Top 10 Best Mental Health Billing Companies in USA in 2025
- Sirius solutions global
- Dec 22, 2025
- 4 min read
Updated: 2 days ago
Mental health practices across the United States are growing rapidly but so are billing complexities, payer scrutiny, and denial risks. From psychotherapy CPT codes to telehealth compliance and behavioral health modifiers, mental health billing in 2025 requires deep specialty expertise.
Choosing the right billing partner can be the difference between steady cash flow and constant revenue leakage.
In this guide, we’ve carefully analyzed experience, specialty focus, compliance standards, technology, and client outcomes to bring you a provider-focused list of the Top 10 Best Mental Health Billing Companies in the USA in 2025.
This list is designed for:
Psychiatrists
Psychologists
Therapists & counselors
Behavioral health clinics
Group mental health practices
Quick Summary for Providers
If you’re looking for a mental health billing company in 2025, prioritize:
Proven psychiatry & behavioral health expertise
Strong denial management
Telehealth billing accuracy
CPT, ICD-10 & modifier mastery
Transparent reporting & compliance
Companies like Sirius Solutions Global stand out by combining specialty-focused billing, compliance accuracy, and revenue optimization for mental health providers.
Why Mental Health Billing Is More Complex Than Ever in 2025
Mental health billing isn’t just “medical billing with therapy codes.” It’s a high-risk, high-regulation specialty.
Common Challenges Mental Health Practices Face
Frequent denials for 90837, 99214, 90791
Time-based coding errors
Telehealth modifier mistakes (95, GT, POS 10)
Incomplete documentation
Payer-specific behavioral health rules
Credentialing & enrollment delays
This is why working with a mental health-focused billing company is no longer optional it’s essential.
Our ranking is based on:
Behavioral & mental health specialization
Compliance with CMS & payer guidelines
CPT/ICD-10 expertise
Telehealth billing experience
Denial reduction performance
Client transparency & reporting
Technology integration
Best for: Psychiatry, psychology, therapy, and behavioral health practices seeking accuracy, transparency, and growth.
Sirius Solutions Global has emerged as one of the most reliable mental health billing companies in the USA by focusing on specialty-specific billing rather than one-size-fits-all RCM.
Why Sirius Solutions Global Ranks #1
Deep expertise in psychiatry & behavioral health billing
Accurate handling of psychotherapy & E/M codes
Telehealth billing compliance for mental health services
Strong denial prevention & AR recovery
Transparent reporting & provider-friendly communication
They understand that mental health billing is not transactional it’s clinical, time-based, and compliance-driven.
🔗 Learn more about their psychiatry billing services:https://www.siriussolutionsglobal.com/specialties/psychiatry-billing
2. Kareo Billing (Tebra)
Kareo offers integrated billing software with services tailored to behavioral health practices. Best suited for tech-savvy providers who want billing + practice management in one system.
3. 24/7 Medical Billing
24/7 Medical Billing is widely recognized in the medical billing space and offers mental health billing services for both solo and group practices. They provide solid CPT coverage and payer follow-ups, making them a common choice for established clinics.
4. AdvancedMD
AdvancedMD supports mental health billing through a powerful RCM platform and outsourced services. Known for reporting tools and analytics.
5. ClaimCare Behavioral Health
ClaimCare focuses specifically on behavioral health, substance abuse, and mental health billing making them a niche-focused option for specialty clinics.
6. RCM Health Care Services
RCM Health Care Services provides end-to-end billing and credentialing services for mental health professionals, with emphasis on compliance and payer rules.
7. PracticeForces
PracticeForces offers mental health billing and coding services with global delivery and US compliance standards.
8. iMedX
iMedX supports psychiatry billing and behavioral health RCM with coding accuracy and documentation support.
9. Curation Healthcare RCM
Curation Healthcare provides billing and AR services for behavioral health and therapy practices looking for cost-effective outsourcing.
10. BillingParadise
BillingParadise offers scalable billing solutions for therapy practices and mental health clinics across the US.
Before choosing a billing partner, ask these questions:
✅ Specialty Knowledge
Do they understand psychotherapy, psychiatry, and behavioral health coding?
✅ Telehealth Expertise
Can they correctly bill:
POS 10 vs 02
Modifier 95
Audio-only rules
✅ Denial Prevention
Do they prevent denials, not just rework them?
✅ Compliance & Documentation
Are they aligned with CMS, payer policies, and audit readiness?
A reliable mental health billing company should expertly handle:
90791 – Psychiatric diagnostic evaluation
90832 / 90834 / 90837 – Psychotherapy (30/45/60 min)
99213–99215 – Medication management
90833 / 90836 / 90838 – Psychotherapy add-on codes
Mistakes in time documentation or modifiers can trigger automatic denials.
How Sirius Solutions Global Helps Mental Health Practices Grow
Unlike generic billing companies, Sirius Solutions Global takes a consultative approach:
Identifies revenue leakage
Optimizes payer-specific workflows
Reduces AR days
Improves clean claim rates
Supports long-term scalability
Their psychiatry billing service is built specifically for mental health providers who want fewer headaches and better cash flow.
FAQs – Mental Health Billing Companies in the USA
What is the best mental health billing company in the USA?
The best company depends on specialization, but Sirius Solutions Global stands out for psychiatry-focused billing, compliance accuracy, and provider transparency.
How much do mental health billing services cost?
Most companies charge 4%–8% of collections, depending on volume and services.
Can billing companies handle telehealth mental health claims?
Yes, but only experienced companies correctly apply modifiers, POS codes, and payer rules.
Why do mental health claims get denied so often?
Common reasons include time-based documentation errors, missing modifiers, and payer-specific rules.
Final Thoughts: Choosing the Right Mental Health Billing Partner in 2025
Mental health providers deserve a billing partner that understands the clinical reality of therapy and psychiatry, not just numbers.
If your goal is to:
Reduce denials
Improve collections
Stay compliant
Scale your practice
Then partnering with a specialized mental health billing company like Sirius Solutions Global can make a measurable difference.
👉 Explore their psychiatry billing services here:https://www.siriussolutionsglobal.com/specialties/psychiatry-billing
