On Codes

Add-on codes for psychotherapy performed during the same session as E&M. 90833 adds 16–37 min of therapy to 99213/99214. Most billers miss these entirely.

Cipher Best Practice

Always document psychotherapy time separately from E&M time to support add-on code billing.

99354 / 99355

Prolonged Services

Billable when total time exceeds the typical time for an E&M code. Often missed even when time documentation clearly supports it.

Cipher Best Practice

Track total face-to-face time per visit. Anything over 40 min for established patients may qualify for prolonged service add-ons.

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Disclaimer: CPT code guidance above is for educational purposes. Reimbursement rates, payer policies, and documentation requirements vary. Cipher Billing conducts a full payer-specific audit for every client.

Client Results

What Providers
Say About Us.

Real words from real providers who trusted Cipher with their revenue cycle.

We needed a billing company that conducted business similarly to how we do, prompt and intentional. Cipher has exceeded our expectations. They've continued to be easily accessible & helpful with all our billing needs!

Tony H.

Practice Owner

My business was nearly in jeopardy because of the lackluster service from our billing company. Then I switched to Cipher, and they helped turn around our revenue, allowing us to flourish. I am a clinician, not a business person. I needed a billing company that would handle everything billing-related so that I could focus on what mattered — providing exceptional clinical care to patients. Cipher has been that partner for me.

Dr. Matthew T.

Clinician & Practice Owner

Common Questions

Frequently
Asked.

Everything you need to know about our behavioral health billing services, mental health medical billing, and how we work with your practice.

Still Have Questions?

Ready to Transform Your Revenue?

Let's Maximize
Your Revenue.

Schedule a complimentary consultation with our behavioral health billing experts. We'll review your current revenue cycle, identify missed opportunities, and show you exactly how much more you could be collecting.

What's Included in Your Free Audit

  • Full review of your current billing documentation
  • Identification of coding errors and compliance gaps
  • Revenue opportunity analysis
  • Payer contract review and fee schedule benchmarking
  • Custom onboarding roadmap for your practice type

“Prompt and intentional. Cipher has exceeded our expectations.”

Tony H. — Psychiatric Practice Owner

Get Started Today

A billing specialist will contact you within 24 hours.

0/500

No commitment required. 100% confidential.