Texas revenue-cycle support

    Behavioral Health Billing for Texas Practices

    Billing, coding, and credentialing support for psychologists, neuropsychologists, testing practices, therapists, and psychiatric providers across Texas.

    (512) 961-5350Mon–Fri, 8 AM–5 PM CT

    Get a Free Billing Review

    For practices and providers. If you're looking for a therapist or have a question about your own bill, please contact your provider's office.

    Decades
    Of Combined Staff Experience
    Texas-Based
    No Offshoring
    Certified
    Coders & Billers
    HIPAA
    Compliant Processes

    A focused scope

    Who we work with

    Psychologists and group psychology practices

    Billing workflows shaped around individual and group practices.

    Neuropsychologists

    Support for evaluation, testing, and documentation workflows.

    Psychological and neuropsychological testing practices

    Clear attention to time-based testing services.

    Therapists and counselors (LPC, LCSW, LMFT)

    Billing and enrollment details for counseling disciplines.

    Psychiatrists and psychiatric nurse practitioners

    Claims support for psychiatric evaluation and ongoing care.

    Multi-provider behavioral health groups

    A consistent process across clinicians and locations.

    The details matter

    Where behavioral health billing gets complicated

    Behavioral health claims follow different rules than most medical billing. These are the areas we see practices struggle with most:

    Testing codes and units

    Psychological and neuropsychological testing is billed with separate evaluation and test-administration codes (such as the 96130–96139 series), with time-based units that must match documentation. We review selected units against the recorded work.

    Prior authorizations

    Many payers require authorization before testing or ongoing therapy, and authorized units need to be tracked against what's billed. We track authorization status alongside claims.

    Time-based psychotherapy codes

    Session codes like 90832, 90834, and 90837 depend on documented time, and add-on codes have their own requirements. We review the record against the selected codes.

    Behavioral health carve-outs

    Some health plans route behavioral health claims to a separate behavioral health administrator with its own rules and portals. The administrator and claim submission path need to be identified.

    Telehealth billing

    Place-of-service codes and modifiers for telehealth visits vary by payer. We review billing details against the applicable plan instructions.

    Provider credentialing

    Psychologists, LPCs, LCSWs, and LMFTs each have their own enrollment requirements with commercial payers, Medicare, and Texas Medicaid plans. We track enrollment status by clinician and payer.

    The work, clearly defined

    What we handle

    Claim preparation and submission
    Coding review for therapy, evaluation, and testing services
    Prior authorization tracking
    Denial follow-up and appeals
    Insurance A/R cleanup
    Eligibility and benefits verification
    Provider credentialing and payer enrollment
    Patient statements and balance follow-up
    Monthly reporting on your revenue cycle

    Claims filed within 24 business hours once your practice provides complete information.

    A clear starting point

    How it works

    01

    Free billing review: We look at your current billing process, denials, and A/R.

    02

    Clear plan: We walk you through what we'd change and what working together looks like.

    03

    Smooth handoff: We work inside your existing EHR and practice management system.

    What Our Clients Say

    Trusted by healthcare providers across Texas - Real reviews from real clients

    Google

    "Worry free billing and revenue cycle management for us for several years! Accessibility is great and so easy to work with! Definitely just like a part of your office - seamless! Highly recommend!"

    L.S.
    Verified Google Review
    Google

    "Zenith was a wonderful asset to us and helping with getting our claims and payments in order. Always very responsive and very helpful in teaching us what we need to know to be successful"

    K.T.
    Verified Google Review

    Questions, answered

    Frequently asked questions

    See where your behavioral health billing stands

    Request a free billing review or call (512) 961-5350, Mon–Fri, 8 AM–5 PM CT.