10 Best Behavioral Health Billing Companies in Texas (2027)
A behavioral health practice can deliver steady patient care and still struggle with delayed reimbursements, recurring denials, thin documentation and shifting payer rules. A 90837 gets denied because the note does not support the time billed, or a telehealth claim fails because the place of service does not match the payer’s policy. Behavioral health billing differs from general medical billing because time-based psychotherapy codes, authorization limits and telehealth rules leave little room for error. In Texas, practices also juggle commercial plans, Medicare and Medicaid, so an experienced billing partner can matter. This guide compares ten companies and shows how to evaluate them.
How we evaluated the companies
We reviewed public information on behavioral health billing experience, psychiatric and therapy coding, claims follow-up, denial management, credentialing, eligibility, prior authorization, A/R, reporting, technology and human support, and Texas 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
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 a practice, that means coding review of 90791, 90792, 90832, 90834, 90837, 90846, 90847, 90853 and E/M services against the documentation, telehealth review of POS 02, POS 10 and modifier 95 against each payer’s policy, eligibility and authorization checks, timely filing monitoring and denial follow-up. Which code or modifier applies depends on the provider, payer, encounter and date of service.
Why behavioral health practices may consider Sirius Solutions Global Its service scope covers the full cycle from eligibility to A/R, pairs technology checks with human review, and supports billing audits and performance review. Its website lists SOC 2 Type II and ISO 27001 credentials and AAPC-certified coders. We have no Texas office, client testimonials, payer contracts or behavioral health performance metrics to cite, so ask for scope, sample reports and references. |
Looking for Behavioral Health Billing Support? Explore how Sirius Solutions Global can support your practice’s medical billing and revenue cycle workflows. Explore Sirius Solutions Global |
Companies 2–10
2. ADSC BH RCM + EMR adsc.com Offers RCM and clinical charting (EMR) for mental health and substance abuse facilities. Verify: Texas payer experience, who codes, reporting and fees. |
3. MedCloudMD TEXAS PAGE medcloudmd.com Publishes a Texas behavioral health billing page and offers a free 30-day RCM audit of recent claim data. Verify: audit scope, team location, reporting and fees. |
4. CBM Medical Management (TMS Medical Billing) PSYCHIATRY cbmmedicalmanagement.com Says it is based in Richardson, TX and specializes in psychiatry, TMS and mental health billing. Verify: therapy-practice fit, Medicaid managed care experience and fees. |
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: Texas payer coverage, dashboards and fees. |
6. MHRCM Solutions TEXAS PSYCHIATRY PAGE mhrcm.com Has a Texas psychiatry billing page covering coding, eligibility validation and claims for psychiatrists and other mental health providers. Verify: team credentials, reporting and fees. |
7. Medusind MULTISPECIALTY medusind.com Describes itself as an RCM provider for behavioral health, dental, anesthesia and other specialties. Verify: BH team, Texas coverage and fees. |
8. Neolytix MULTISPECIALTY neolytix.com Its own article lists 31 specialties, including behavioral health and psychiatry, with billing, denial management, A/R recovery and credentialing support. Verify: BH-specific depth, Texas payer experience and fees. |
9. OmniMD TEXAS PAGE omnimd.com Its Texas page serves behavioral health and psychiatry practices and explains that TMHP handles fee-for-service Medicaid claims while MCO claims go through each plan’s portal. 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. |
Behavioral health billing challenges in Texas
• Psychotherapy coding: session length, documentation and code selection must agree; 90832, 90834 and 90837 are time-based.
• Psychiatric evaluations: 90791 and 90792 are diagnostic evaluations, distinct from E/M visits such as 99213 and 99214.
• Telehealth: Medicare telehealth flexibilities run through December 31, 2027, and the in-person requirement for behavioral health begins January 1, 2028 (PYA). Medicare uses POS 02 and POS 10 at different rates, and modifier 93 for audio-only; confirm modifier 95 with your MAC. Medicaid and commercial plans differ.
• Eligibility and authorization: check benefits and each payer’s authorization policy before services.
• Texas Medicaid: fee-for-service claims go through TMHP and managed care claims through each plan’s portal, with different rules (Superior Health Plan).
• Denials and credentialing: find root causes instead of resubmitting; outdated enrollment data delays payment.
No single Texas rule fits every payer. Verify policies with each payer, TMHP and the Texas Department of Insurance where relevant.
CPT code | Service (educational; coverage and provider qualifications vary) |
90791 / 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 |
Is your behavioral health billing process performing effectively?
Click the boxes in Word ☐ Insurance benefits are verified before appointments ☐ Provider credentials are monitored ☐ Psychotherapy codes are reviewed for accuracy ☐ Telehealth claims are checked against payer policies ☐ Authorization requirements are verified ☐ Denied claims are categorized by reason ☐ Aged A/R is reviewed consistently ☐ Underpayments are identified ☐ Claims are monitored through final adjudication ☐ Billing performance reports are reviewed regularly Unchecked items may point to workflow gaps. Completed: ____ of 10. Not a certified financial assessment. |
Where behavioral health practices may lose revenue
Problem area | Common issue | Recommended RCM approach |
Eligibility | Inactive or incorrect coverage | Benefits verification |
Coding | Incorrect CPT selection | Coding review |
Documentation | Insufficient encounter details | Documentation review |
Telehealth | Incorrect POS or modifier | Payer policy verification |
Authorization | Missing required authorization | Authorization workflow |
Denials | Unresolved claim rejections | Denial management |
Credentialing | Outdated enrollment information | Credentialing monitoring |
A/R | Delayed follow-up | Structured A/R management |
Are Denials and A/R Delays Affecting Your Practice? A billing and RCM review can help identify workflow gaps, unresolved claims and potential revenue leakage. Request a Billing Review |
How to choose the right behavioral health billing company
☐ Behavioral health specialty experience ☐ Knowledge of psychiatric CPT codes ☐ Telehealth billing capabilities ☐ Payer-specific experience ☐ Denial prevention | ☐ Credentialing support ☐ Transparent reporting ☐ HIPAA-conscious workflows ☐ Dedicated human support ☐ Contract and pricing transparency |
Questions to ask before signing a billing contract • What are your fees, and what is and is not included? • Which reports will I receive, and how often? • Who owns the claims data, and can I export it? • How do you follow up on denials and unpaid claims? • What are the contract term and termination conditions? • How do you protect patient information, and will you sign a business associate agreement? |
Frequently asked questions
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: What are the best behavioral health billing companies in Texas? 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 terms in writing. |
Q: Why are behavioral health claims denied? Common reasons include eligibility errors, documentation that does not support billed time, coding or modifier errors, missing authorization and telehealth POS mistakes. |
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: What is the difference between psychiatric and therapy billing? Psychiatry often involves diagnostic evaluations and E/M visits with medication management; therapy billing centers on time-based psychotherapy codes. |
Q: Do practices need specialized billing services? Not always, but time-based coding, authorization limits and telehealth rules make specialty knowledge valuable. |
Q: How does telehealth billing work for Texas therapists? POS, modifiers, patient location and coverage depend on the payer. Verify Medicare, Medicaid and commercial policies separately. |
Q: Can a billing company handle credentialing? Many can, but scope varies. Sirius Solutions Global’s website lists credentialing among its services. |
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 independently certified ranking. Company details come from public sources reviewed October 2026, may be outdated, and are not endorsements. 2027 requirements may change; verify with CMS, TMHP and each payer. Trademarks belong to their owners. No results are guaranteed. To request a correction, email Info@siriussolutionsglobal.com. |
