Specialized medical billing for psychiatry, psychology, counseling, and behavioral health facilities in Tucson and Southern Arizona. We understand the unique payer rules, AHCCCS requirements, and coding complexity that trip up general billers.
Behavioral health is one of the most complex billing specialties in healthcare. Payers apply stricter medical necessity reviews, AHCCCS has its own authorization and code requirements, and documentation errors lead to denials that can take months to resolve. A general biller often doesn't know what they don't know.
Arizona's Medicaid program has specific BH billing requirements, prior authorization rules, and covered service limitations that differ significantly from commercial payers. We know them cold.
Place-of-service codes, GT and 95 modifiers, and payer-specific telehealth policies all affect reimbursement. We ensure your telehealth claims are submitted correctly every time.
Behavioral health claims face higher scrutiny for medical necessity than almost any other specialty. We help ensure documentation supports the level of care billed and fight denials when they occur.
Behavioral health facilities require a different billing approach than individual providers. Whether you're an outpatient practice or a residential facility, we understand the distinctions.
Psychotherapy and psychiatric codes are largely time-based. Accurate documentation and code selection directly impact your reimbursement. We verify the right codes are being applied.
Many BH payers require ongoing authorizations that expire and need renewal. We monitor authorization status so claims don't hit a wall mid-treatment.
We provide end-to-end revenue cycle management for behavioral health providers and facilities in Tucson and throughout Arizona.
Clean claim submission to AHCCCS, Medicare, and commercial payers with real-time tracking.
Rapid identification of denials and aggressive follow-up to recover revenue you've already earned.
We track, request, and monitor prior authorizations so your team can focus on patient care.
Clear, professional patient statements and balance management handled on your behalf.
Regular financial reports so you always know where your revenue stands.
Get paneled with AHCCCS, Medicare, and commercial plans. We handle the entire enrollment process.
We have direct experience billing behavioral health claims to Arizona's major payers, including:
Let's talk about your practice and how we can help you collect more of what you've already earned. No pressure, no contracts you didn't ask for.
A.W. Medical Billing LLC is led by Alda Wong, AAPC Certified Professional Coder (CPC) and Certified Professional Biller (CPB) — credentials that ensure your claims are handled by a billing professional who knows the rules, not just the software.