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The Hamill Group

Smarter Behavioral Health RCM Services for Growing Care Organizations

Behavioral health billing slows down when clinical care, payer requirements, and claim workflows are not aligned. The Hamill Group helps practices create cleaner claims, stronger follow-up, and clearer revenue cycle visibility without disrupting daily operations.
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Improve My Billing Workflow

Why Behavioral Health Billing Gets Delayed and How THG Controls the Revenue Cycle

Behavioral health practices need more than basic claim submission. Revenue can slow down when coverage is not verified, authorizations expire, claim details are incorrect, or unpaid balances are not worked with clear ownership. THG helps practices control these points before they affect payment.

Eligibility and Authorization Management

We help confirm coverage, benefits, prior authorization, session limits, and payer rules before care turns into a denied or delayed claim.

Behavioral Health Claim Accuracy

THG reviews codes, modifiers, provider details, units, and documentation support before claims move forward.

Denial Management for Mental Health Claims

We identify denial patterns, correct claim issues, manage appeals, and help prevent repeat billing problems.

A/R Follow-Up and Payment Visibility

Unpaid claims are tracked by payer, age, issue type, and next action so revenue delays are easier to manage.

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Where Behavioral Health Revenue
Breaks Before Payment

Problem

Claims can fail when patient coverage, benefit type, or behavioral health carve-out details are not confirmed correctly at intake.

Solution

THG reviews front-end data so the right payer, plan, and billing path are identified before the claim is created.

Problem

Approvals may be active, but claims still delay when authorization numbers, dates, units, or visit limits are not carried into billing.

Solution

Our team integrates authorization details into the claim workflow so that approved services are billed with the appropriate supporting information.

Problem

Revenue slows when visits are documented, but charges are entered late, missed, or not matched to the correct service type.

Solution

THG reviews charge flow to reduce lag between care delivery, charge entry, and claim submission.

Problem

Claims can be stopped at the clearinghouse or by payer edits due to provider data, taxonomy, modifiers, POS, or payer-specific formatting.

Solution

THG reviews claim data before submission to reduce rejections and keep claims moving through the payer process.

Problem

Some claims are not denied immediately. They sit pending, request information, or require follow-up before payment can move.

Solution

Our team monitors payer responses and follows up with the right documentation, appeal route, or escalation step.

Problem

Copays, deductibles, and patient responsibility can remain uncollected when balances are not communicated clearly after insurance processing.

Solution

THG supports cleaner statement review, balance tracking, and payment visibility for patient-side revenue.

Behavioral Health RCM Company

Get Clearer Control Over Behavioral Health Billing Performance

See where claims slow down, where follow-up is missing, and which revenue cycle actions need priority.
Start with a focused Behavioral Health RCM review.

Behavioral Health RCM Becoming Too Complex to Track?

Let us help you identify the workflow gaps.

Request an RCM Complexity Review

Behavioral Health Complexities That Need Specialized RCM Control

Not every behavioral health program is billed the same way. Psychiatry, ABA, SUD, IOP, PHP, residential care, and telehealth services each bring different payer rules, documentation needs, and claim review patterns. THG adapts the revenue cycle workflow to the care model your practice delivers.

Key Behavioral Health RCM Challenges THG Helps Practices Control

  • Psychiatry and Medication Management
Support for psychiatric evaluations, follow-ups, medication management visits, provider documentation, and payer-specific billing rules.
  • ABA Therapy Programs
RCM support for authorization tracking, session units, treatment plans, provider roles, and recurring payer requirements.
  • SUD and Addiction Treatment
Billing support for substance use programs with level-of-care documentation, payer approvals, and claim follow-up.
  • IOP and PHP Programs
Workflows for intensive programs that require accurate units, frequency, authorization, and medical necessity support.
  • Residential Treatment Centers
Revenue cycle support for high-touch programs with complex payer reviews, documentation needs, and longer payment cycles.
  • Telehealth Behavioral Health
Claim support for virtual visits, POS accuracy, modifier use, provider setup, and payer-specific telehealth requirements.
Behavioral Health RCM Company

Cleaner Claims, Lower Denials, Stronger Behavioral Health RCM

We help behavioral health practices improve billing control with cleaner claim workflows, denial tracking, A/R follow-up, and more.

Improve Revenue Cycle Control

What Makes The Hamill Group Different from Other Behavioral Health RCM Companies?

Other RCM Companies

  • Generic medical billing workflows
  • Limited authorization tracking
  • Denials reviewed too late
  • Weak A/R visibility
  • Basic telehealth claim checks
  • Credentialing handled separately
  • Reports without clear action
  • One-size-fits-all billing support
  • Behavioral Health RCM workflows
  • Auth and session control
  • Denial root-cause tracking
  • A/R tracked by payer
  • POS and modifier review
  • Enrollment linked with billing
  • Clear performance reporting
  • Practice-specific RCM support

EHR-Aligned Behavioral Health RCM Services for Growing Practices

THG works inside the EHR and practice management systems your team already uses. There is no need to change platforms just to improve billing performance.

Whether your practice uses Qualifacts, AdvancedMD, eClinicalWorks, Elation, TherapyNotes, SimplePractice, or Valant, our team aligns billing, coding, A/R management, and reporting with your existing setup.

The result is a cleaner connection between clinical documentation, claim submission, payer follow-up, payment posting, and leadership reporting.

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What Providers Say About THG’s RCM Support

THG helped us bring structure to behavioral health billing that had become difficult to track. Their team improved how we reviewed authorizations, denials, and unpaid claims. We finally had clearer visibility into where payments were slowing down.

Practice Administrator

Multi-Location Behavioral Health Group

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THG helped us bring structure to behavioral health billing that had become difficult to track. Their team improved how we reviewed authorizations, denials, and unpaid claims. We finally had clearer visibility into where payments were slowing down.

Practice Administrator

Multi-Location Behavioral Health Group

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Tell Us Where Your Behavioral Health Revenue Gets Stuck

Every behavioral health practice has a different revenue cycle challenge. For some, payments slow down because authorizations expire before visits are billed. For others, denials recur due to coding gaps, payer rules, telehealth errors, or unclear A/R follow-up. The Hamill Group reviews your billing workflow, identifies revenue delays, and helps you create a Behavioral Health RCM plan tailored to your practice.

Behavioral Health Specialties THG Supports

Psychiatry

Mental Health

Substance Abuse and Addiction Treatment

Psychiatry

PHP & IOP

Telehealth Mental Health

Psychological Testing

TMS

Spravato

Eating Disorder Treatment

Residential Treatment Center

CCBHC

Ketamine Clinic

Community Mental Health Center

How THG Manages Behavioral Health RCM from Day One

Practice Review

We review your billing setup, payer mix, EHR workflow, charge lag, and A/R issues to identify where revenue slows.

Coding Check

THG checks behavioral health codes, modifiers, authorizations, units, and documentation before claims move forward.

Gap Analysis

We identify missed charges, eligibility errors, payer rule gaps, denial patterns, and aging claims that need correction.

Workflow Fix

Our team improves claim submission, authorization tracking, denial follow-up, payment posting, and A/R workflows.

Performance Tracking

We monitor clean claims, denial rate, A/R aging, and payment accuracy with clear reporting for your team.

Behavioral Health RCM Services Across All 50 States

Behavioral health billing does not follow the same rules in every state. Medicaid managed care plans, mental health parity enforcement, telehealth reimbursement policies, and prior authorization requirements all vary by state, and sometimes by payer within the same state. THG manages these differences for behavioral health practices operating across multiple states.
  • California
  • Texas
  • Illinois
  • New York
  • Florida
  • And more…

Request a Behavioral Health RCM Review

Up to

$50k

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Dr. Sara Mitchell

We had worked with billing support before, but THG brought a stronger understanding of behavioral health payer behavior. Their team helped us identify gaps, organize follow-up, and create a cleaner process for revenue cycle management.

FAQs

Frequently Asked Questions

What is included in The Hamill Group’s medical billing services?

Our medical billing services cover eligibility checks, VOB, charge review, CPT/ICD-10/HCPCS validation, 837 claim submission, clearinghouse rejection correction, 835 ERA posting, denial management, AR follow-up, secondary billing, and KPI reporting.

Most billing companies submit claims and follow up after problems happen. THG manages the revenue cycle workflow behind the claim, including front-end controls, payer-specific edits, denial root-cause analysis, AR segmentation, and executive reporting.

Yes. THG can support professional and institutional billing workflows where applicable, including 837P/837I claim submission, payer edits, payment posting, denial routing, and AR follow-up.

We review claims before submission for NPI, taxonomy, POS, modifiers, diagnosis pointers, subscriber details, COB sequencing, authorization linkage, payer edits, and documentation gaps.

Yes. THG can work with internal billing teams, Physicians, Coders, front-desk staff, Accounts Managers, administrators, and leadership to improve claim ownership, payer follow-up, and revenue visibility.

Why does behavioral health billing require specialized workflows?

Behavioral health billing includes recurring visits, VOB, prior authorizations, telehealth rules, session-level CPT coding, H-code workflows, medical necessity documentation, and payer-specific carve-outs. These workflows need tighter control than standard billing.

THG supports billing for therapy, psychiatry, counseling, group therapy, SUD, IOP, PHP, telehealth visits, and multi-provider behavioral health organizations.

We track authorization numbers, approved units, CPT/HCPCS codes, provider details, date ranges, payer rules, documentation requests, re-authorization deadlines, and concurrent review needs.

Yes. THG reviews telehealth claims for POS 02/10, modifiers 95, GT, or GQ where applicable, payer-specific rules, documentation support, authorization status, and session-level coding accuracy.

We classify denials by CARC/RARC, payer, CPT, provider, authorization status, service line, documentation issue, and workflow source to identify whether the root cause is VOB, authorization, coding, documentation, or payer policy.

How is pricing for THG’s billing services determined?

Pricing depends on specialty, claim volume, payer mix, provider count, number of locations, EHR/PM setup, denial volume, AR cleanup needs, credentialing scope, reporting requirements, and service complexity.

It may, because behavioral health often requires deeper VOB, recurring authorization tracking, telehealth validation, H-code support, session-level review, and payer-specific documentation management.

Aged AR cleanup is usually reviewed separately because old claims require denial analysis, timely filing checks, payer status review, appeal validation, underpayment review, and recoverability scoring.

Pricing can be structured based on the client’s scope, volume, specialty, and revenue cycle needs. Final pricing is confirmed after reviewing claim volume, payer mix, AR status, EHR setup, and workflow complexity.

Review your claim volume, denial rate, AR over 90 days, payer mix, provider count, authorization volume, EHR limitations, credentialing gaps, and reporting needs. These factors affect the scope and pricing model.

Do we need to change our EHR to work with THG?

Our medical billing services cover eligibility checks, VOB, charge review, CPT/ICD-10/HCPCS validation, 837 claim submission, clearinghouse rejection correction, 835 ERA posting, denial management, AR follow-up, secondary billing, and KPI reporting.

Our medical billing services cover eligibility checks, VOB, charge review, CPT/ICD-10/HCPCS validation, 837 claim submission, clearinghouse rejection correction, 835 ERA posting, denial management, AR follow-up, secondary billing, and KPI reporting.

Our medical billing services cover eligibility checks, VOB, charge review, CPT/ICD-10/HCPCS validation, 837 claim submission, clearinghouse rejection correction, 835 ERA posting, denial management, AR follow-up, secondary billing, and KPI reporting.

Our medical billing services cover eligibility checks, VOB, charge review, CPT/ICD-10/HCPCS validation, 837 claim submission, clearinghouse rejection correction, 835 ERA posting, denial management, AR follow-up, secondary billing, and KPI reporting.

Our medical billing services cover eligibility checks, VOB, charge review, CPT/ICD-10/HCPCS validation, 837 claim submission, clearinghouse rejection correction, 835 ERA posting, denial management, AR follow-up, secondary billing, and KPI reporting.

How does THG protect PHI during billing operations?

THG follows compliance-focused workflows that support role-based access, secure documentation, PHI handling controls, payer record management, BAA requirements where applicable, and audit-ready billing notes.

Yes. THG works around HIPAA-related billing workflows, including 837 claim submission, 835 ERA posting, 270/271 eligibility, 276/277 claim status, and 278 authorization/referral workflows where applicable.

THG can help organize claim notes, payer communication, appeal documentation, authorization records, EOB/ERA files, denial history, and supporting documentation needed for payer audit response.

We review coding alignment, documentation support, payer requirements, authorization status, provider setup, billing notes, payment adjustments, and repeat denial patterns to reduce preventable exposure.

Only if verified documentation is available. Safe website wording is HIPAA-aware processes, ISO 27001:2022-aligned controls, CPB-aligned billing workflows, and RHIA-informed documentation standards unless formal proof is confirmed.