Get paid for every session, every authorization, and every program you run. Billing built for Nevada behavioral health practices, clinics, and treatment programs.
Nevada Medical Billing provides behavioral health billing services for therapy practices, psychiatry groups, ABA agencies, substance use treatment programs, and multi-service clinics across Nevada. Our certified coders handle time-based psychotherapy codes, psychiatric add-ons, ABA authorization units, and SUD H-codes. We bill Nevada Medicaid and all five of its managed care plans, Medicare, and commercial payers, so your team can focus on care instead of claims.
Free 90-day claims review. No obligation. Month-to-month agreement if you move forward.
Behavioral health billing is harder because payment depends on time, authorization, and who delivered the care, not just what was done. A 45-minute therapy session, a medication check with psychotherapy, an ABA treatment plan, and an IOP day each follow different codes, unit rules, and payer approval steps. One missed minute, expired authorization, or wrong license type turns a covered service into a denial.
Many health plans route behavioral health benefits to a separate behavioral health company, with its own eligibility, network, and claims address. Sending a claim to the medical plan instead of the carve-out vendor is one of the most common reasons behavioral health claims are rejected.
Psychotherapy codes are chosen by documented minutes: 90834 needs 38–52 minutes, 90837 needs 53 or more. Nevada Medicaid rehabilitation services such as Basic Skills Training are billed in 15-minute units. Notes that don't record start and stop times can't support the code billed.
Behavioral health payers set session limits, concurrent reviews, and reauthorization windows. When an authorization lapses unnoticed, every session after that date can be denied, even when the care was medically necessary.
Psychiatrists, psychologists, LCSWs, LMFTs, LPCs, BCBAs, and interns under supervision each have different billing rights by payer. Billing a supervised intern's session the wrong way creates compliance risk, not just a denial.
Behavioral health has the most severe workforce shortage of any specialty area in Nevada, according to the Nevada Health Authority's 2026 workforce assessment. Clinicians with full caseloads and waitlists rarely have staff left to chase denials. And since January 2026, Nevada Medicaid managed care covers every county, so many programs now bill up to five MCOs, each with its own behavioral health authorization rules.
Claims go to the wrong payer. Carve-out denials keep coming back as "not covered" or "wrong payer."
Sessions are denied after an authorization expired. No one is tracking session counts and review dates.
Psychiatric visits are billed as E/M only. Psychotherapy add-ons (90833, 90836, 90838) are being missed.
Crisis sessions are under-billed. 90839 and 90840 aren't captured because time isn't documented.
Intern or associate sessions are rejected. Supervision and rendering-provider rules aren't set up by payer.
Medicaid BST or PSR units are cut. Six-month medical necessity reviews and unit limits are missed.
A/R over 90 days keeps growing. Small-balance therapy claims are never worked.
See exactly where your program is losing money. Get a Free Behavioral Health Billing Audit
Get a Free Audit →Behavioral health includes mental health care, psychiatric care, autism services like ABA, and substance use treatment. We bill across that full continuum, with a dedicated team for each type of care.
Our behavioral health billing services cover the full revenue cycle, from the first intake call to the final payment. Choose complete RCM or only the services your team needs.
We confirm behavioral health benefits, identify carve-out vendors, check in- and out-of-network status, session limits, copays, and deductibles before the first visit. Eligibility Verification
We request initial authorizations, track session counts and concurrent review dates, and submit reauthorizations before they lapse. For IOP and PHP programs, we coordinate utilization review with your clinical team. Prior Authorization
Certified coders match each claim to documented time, provider license, and place of service, including psychotherapy add-ons, crisis codes, and Nevada Medicaid 15-minute units. Medical Coding
We enroll psychiatrists, psychologists, LCSWs, LMFTs, LPCs, LADCs, BCBAs, and Nevada Medicaid QMHP, QMHA, and QBA staff with Medicare, Nevada Medicaid, all five MCOs, and commercial plans. We also set up correct billing for supervised interns and associates. Credentialing
Claims pass payer-specific edits for time, units, modifiers, and authorization numbers, and go out within 48 hours.
We appeal medical necessity, authorization, and session-limit denials with clinical documentation. When a payer limits behavioral health care more strictly than medical care, we use mental health parity rules to strengthen the appeal. Denial Management
We post ERAs daily and compare every payment to your contracted rates and Nevada Medicaid fee schedules. Payment Posting
We work every aging claim, including the small-balance therapy claims most billers skip. AR Follow-Up
Clear statements, payment plans, and calm, respectful billing calls that protect the therapeutic relationship. Patient Billing
Monthly reports show revenue by clinician, code, payer, and program, plus authorization status and denial trends. Revenue Cycle Management
Our coders bill every level of behavioral health care. Each child page goes deeper; this table shows the core codes by service type.
| Service type | Core codes | What we get right | Deep dive |
|---|---|---|---|
| Diagnostic evaluation | 90791, 90792 | 90792 only when medical services are provided | Mental Health · Psychiatry |
| Individual psychotherapy | 90832, 90834, 90837 | Code matches documented minutes (16–37, 38–52, 53+) | Mental Health |
| Psychotherapy with E/M | 99212–99215 + 90833, 90836, 90838 | Add-on captured when therapy time is separate | Psychiatry |
| Crisis psychotherapy | 90839, 90840 | First 30–74 minutes, then each added 30 | Mental Health |
| Family and group therapy | 90846, 90847, 90853 | Group size and attendance documented | Mental Health |
| Psychological testing | 96130–96139 | Evaluation vs administration units | Mental Health |
| Integrated care | 99484, 99492–99494 | General BHI vs Collaborative Care Model | Psychiatry · Primary Care |
| ABA therapy | 97151–97158 | Units, BCBA vs RBT roles, authorization caps | ABA Therapy |
| SUD outpatient and IOP | H0001, H0004, H0005, H0015 | ASAM level and payer-specific code sets | SUD |
| Opioid treatment programs | G2067–G2080 (Medicare), H0020 | Weekly bundles vs per-dose billing | SUD |
| Telehealth | POS 02 / POS 10, modifiers 95, GT | Payer-specific place of service and modifier | All |
Codes reflect current CPT and HCPCS sets; we update coding rules every January when new codes take effect.
Nevada Medicaid has its own behavioral health provider types, service codes, and authorization rules under Medicaid Services Manual (MSM) Chapter 400. We bill all of them.
| Nevada Medicaid program | What it covers | What we manage |
|---|---|---|
| Provider Type 14: Behavioral Health Outpatient Treatment | Therapy, assessments, and outpatient services | Enrollment by specialty, authorizations, claims |
| Provider Type 82: Behavioral Health Rehabilitative Treatment | Basic Skills Training (H2014), Psychosocial Rehabilitation (H2017), peer support (H0038), day treatment (H2012), crisis intervention | 15-minute unit billing, HQ modifier for groups, six-month BST medical necessity reviews |
| Provider Type 17, Specialty 188: CCBHC | Certified Community Behavioral Health Center services | Encounter billing and service coordination |
| Nevada Medicaid MCOs | Anthem, CareSource, Health Plan of Nevada, Molina, SilverSummit | Plan-specific credentialing, authorizations, and filing limits |
Basic Skills Training continuing past six consecutive months must be revalidated as medically necessary, and BST and PSR are billed in 15-minute units with modifier HQ for group services. We track those dates and limits so units aren't cut after the care is delivered.
| Organization type | What we handle for you |
|---|---|
| Solo therapists and counselors | Full billing without hiring a biller |
| Group therapy practices | Clinician-level reporting, intern supervision billing, credentialing for every new hire |
| Psychiatry practices and telepsychiatry groups | E/M with psychotherapy add-ons, Spravato, TMS |
| ABA agencies | Authorization caps, BCBA and RBT units, Medicaid ABA rules |
| Substance use treatment programs | MAT, OTP, IOP, PHP, residential, and detox billing |
| Multi-service behavioral health clinics | One team for therapy, psychiatry, and rehabilitation services |
| Nevada Medicaid PT 14 and PT 82 providers | BST, PSR, peer support, and crisis intervention billing |
| CCBHCs and community mental health centers | Encounter billing, grants-to-claims coordination, multiple funding sources |
Clinicians we bill for: psychiatrists, psychiatric nurse practitioners, psychologists, LCSWs, LMFTs, LPCs/CPCs, LADCs, BCBAs, RBTs, QMHPs, QMHAs, QBAs, peer support specialists, and supervised interns. Since 2024, LMFTs and mental health counselors can also enroll in Medicare, and we handle that enrollment.
| Payer category | Plans |
|---|---|
| Nevada Medicaid | Fee-for-service, Nevada Check Up, PT 14, PT 82, CCBHC |
| Nevada Medicaid managed care | Anthem Blue Cross and Blue Shield, CareSource, Health Plan of Nevada, Molina Healthcare of Nevada, SilverSummit Healthplan |
| Medicare | Noridian Healthcare Solutions (Jurisdiction E) and Medicare Advantage plans |
| Commercial | Anthem BCBS Nevada, UnitedHealthcare and its behavioral health network, Aetna, Cigna, Hometown Health, Prominence Health Plan |
| Behavioral health carve-outs | Managed behavioral health organizations that administer benefits for commercial and Medicaid plans |
| Marketplace | Nevada Health Link plans |
| Military | TRICARE |
Don't see your payer? We bill all major national and regional plans that serve Nevada patients, including single case agreements for out-of-network care.
Much of today's therapy and psychiatry happens by video or phone. We apply the correct place of service (02 or 10), modifier (95 or GT), and audio-only rules for each payer, and track Medicare's in-person visit requirements for telemental health. Your clinicians document; we make sure each virtual session is billed the way that payer requires.
Behavioral health records carry extra privacy protection, and your billing partner has to handle them correctly.
HIPAA: We sign a Business Associate Agreement before onboarding and use encrypted, role-based access.
42 CFR Part 2: Substance use treatment records need patient consent rules beyond HIPAA. We follow the updated Part 2 requirements when sharing SUD information with payers.
Mental health parity: We flag payer limits that treat behavioral health more strictly than medical care and use parity rules in appeals.
Audit readiness: Internal coding audits check time documentation, supervision, and medical necessity before payers do.
Free billing audit: We review 90 days of claims, denials, authorizations, and A/R, and show you the revenue at stake.
Secure setup: We sign a BAA and connect to your EHR, clearinghouse, and payer portals.
Credentialing check: We confirm every clinician, intern, and program is enrolled with the right payers and carve-out vendors.
Authorization inventory: We load every active authorization, session count, and review date into tracking.
Go-live: Daily coding, claim submission, and payment posting begin.
Legacy A/R cleanup: We work old claims in parallel so nothing ages out.
Monthly review: KPI report and a call with your dedicated account manager.
These are the performance standards we manage your revenue cycle to, based on industry best practices for behavioral health.
| KPI | What it measures | Best-practice target |
|---|---|---|
| First-pass clean claim rate | Claims paid without rework | 95% or higher |
| Net collection rate | Collectible dollars actually collected | 96% or higher |
| Days in A/R | Average time from session to payment | Under 35 days |
| Denial rate | Claims denied on first submission | Under 5% |
| Authorization-related denials | Sessions denied for missing or expired auths | Near zero, with active tracking |
| Claim submission | Time from session to claim sent | Within 48 hours |
Claims sent to the medical plan instead of the behavioral health carve-out
Psychiatric visits missing psychotherapy add-on codes
90834 billed when documentation supports 90837, or the reverse
Sessions delivered after an authorization expired
Intern sessions billed under the wrong rendering provider
Nevada Medicaid BST or PSR units exceeding authorized limits
Unworked small-balance claims close to timely filing limits
| Factor | In-house biller | Nevada Medical Billing |
|---|---|---|
| Cost | Salary, benefits, software, training | One fee tied to collections |
| Behavioral health coding | Often learned on the job | Certified coders trained in time-based and add-on codes |
| Carve-outs and MCOs | Learned one denial at a time | Already mapped for Nevada payers |
| Authorization tracking | Spreadsheets and reminders | Session counts and review dates tracked daily |
| Absences and turnover | Billing stops | Backup team keeps working |
| Reporting | Manual | Clinician, code, and payer dashboards |
Behavioral health billing is usually priced as a percentage of monthly collections, commonly 4–9%. Outpatient therapy and psychiatry practices with simple claims fall at the lower end. Programs that need utilization review, heavy authorization work, or multiple levels of care fall higher. There are no setup fees, the agreement is month-to-month with 30-day notice, and you get a fixed quote after your free audit.
"Our cash flow will drop during the switch." We work your old A/R in parallel while new claims go out.
"Our authorizations will fall through the cracks." We load every active auth on day one, before we submit a single claim.
"An outside team won't understand behavioral health." Your account is staffed by coders who bill behavioral health every day.
"Our clients' privacy is at risk." We sign a BAA, follow 42 CFR Part 2, and limit access by role.
"We'll be locked in." You won't. The agreement is month-to-month with 30-day notice.
We bill in the behavioral health and general EHRs you already use, including SimplePractice, TherapyNotes, TherapyAppointment, Valant, AdvancedMD, Kareo/Tebra, DrChrono, eClinicalWorks, CentralReach (ABA), and Kipu (SUD). No software switch needed.
Full continuum, one partner: Therapy, psychiatry, ABA, and SUD billed by dedicated specialist teams.
Nevada Medicaid behavioral health expertise: PT 14, PT 82, CCBHC, BST and PSR rules, and all five MCOs.
Authorization control: Every session count and review date tracked before it can cost you.
Privacy built in: HIPAA and 42 CFR Part 2 workflows from day one.
Clear reporting: Revenue by clinician, code, payer, and program every month.
No lock-in: Month-to-month agreement with 30-day notice.
Find out what your practice or program is leaving on the table. Get My Free Behavioral Health Billing Audit · Free 90-day review, no obligation.
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Las Vegas: Therapy group practices, telepsychiatry groups, ABA agencies, and outpatient SUD programs across the valley. Las Vegas billing
Henderson: Private therapy practices and multi-clinician groups with heavy commercial and carve-out volume. Henderson billing
North Las Vegas: Community behavioral health providers with high Nevada Medicaid MCO, BST, and PSR volume. North Las Vegas billing
Reno: Behavioral health clinics and treatment programs serving Washoe County and rural northern Nevada. Reno billing
Carson City: Outpatient behavioral health providers and rural programs now billing CareSource and SilverSummit. Carson City billing
We also serve Sparks, Elko, Pahrump, Mesquite, Fallon, and frontier communities, including telehealth-only practices licensed in Nevada.
Behavioral health billing services manage the revenue cycle for therapy, psychiatry, ABA, and substance use treatment providers. They cover benefits verification, authorizations, coding, claim submission, payment posting, denial appeals, A/R follow-up, credentialing, and patient billing.
Behavioral health is the broader term. It includes mental health therapy and psychiatry, plus ABA and substance use treatment. For therapy and counseling practices, see our mental health billing services page.
Most companies charge 4–9% of monthly collections. Outpatient practices usually fall at the lower end; programs with heavy authorization or utilization review work fall higher. We give a fixed quote after a free audit.
Yes. We bill BST (H2014) and PSR (H2017) in 15-minute units, apply modifier HQ for groups, and track six-month BST medical necessity reviews for Provider Type 14 and 82 providers.
We check every patient's benefits before the first visit to find out whether a separate behavioral health company administers the plan, then bill that company directly.
Yes. We set up rendering and supervising provider rules for each payer, so intern and associate sessions bill correctly and compliantly.
Yes. We follow Part 2 consent and disclosure rules for substance use treatment records, in addition to HIPAA.
Yes. We bill intensive outpatient and partial hospitalization programs, including authorization and utilization review coordination.
Yes: Anthem, CareSource, Health Plan of Nevada, Molina, and SilverSummit, plus fee-for-service Nevada Medicaid.
Most practices and programs go live in 2–4 weeks. We load active authorizations first and work your old A/R in parallel.
Yes. We work in SimplePractice, TherapyNotes, Valant, CentralReach, Kipu, AdvancedMD, Tebra, and other systems.
Your clinicians are stretched thin. Your billing shouldn't add to it. Nevada Medical Billing gives your practice or program behavioral health coders, Nevada Medicaid expertise, and authorization tracking that protects every session.
Free 90-day review · No obligation · HIPAA and 42 CFR Part 2 compliant