In 2025, mental health providers across the United States are facing intensified financial pressure. The Medical Group Management Association (MGMA) reports that average practice operating expenses have climbed by over 11% compared to 2024. For mental health professionals, that increase comes with unique billing challenges—complex codes, evolving payer policies, compliance risks, and rising patient expectations.
To keep up, mental health practices are turning to specialized billing companies that not only handle claims but also optimize revenue, reduce denials, and ensure compliance.
In this blog, we’ll highlight 10 of the best mental health billing companies in the USA that are helping solo providers, therapy clinics, and behavioral health organizations thrive in today’s complex healthcare environment.
Why Mental Health Billing Requires Specialization
Mental health billing is distinctly different from general medical billing. It involves session-based billing, CPT and HCPCS codes specific to psychotherapy and psychiatric care, pre-authorization management, and constant regulation changes (like the Mental Health Parity Act and HIPAA updates).
Key Benefits of Mental Health Billing Services:
- Higher Clean Claim Rates
- Faster Reimbursements
- Compliance with Regulations
- Reduced Administrative Workload
- Specialty EHR Integration
- Improved Patient Financial Experience
Whether you’re managing a solo therapy practice or a behavioral health hospital, outsourcing to an expert mental health billing company can mean the difference between survival and sustainable growth.
Top 10 Mental Health Billing Companies in the USA
1. Details RCM LLC
Details RCM is a leading provider of mental health billing services, trusted by thousands of behavioral health providers across the USA. They offer flat-rate pricing starting at 3.9%, HIPAA-compliant workflows, and tailored solutions for therapists, clinics, and ABA therapy providers.
Key Highlights:
- Nationwide coverage across all 50 states
- 98.7% clean claim rate
- Telehealth and ABA billing expertise
- Works with TherapyNotes, Kareo, SimplePractice
- End-to-end denial and A/R management
- Free revenue audit and EHR support
2. TheraThink
TheraThink provides therapist-first billing services with transparent pricing, no contracts, and a 30-day free trial. Ideal for solo practitioners and small group practices.
Key Highlights:
- Pay only on collected claims
- Daily claims processing
- Assigned billing specialist
- Medicare, Medicaid, and EAP billing
- Text/email reminders & scheduling tools
3. Resilience Billing
Resilience Billing focuses 100% on behavioral health. Their consultative approach ensures each client receives KPI-driven reports and denial reduction strategies.
Key Highlights:
- Medicaid, Medicare, and commercial billing
- Solo & group practice scalability
- Denial management & ERA/EFT reconciliation
- Compatible with major EHR systems
4. Psychiatric Billing Associates (PBA)
In operation since 1994, PBA delivers decades of experience in billing for psychiatric and therapy practices with integrated reporting and real-time dashboards.
Key Highlights:
- EHR or web-based system flexibility
- 24/7 portal access
- Detailed financial reports
- Toll-free patient billing support
- Practice scheduling tools
5. Plutus Health
Plutus Health offers certified mental health coders, RCM services, and a clean claim rate of over 95%. They serve psychiatrists, therapists, psychologists, and behavioral clinics.
Key Highlights:
- AAPC-certified coders
- Full RCM lifecycle coverage
- 98% payer value collection
- Automated patient collection tools
- Specialized CPT validation
6. Ensora Health
Ensora offers a dedicated mental health billing division, handling everything from claim scrubbing to reconciliation.
Key Highlights:
- Real-time reporting
- Up-to-date with 2025 CPT codes
- TheraNest integration
- Personalized billing expert
- Compliance-focused infrastructure
7. CureMD
CureMD delivers tech-forward billing solutions tailored for behavioral health practices with claim scrubbers, real-time analytics, and telehealth billing support.
Key Highlights:
- 98% clean claim rate
- Dedicated account managers
- Pre-appointment verification
- Seamless EHR compatibility
- Multi-location clinic support
8. BellMedEx
BellMedEx specializes in psychiatric, addiction, and therapy billing, with CoCM (collaborative care) and DSM-5 code support.
Key Highlights:
- Substance use billing (H0050, H0001)
- Behavioral EMR + RCM combo
- Advanced compliance tools
- Automated payment tracking
- Group therapy & integrated care billing
9. Psyquel
Established in 1997, Psyquel combines full billing services with built-in EMR and patient engagement tools—ideal for practices seeking all-in-one management.
Key Highlights:
- Full RCM + scheduling + EMR suite
- HIPAA-compliant patient portal
- Custom reporting dashboard
- Long-standing industry reputation
- Patient billing & credit card support
10. Transcure
Transcure supports psychiatry and mental health clinics with scalable, technology-driven billing services and a 99% claim acceptance rate.
Key Highlights:
- Psychiatry-specific coding
- 4-5 billing experts per client
- 30% A/R reduction
- Free 21-metric RCM audit
- 24/7 claim processing
FAQs: Choosing the Right Billing Partner
1. Is it worth outsourcing mental health billing?
Yes. Outsourcing ensures compliance, reduces denials, and improves collections, freeing providers to focus on care.
2. What makes a billing company “specialized” in mental health?
Expertise in behavioral health codes, session-based billing, payer policies, and mental health-specific regulations like HIPAA and MHPAEA.
3. Do these companies work with my EHR?
Most integrate with platforms like TherapyNotes, SimplePractice, Office Ally, Kareo and other major EHRs used in healthcare RCM.
4. Can I bill for ABA and telehealth?
Yes. Companies like Details RCM, BellMedEx, and Transcure support ABA CPT codes (97153, 97155) and telehealth modifiers (95, GT).
5. What’s a good clean claim rate?
Industry standard is around 90%, but top providers like Details RCM and Transcure consistently report rates over 98%.
Final Thoughts
In 2025, navigating the financial landscape of behavioral health is tougher than ever. But with the right mental health billing partner, your practice can boost revenue, ensure compliance, and reduce admin stress. Whether you’re a solo counselor, a therapy group, or a behavioral health hospital, the companies listed here are leading the charge in transforming how mental health billing is done.
