Mental Health Billing & RCM Services

Mental health medical billing is the work that turns a therapy or psychiatric session into a deposited payment: eligibility and carve-out checks, authorizations, coding, claim submission, denial management, payer follow-up, and payment posting. Revenue cycle management (RCM) is that whole workflow run as one system. Most practices outsource pieces of it to multiple vendors and wonder why nothing is accountable. Sharp Networks Group runs the whole cycle as a single operation, under one principal who knows your payers, your specialty, and your numbers.

What the Service Covers

Every Sharp RCM engagement includes claim submission, real-time eligibility verification before each encounter, denial management with documented appeal workflows, insurance follow-up through payment, payment posting reconciled to your bank statements, and a biweekly performance report tied to deposited revenue — not submitted charges.

The work is calibrated to your payer mix, your authorization patterns, and your denial history — not a generic process built for the average practice.

Mental Health Billing for Every Provider Type

• Therapists and counselors (LCSW, LPC, LMFT): intake and session codes (90791, 90834, 90837), session limits, and the behavioral health carve-out networks that decide which payer actually processes the claim. See our mental health billing guide and telehealth billing for mental health.
• Psychiatrists and PMHNPs: E/M levels for medication management, psychotherapy add-ons (90833, 90836, 90838), 90792 intakes, and nurse practitioner rates. See psychiatric billing for psychiatrists and PMHNPs.
• Psychologists: psychotherapy plus testing and evaluation codes, with the authorizations testing usually requires. See psychological testing billing.
• Group and multi-state practices: provider-level credentialing, supervised and associate clinicians, and state-specific payer rules. See who can bill for mental health services and our state-by-state billing guide.

We also bill Medicare for mental health providers, including LPCs and LMFTs who gained Medicare billing rights in 2024. Our Medicare mental health billing article covers eligibility and enrollment.

Pricing Structure

Standard Rates. New engagements start at these rates today.

Sharp is priced as a revenue-operations partner, not a billing desk. The fee is a percentage of the insurance collections that actually reach your account each month, so we earn more only when you do. Rates step down as your practice grows:

Included in Every Plan

• Eligibility verification before each encounter
• Claim submission
• Payment posting reconciled to your bank deposits
• Denial management and appeals
• A biweekly performance report
• A named principal accountable for your account

Every tier gets the full operation. A solo therapist and a 40-provider group get the same service and the same accountability; only the rate changes with volume. A minimum monthly fee of $600 applies: each month you pay the percentage of collections or $600, whichever is greater. At 8%, the percentage takes over once collections pass $7,500 a month.

Credentialing for Active RCM Clients

See Provider Credentialing for timelines and what each engagement covers.

The Growth Package Explained

Growth's rate is half a point below Standard at every tier. Collections adds a recovery fee on what we actually bring in, with a $250 monthly floor. In a month where recovery fees come to less than $250, you pay the $250; once they pass $250, you pay only the percentage. It is engineered to put more total dollars into your account by actively recovering patient balances that Standard leaves on the table.

What It Costs in Practice

Three example practices, assuming the recovered balances are under 90 days old (20% recovery fee):

The typical practice leaves 15–30% of its total receivables in unpaid patient balances. Standard Billing processes claims; it does not recover those balances. The Growth Package runs both under the same team and the same accountable principal, with patient-balance recovery workflows that compound with the RCM operation rather than running parallel to it.

The honest comparison is not Growth versus Standard — it is Growth versus doing nothing with aged patient balances, or versus sending them to a standalone U.S. collection agency at 20–40%. At Sharp's 20–28% recovery rate (by account age), the practice keeps more of every recovered dollar than it would with a separate agency, with no second vendor relationship to manage.

What We Don't Do

We don't submit claims and disappear into a dashboard. Every engagement has a named principal with direct accountability — the person who reviews denials, tracks payer-specific patterns, and responds when you call. We reconcile to deposited revenue, not submitted charges, so the number we report is the number that lands in your bank account.

Annual Commitment Discount

Clients who commit to a 12-month term have the $600 monthly minimum waived for the first three months, automatically applied at signing. While the account ramps up, you pay only the percentage of what is actually collected. The percentage rates don't change. Month-to-month remains available on every plan; annual is incentivized, not required.

Annual Growth Package clients are also covered by our 90-Day Confidence Guarantee: if the package isn't working for your practice in the first 90 days, you can cancel the annual term with zero early-termination penalty, paying only the month-to-month rate for the months you were with us.