10 Best Behavioral Health Billing Companies in California (2027)
A therapist finishes a full day of sessions, then spends the evening untangling why a 90837 was denied: the note did not support 60 minutes, the authorization had expired and the telehealth place of service was wrong. Psychotherapy claims, authorization tracking and delayed reimbursements pull clinicians away from patients. In California, practices also deal with commercial plans, Medi-Cal managed care and county systems that follow different rules. Choosing the right behavioral health billing partner matters, so this guide compares ten companies, explains California billing considerations and shows what to ask before you sign.
How we evaluated the companies
We reviewed public information on behavioral health expertise, psychiatry and therapy billing, CPT and ICD-10-CM support, denial management, credentialing, eligibility, prior authorization, telehealth knowledge, A/R, reporting and California availability. We assigned no scores. Where a company does not document behavioral health specialization, we call it a general medical billing company.
1. Sirius Solutions Global: AI-powered behavioral health billing and RCM services
The Sirius Solutions Global website lists medical billing, medical coding, eligibility verification, denial management, prior authorization, credentialing, medical billing audit and A/R follow-up services, using AI-assisted checks with human verification. Behavioral health is one of the specialties it serves. For practices, those services map to common problems: coding review for psychotherapy claim accuracy, documentation checks, authorization tracking, telehealth place-of-service and modifier review, eligibility verification, timely filing monitoring, and follow-up on denials, underpayments and aging A/R. Its website also lists SOC 2 Type II and ISO 27001 credentials and AAPC-certified coders. We do not claim a California office, California-specific clients or behavioral health performance statistics, so ask for scope, sample reports and references.
Companies 2–10
2. ADSC BH RCM + EMR adsc.com Offers RCM and clinical charting (EMR) for mental health and substance abuse facilities. Verify: California payer experience, who codes, reporting and fees. |
3. MedCloudMD CALIFORNIA PAGE medcloudmd.com Publishes a California behavioral health billing page covering Medi-Cal, commercial payers and Tricare West, and says its coders are in-house AAPC-certified (company claim). Offers a free 30-day RCM audit. Verify: audit scope, team location, reporting and fees. |
4. CBM Medical Management (TMS Medical Billing) PSYCHIATRY cbmmedicalmanagement.com Texas-based, focused on psychiatry, TMS and mental health billing, with a published guide to Medi-Cal psychotherapy billing and supervision rules. Verify: California client experience and county or managed care coverage. |
5. Health Prime (HPI) TELEHEALTH hpiinc.com Lists psychiatry and therapy coding, telehealth and audio-only billing support, eligibility verification, compliance audits and documentation training. Verify: California payer coverage, dashboards and fees. |
6. MedCare MSO CALIFORNIA PAGE medcaremso.com Its California page describes Medi-Cal managed care and IPA billing support. Verify: behavioral health depth, reporting and any advertised results. |
7. Medical Billers and Coders CALIFORNIA PAGE medicalbillersandcoders.com Has a California behavioral health billing page and offers billing and coding for many specialties. Verify: behavioral health team, location and fees. |
8. Medusind MULTISPECIALTY medusind.com Describes itself as an RCM provider for behavioral health, dental, anesthesia and other specialties. Verify: behavioral health team, California coverage and fees. |
9. OmniMD CALIFORNIA PAGE omnimd.com Its California billing page lists psychiatry and behavioral health and telehealth among specialties. Verify: BH depth, software requirements and fees. |
10. Qualifacts BH TECHNOLOGY qualifacts.com A behavioral health technology company that lists credentialing services. Verify: whether you need its software, and RCM scope and fees. |
Many practices outsource to reduce administrative load, spot preventable denials, manage A/R, support credentialing and free clinicians for patient care. No financial outcome is guaranteed.
What makes behavioral health billing different?
Psychotherapy codes depend on documented time, so individual, family and group sessions each have distinct rules. Psychiatric E/M visits, add-on codes, authorization limits, coordination of benefits and payer policies add variation. Documentation must support medical necessity and the time billed.
CPT code | Service description (educational; coverage and provider qualifications vary) |
90791 | Psychiatric diagnostic evaluation |
90792 | Psychiatric diagnostic evaluation with medical services |
90832 / 90834 / 90837 | Psychotherapy, 30 / 45 / 60 minutes (time ranges apply) |
90846 / 90847 | Family psychotherapy without / with the patient present |
90853 | Group psychotherapy |
99213 / 99214 | Established patient office or outpatient E/M |
Code selection must follow the documentation and current coding rules. Not every code suits every provider type, and payers differ.
California-specific behavioral health billing challenges
• Commercial payers: plans set their own authorization, documentation and credentialing rules.
• Medi-Cal delivery systems: specialty mental health services run through county behavioral health plans, non-specialty services through Medi-Cal managed care plans, and some beneficiaries remain in fee-for-service. Rules differ by system and county.
• BHSA: the Behavioral Health Services Act took effect July 1, 2026, with all 58 counties on new integrated plans. Counties must use Medi-Cal before BHSA funds, and by July 2027 counties must ensure BHSA-funded providers are contracted to deliver Medi-Cal services (DHCS).
• Credentialing, medical necessity, timely filing and authorization: each payer and system has its own requirements and deadlines.
Not every California provider follows the same rules, so verify in the DHCS provider manuals and each payer’s policies.
Behavioral health telehealth billing in California
Medicare: telehealth flexibilities run through December 31, 2027 under the Consolidated Appropriations Act, 2026, and the in-person visit requirement for behavioral health telehealth is scheduled to begin January 1, 2028 (PYA). Medicare uses POS 02 (patient not at home) and POS 10 (patient at home) with different payment rates, and modifier 93 for audio-only; confirm modifier 95 rules with your MAC. Medi-Cal and commercial plans set their own POS, modifier, patient and provider location, documentation and authorization rules. Verify each payer. No payer’s rule is universal.
Where is your behavioral health practice losing revenue?
Billing problem | Potential impact | Recommended RCM action |
Incorrect CPT coding | Rejection or incorrect payment | Coding review |
Missing documentation | Medical necessity challenges | Documentation review |
Authorization gaps | Denied services | Authorization tracking |
Eligibility errors | Coverage denials | Eligibility verification |
Telehealth billing errors | Claim processing issues | Telehealth billing review |
Unworked denials | Delayed reimbursement | Denial management |
Aging A/R | Delayed collections | Structured follow-up |
Underpayments | Unidentified revenue differences | Payment analysis |
Is your behavioral health billing process ready for 2027?
Click the boxes in Word ☐ Eligibility is verified before appointments ☐ CPT codes are reviewed for accuracy ☐ Documentation supports billed services ☐ Authorization requirements are tracked ☐ Telehealth claims are reviewed ☐ Denial reasons are monitored ☐ A/R is reviewed regularly ☐ Underpayments are identified ☐ Credentialing information is current ☐ Billing performance is reported consistently Completed: ____ of 10 (___%). Educational only. |
How strong is your behavioral health revenue cycle?
Question | Yes | No |
Do you verify insurance eligibility before visits? | ☐ | ☐ |
Do you regularly review coding accuracy? | ☐ | ☐ |
Do you track authorization expiration dates? | ☐ | ☐ |
Do you monitor denial trends? | ☐ | ☐ |
Do you review outstanding A/R? | ☐ | ☐ |
Do you audit underpayments? | ☐ | ☐ |
Do you receive regular billing performance reports? | ☐ | ☐ |
Yes answers | What it suggests |
0–2 | Several billing workflows may need attention |
3–5 | There may be opportunities to improve RCM visibility |
6–7 | Your practice has several important monitoring processes in place |
Count your Yes answers. An educational self-assessment, not a formal audit or financial evaluation. Request a professional billing review
How to choose the right behavioral health billing company
Evaluation factor | What to ask |
Specialty experience | Do you work with psychiatry and therapy practices? |
CPT coding | How are psychotherapy codes reviewed? |
Denial management | How are recurring denials identified? |
Telehealth | Do you understand payer-specific telehealth rules? |
Eligibility | How are benefits verified? |
Credentialing | Can you support enrollment and re-credentialing? |
A/R | How are outstanding claims followed up? |
Reporting | What performance reports are provided? |
Compliance | How do you protect patient information? |
Contract | What are the pricing and cancellation terms? |
Frequently asked questions
Q: What are the best behavioral health billing companies in California? This guide compares ten, with Sirius Solutions Global first as an editorial choice. The best fit depends on your specialty, payers and needs. |
Q: How much do behavioral health billing services cost? Pricing varies by model and practice. We cite no prices; get fees and contract terms in writing. |
Q: What does a behavioral health billing company do? It handles coding review, claims, eligibility, authorization tracking, denials, A/R and reporting, depending on the agreement. |
Q: Why is mental health billing different? Time-based psychotherapy codes, authorization limits, telehealth rules and documentation requirements add complexity. |
Q: What CPT codes are commonly used? Examples include 90791, 90792, 90832, 90834, 90837, 90846, 90847, 90853 and E/M visits; use depends on documentation and provider type. |
Q: How can California therapists reduce denials? Verify eligibility and authorization, document time and necessity, check POS and modifiers, and track denial reasons. |
Q: What are the challenges of Medi-Cal behavioral health billing? Services run through county plans, managed care plans or fee-for-service, each with different rules; BHSA changes took effect July 2026. |
Q: How does telehealth billing work? Payers differ on POS, modifiers, locations and coverage. Verify each payer’s current policy. |
Q: Should practices outsource billing? Sometimes. It depends on volume, staff capacity, payer mix and goals. |
Q: Does Sirius provide behavioral health billing services? Its website lists behavioral health among the specialties it serves, along with billing, coding, eligibility, denial and A/R services. Confirm scope for your practice. |
Disclaimer For general information only; not legal, coding, compliance or purchasing advice. Sirius Solutions Global publishes this article and ranks itself first as publisher; the list is an editorial comparison, not an audited ranking. Company details come from public sources reviewed October 2026, may be outdated, and are not endorsements. 2027 requirements may change; verify with DHCS, CMS and each payer. Trademarks belong to their owners. No results are guaranteed. To request a correction, email Info@siriussolutionsglobal.com. |
