Professional Mental Health Billing Services San Francisco, California
Spend Less Time Fixing Claims and More Time Caring for Patients
Mental health billing requires more than submitting claims. Time-based psychotherapy codes, telehealth requirements, provider credentials, payer policies, authorizations, and clinical documentation must all align before a claim can be processed correctly.
Doctors Billing Services provides specialized mental health billing services for therapists, psychiatrists, psychologists, and behavioral health practices throughout San Francisco and the Bay Area.
Our team manages the billing process from insurance verification and claim submission through payment posting, accounts receivable follow-up, and denial management. You receive dependable billing support without having to build or supervise an in-house billing department.
Call (415) 407-9995 to discuss your practice’s billing needs.

Common Mental Health Billing Problems We Help Prevent
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Incorrect psychotherapy codes that do not match documented session time, leading to denials, downcoding, or repayment requests. We verify service details and session duration against the submitted CPT code.
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Telehealth modifier and Place of Service errors, including incorrect use of audio/video indicators or patient location reporting. We ensure all telehealth claim elements are consistent before submission.
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Missing credential modifiers required by certain behavioral health programs and payers. We review provider credentials and apply payer-specific modifier rules where applicable.
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Missing or expired authorizations for services that require prior approval. We track authorization requirements and flag issues before claims are submitted.
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Insufficient documentation such as missing time records, treatment-plan linkage, provider details, or telehealth information, which can delay or reduce payments. We identify documentation gaps that affect billing accuracy.
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Unworked denials and aging claims that remain unpaid due to lack of follow-up. We monitor outstanding claims, track payer responses, and continue follow-up until resolution or next action is determined.
What's Included
Our Mental Health Billing Services
A full podiatry billing service should cover the entire claim lifecycle, not just submission. Here's what's included when Doctors Billing Services company San Francisco handles your account.
Insurance Eligibility and Benefits Verification
We verify active coverage and available benefits before services are provided whenever possible. This helps your practice identify deductibles, copayments, authorization requirements, telehealth limitations, and other payer conditions before they become billing problems.
Claims Preparation and Submission
Our team reviews claim information and submits electronic claims to Medi-Cal, Medicare, and commercial insurance plans. We check provider information, patient details, CPT and diagnosis codes, modifiers, and Place of Service codes before submission.
Behavioral Health Coding Review
We help practices reduce preventable coding errors involving psychotherapy, psychiatric evaluations, family therapy, group therapy, and combined evaluation and management services
Common behavioral health codes may include:
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90791 for psychiatric diagnostic evaluations
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90832, 90834, and 90837 for individual psychotherapy
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90833, 90836, and 90838 for psychotherapy provided with evaluation and management services
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90846 and 90847 for family psychotherapy
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90853 for group psychotherapy
The correct code depends on the service provided, documented time, provider type, payer rules, and other claim-specific details.
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Telehealth Billing Support
Telehealth claims must accurately represent how and where the service was delivered.
Our billing review includes applicable telehealth modifiers, patient location, Place of Service information, payer requirements, and documentation consistency. This helps prevent errors such as using a video modifier for an audio-only appointment or reporting the provider’s location instead of the patient’s location.
California Mental Health Medical Billing
California behavioral health billing may involve credential-level modifiers, county requirements, managed care policies, and program-specific documentation rules.
We review provider credentials and payer requirements before claims are submitted. This includes checking for applicable modifiers such as HO, AH, AF, or other program-specific designations when required by the payer and service arrangement.
Documentation Review
A claim can contain the correct CPT code and still be denied when the clinical documentation does not support the billed service.
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Missing session start and stop times
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Inconsistent session duration and CPT coding
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Missing treatment-plan connections
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Unclear provider credentials
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Missing telehealth modality or patient location
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Diagnosis information that does not support the service
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Incomplete authorization information
Documentation remains the responsibility of the treating provider. Our review helps surface billing-related gaps before the claim is transmitted.
Payment Posting and Reconciliation
Payments, contractual adjustments, patient balances, and payer denials are posted and reviewed so your records remain current. We also help identify payments that do not match the expected allowed amount.
Insurance Follow-Up and Accounts Receivable
Unpaid claims require consistent follow-up. Our team tracks outstanding balances, contacts insurance companies, reviews claim status, responds to payer requests, and works unresolved claims through the appropriate follow-up process.
Practice Reporting
Clear reporting helps practice owners understand what has been billed, paid, denied, or left outstanding.
We provide visibility into collections, payer activity, accounts receivable, denial trends, and other billing indicators that affect your practice’s cash flow.
Our Process
Verify eligibility
We learn about your providers, services, insurance plans, software, outstanding claims, denial patterns, and administrative challenges.
Review coding
Our team confirms the information required for eligibility verification, claims, payment posting, follow-up, and reporting.
Submit daily
Claims are reviewed and submitted, payments are posted, unpaid balances are tracked, and denials are investigated.
Post & report
You receive clear information about collections, outstanding claims, recurring denials, and areas that require attention.
How Our Billing Process Works
Local to the Bay Area
Mental Health Billing Across the San Francisco and California
We provide billing services to mental health professionals, Because billing is handle electronically, we can support practices throughout California while maintaining our local San Francisco base.
Why DBS
Why Practices Choose Doctors Billing Services
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Caroline Kats, founder - 20+ years of medical billing and practice management experience across multiple specialties
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San Francisco–based at 335 14th Avenue, serving therapists, psychiatrists, and behavioral health providers across San Francisco and the Bay Area with full-cycle mental health and medical billing services
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Specialized behavioral health billing company with a proven track record - not a general medical billing service adding mental health as an afterthought
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California-specific expertise with specialized expertise in Medi-Cal HO modifier requirements, BHIN 23-068 documentation standards, and county behavioral health plan rules;
Frequently Asks Questions
FAQs
Do you provide billing for both therapists and psychiatrists?
Yes. We work with therapists, psychologists, psychiatrists, psychiatric nurse practitioners, and multidisciplinary behavioral health practices.
We understand the billing differences between psychotherapy-only appointments, psychiatric evaluations, medication management, and psychotherapy provided with evaluation and management services.
Which insurance plans do you bill?
We support claims involving Medi-Cal, Medicare, and commercial insurance plans. The exact payer arrangement is reviewed during the initial discussion because requirements can vary by plan, provider contract, location, and service.
Can you help with old or denied claims?
Yes. We can review outstanding accounts receivable and denied claims to determine the reason for nonpayment and the available next steps.
The ability to recover a claim depends on factors such as filing limits, authorization requirements, documentation, payer policies, and appeal deadlines.
Do you handle mental health telehealth claims?
Yes. We review applicable telehealth modifiers, Place of Service reporting, patient location, provider information, and payer requirements.
Because telehealth rules vary, each claim should be evaluated according to the payer and service involved.
Can you work with our current EHR or practice-management system?
We work with a range of billing and practice-management workflows. During onboarding, we review your current system, available integrations, user access, documentation process, and claim-submission setup.
How much do your mental health billing services cost?
Pricing depends on your practice size, provider mix, monthly claim volume, payer mix, outstanding accounts receivable, and the services you need.
We review these details before recommending a billing arrangement.
Get a Mental Health Billing Review
Unpaid claims, recurring denials, and inconsistent insurance follow-up can quietly reduce your practice’s revenue.
Doctors Billing Services can review your current billing workflow, identify potential problem areas, and explain how we would manage your claims, payments, denials, and accounts receivable.
Address
Contact
Opening Hours
335 14th Avenue
San Francisco, CA 94118
Tel: (415) 407-9995
Fax: (888) 723-8683
Mon - Fri
9:00 am – 11: 00 pm
Saturday
9:00 am – 11: 00 pm
Sunday
9:00 am – 11: 00 pm
