Turn Your Behavioral Health Billing Complexity Into Better Revenue Control
Medicaid Managed Care rules, commercial payer edits, and authorization limits can delay reimbursement even when care is documented correctly. THG helps New York behavioral health organizations improve claim accuracy, reduce preventable denials, and gain better control over outstanding revenue.
75+
Specialties Served
50
States Covered
98%+
Clean Claim Rate
48 Hrs
Denials Worked Within
New York Behavioral Health RCM Expertise Backed by Proven Performance
The Hamill Group brings technical billing oversight, payer knowledge, and clear revenue reporting to behavioral health organizations that need stronger financial control.
Behavioral Health Billing Services for New York Providers
From patient coverage through final reimbursement, each billing function is managed around the service delivered and the payer responsible for payment.
Benefits & Coverage Verification
Confirm active coverage, behavioral health benefits, network status, session limits, and payer responsibility before billing begins.
Prior Authorization Tracking
Monitor approval dates, authorized visits or units, renewals, and payer requirements for higher-cost behavioral health services.
Behavioral Health Coding
Validate CPT, HCPCS, ICD-10-CM, modifiers, POS, and time-based psychotherapy services against supporting clinical documentation.
New York Claim Submission
Submit claims according to Medicaid Managed Care and commercial payer rules, with OMH or OASAS billing requirements considered where applicable.
Denials & Appeals
Use CARC/RARC responses to identify the exact cause of nonpayment and determine whether correction, reconsideration, or appeal is required.
Payment & A/R Recovery
Reconcile 835 ERAs, identify underpayments, prioritize older balances, and pursue claims that remain unresolved with the payer.
Keep Clinical, Billing, and Financial Systems Connected
THG works across your EHR, practice management system, clearinghouse, and ERP environment so claim data, remittances, adjustments, and outstanding balances stay aligned without adding unnecessary manual work.
Bring Your Toughest New York Payer Issue to Kira
Does a claim type keep getting denied, a payer not respond, or balances keep aging? Share the issue directly and get a clearer path for what your billing team should address next.
What You’ll Walk Away With:
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Payer Issue
Clarity -
Claim Action
Priorities -
Escalation
Direction -
Revenue
Next Steps
What Behavioral Health Teams Value About Working With THG
Providers value clear communication, faster billing follow-up, and knowing exactly what is happening with unpaid claims.
Our denial rate kept rising because we caught authorization issues too late. THG tightened the tracking process, corrected the recurring payer errors, and gave us a much clearer view of which claims needed action before they reached aged A/R.
Dr. Elena Morris
Psychiatrist
We had a growing balance of unpaid psychotherapy claims with no clear reason behind the delays. THG separated coding, eligibility, and payer issues, then worked each account by cause. Our team finally had a structured recovery process instead of repeated resubmissions.”
Dr. Marcus Reed
Clinical Psychologist
Payer follow-up was our biggest weakness. Claims were submitted correctly but remained unresolved for weeks. THG introduced consistent claim-status follow-up, escalation points, and denial tracking, which gave us much better control over outstanding balances.
Dr. Nina Patel
Behavioral Health Medical Director
Our billing team was spending too much time correcting claims after submission. THG focused on the errors happening before the claim went out, including coding, modifiers, authorization details, and payer edits. That reduced rework and improved our first-pass claim process.
Dr. Samuel Ortiz
Psychiatrist
We needed better visibility into A/R across several payer types. THG organized the balances by payer, age, denial reason, and next action. That made it easier to see where revenue was stuck and which claims required escalation first.
Dr. Lauren Bennett
Addiction Medicine Physician
Where New York Behavioral Health Revenue Commonly Gets Stuck
Medicaid Managed Care, commercial payer rules, authorization limits, and claim edits can interrupt reimbursement at different points in the billing cycle.
Revenue Pressure Points
Coverage Changes
A payer or benefit change is missed before you bill the service.
Authorization Limits
Approved visits, units, or effective dates no longer match the claim.
What THG Controls
Verify the Responsible Payer
Match Claims to Authorization
Resolve Payer-Specific Edits
Reconcile Expected Payments
Escalate Unresolved Balances
See How Your Behavioral Health Charges Compare With Monthly Collections
Use this calculator to compare monthly patient charges with current collections and see how much revenue may still be tied up in unpaid, reduced, or unresolved claims. For New York behavioral health billing services, this gives a quick view of the gap between billed services and realized reimbursement.
Collection Gap Visibility
Specialty-Based Estimate
Revenue Opportunity
Medical Billing Calculator
What Is Creating Friction in Your Behavioral Health Billing?
Select the billing issues your team is dealing with. THG can pinpoint the claim, payer, or reimbursement step that needs attention.
Behavioral Health Specialties We Support Across New York
Billing support tailored to the coding, authorization, documentation, and payer requirements behind each behavioral health service line.
Psychiatry & Medication Management
Psychotherapy & Counseling
Addiction & SUD Treatment
IOP & PHP Billing
Psychological Testing
ABA Therapy
TMS Billing
Spravato Billing
Telebehavioral Health
Choose Your Specialty | Get Billing Support
Why Choose THG?
Medicaid Expertise
OMH/OASAS Insight
Authorization Control
Denial Recovery
A/R Visibility
Executive Reporting
Turn Unresolved Claims Into Clear Billing Action
When Medicaid Managed Care or commercial claims stall, the issue may be authorization, payer edits, underpayment, or missed follow-up. THG helps identify what is blocking reimbursement and which balances need action first.
Behavioral Health Billing Services Across New York
From large health systems to independent behavioral health practices, THG provides payer-focused billing and RCM support across key New York markets.
Serving a New York Location We Haven’t Listed?
Share your city and contact details. Our behavioral health billing specialist can connect with you quickly.