Maryland Mental Health Specialty Billing Services

In Maryland, Mental Health Specialty Billing Services are more in demand than ever—but behind the scenes, providers face a growing struggle: getting paid accurately and on time. If you’re a psychologist, psychiatrist, therapist, or counselor, then you know that billing isn’t as simple as submitting a claim. It’s a complex process that requires accuracy, compliance, and real-world knowledge of your services and payer policies.

At Taylor Prime Solutions, we specialize in Maryland mental health specialty billing services that are built specifically for therapists, counselors, and psychiatric professionals. In this post, we’ll break down what mental health billing includes, how it differs from other specialties like psychology, and why working with a specialist billing company can improve both your cash flow and your peace of mind.


What Counts as Mental Health in Medical Billing?

When it comes to billing, mental health refers specifically to emotional and psychological conditions that impact a person’s ability to function or live a balanced life. It’s different from general behavioral health in that it’s more focused on internal diagnoses and emotional regulation.

Think:

  • Talk therapy

  • Psychiatric evaluations

  • Medication management


Common Diagnoses Billed Under Maryland Mental Health Specialty Billing Services

Providers offering Maryland mental health specialty billing services commonly bill for diagnoses such as:

  • Depression

  • Anxiety

  • PTSD (Post-Traumatic Stress Disorder)

  • Bipolar Disorder

  • Schizophrenia

  • Adjustment disorders

  • Panic disorder

  • OCD

These diagnoses often require ongoing therapy and medication management, which makes accurate billing and documentation essential for long-term reimbursement success.


Providers Who Use Maryland Mental Health Specialty Billing Services

Our billing services are tailored to support:

  • Psychiatrists – For evaluations, medication management, and medical decision-making.

  • Psychologists – Especially those providing psychotherapy or psychological testing.

  • Therapists (LCSW, LPC, LMFT) – For individual, family, and group therapy.

💡 Want to see how psychology-specific billing differs?
📖 Check out our blog on Maryland Psychology Billing Services →


Common CPT & HCPCS Codes for Mental Health Billing

Accurate use of CPT and HCPCS codes is critical in mental health billing. Below are the most common codes we work with for Maryland providers:

Code Description
90791 Psychiatric diagnostic evaluation (no medical services)
90792 Psychiatric diagnostic evaluation with medical services
90832 Psychotherapy, 30 minutes
90834 Psychotherapy, 45 minutes
90837 Psychotherapy, 60 minutes
90846 Family psychotherapy (without patient present)
90847 Family psychotherapy (with patient present)
90853 Group therapy
96127 Brief emotional/behavioral assessment
H0031 Mental health assessment by non-physician (used in Medicaid plans)
H0032 Service plan development for mental health

Each of these codes has documentation requirements, time-based rules, and payer-specific nuances—especially in Maryland Medicaid and managed care plans.


Our Maryland Mental Health Specialty Billing Services Include:

At Taylor Prime Solutions, we provide full-cycle billing support for mental health practices across the state. Here’s what we offer:

✅ Claims Submission & Tracking

We submit clean claims with proper CPT/HCPCS coding, required modifiers, and payer-specific documentation. We also track them from start to payment.

✅ Denial Management & Appeals

If a claim is denied, we investigate why and correct it fast. Our goal is to reduce denials and improve your collections rate.

✅ Authorization Management

Some mental health services require pre-authorization—especially for Medicaid or high-frequency therapy. We manage the paperwork so you stay covered.

✅ Payment Posting & AR Recovery

We accurately post payments, track patient balances, and recover aged AR to protect your bottom line.

✅ EMR Integration

We work with popular mental health platforms such as:

  • SimplePractice

  • TherapyNotes

  • TheraNest

  • ICANotes

  • Valant

✅ Patient Statements & Billing Support

We make it easy for patients to understand and pay their bills. Our team handles patient inquiries professionally and respectfully.


Why You Need a Specialty Billing Partner for Mental Health

Most billing companies treat mental health like general outpatient care—but it’s not. Mental health billing is:

  • Diagnosis-driven

  • Documentation-heavy

  • Sensitive to coding errors

  • Regulated differently by each payer, especially Medicaid

By partnering with Taylor Prime Solutions, you get a team that knows Maryland’s payers, knows your codes, and knows the difference between mental health and general behavioral health billing.


How Mental Health Billing Differs from Psychology or SUD Billing

While psychology billing may involve testing, evaluations, and assessments, mental health billing focuses more on therapy sessions, psychiatric visits, and ongoing care.
It often overlaps—but the coding, documentation, and reimbursement models are unique.

Similarly, while SUD (Substance Use Disorder) services fall under behavioral health, they use a different set of HCPCS H-codes and may require bundled payments or per diem billing (like H0015 for IOP).


Ready to Streamline Your Maryland Mental Health Specialty Billing Services?

If you’re a mental health provider in Maryland, let Taylor Prime Solutions handle the paperwork, claims, and collections—so you can focus on the people who need you most.

📞 Call us at 844-TAYLOR-9
📩 Schedule a Free Consultation

Let’s talk about how our Maryland mental health specialty billing services can support your practice and increase your revenue.


💚 We Support the 988 Suicide & Crisis Lifeline

If you or someone you know is struggling with anxiety, depression, substance use, or emotional distress—you’re not alone.

📞 Marylanders can call or text 988 for free, immediate, and confidential support. Please fill out this short survey below to Start a Chat with 988

When you contact 988, you’ll receive:

  • Compassionate listening and emotional support

  • Guidance to local mental health and substance use resources

  • Access to in-person help if needed

At Taylor Prime Solutions, we work with providers who help individuals every day—so we proudly support this vital resource for our community.

Maryland ABA Therapy Billing Services Partner