Psychiatry Billing That Maximizes Reimbursement for Behavioral Health

U.S.-based psychiatry billing experts ensuring accurate E/M, psychotherapy, and telehealth coding, 98% clean claim rate, and full CMS compliance.

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Why Psychiatry Practices Trust Our Billing Services

Precision Evaluation & Psychotherapy Coding

Expert use of CPT 90791 (diagnostic eval), 90832–90838 (psychotherapy), and E/M + psychotherapy codes with correct time and complexity documentation.

Telehealth & Audio-Only Billing

Accurate billing for video (modifier 95) and audio-only (audio-only codes) visits with payer-specific rule adherence to prevent denials.

Complex Case Documentation Support

We ensure proper billing for ADHD, autism, and dual diagnosis cases with extended evaluations, testing, and care coordination codes.

Medicare & Payer Compliance

Full adherence to Medicare’s 2-day rule, medical necessity, and time-based documentation requirements to avoid audits and recoupments.

Data-Driven Revenue Insights

Monthly reports on missed E/M codes, underbilled sessions, and payer underpayments to recover lost revenue.

Dedicated U.S.-Based Psychiatry Team

Work with coders who understand behavioral health workflows, diagnosis specificity, and modifier rules.

Psychiatry Billing Challenges That Drain Revenue

Psychiatry billing requires precision in time-based coding, telehealth rules, and medical necessity — errors lead to automatic denials.

Incorrect Time-Based Coding

Using 90832 for a 45-minute session instead of 90834 triggers 50–100% revenue loss.

Telehealth Documentation Gaps

Missing modifier 95 or failing to document real-time audio/video causes denials.

Medical Necessity Deficiencies

Lack of progress notes or treatment plans leads to 100% denial of psychotherapy claims.

EMR-Billing Workflow Gaps

Charge capture delays result in missed or under-coded sessions.

Our Psychiatry Billing Process

A seamless, 5-step workflow designed for private psychiatry practices and clinics.

1. Patient Registration & Insurance Verification

Verify benefits and telehealth coverage before the visit.

2. E/M & Psychotherapy Coding

Assign accurate CPT and ICD-10 codes with correct time and modifier documentation.

3. Claim Submission & Compliance Check

Submit clean claims with NCCI edit validation and payer-specific rule checks.

4. Denial Management & Appeals

Appeal denials within 48 hours for coding, modifier, or documentation issues.

5. Revenue Optimization Reporting

Deliver monthly KPIs: missed E/M codes, underbilled sessions, net collection %, and payer performance.

Proven Results for Psychiatry Providers

0%

Clean Claim Rate

0%

Fewer Claim Denials

0%

Recovered Session Revenue

Based on 22 psychiatry clients served in 2024. Results may vary.

Psychiatry Billing: Frequently Asked Questions

Yes—we specialize in psychiatry billing including psychiatric diagnostic evaluations (90791, 90792), psychotherapy (90832–90838), and E/M with psychotherapy (90833–90838) with correct time and complexity documentation.

We use precise CPT codes for telehealth (e.g., 90832 with modifier 95) and ensure payer-specific rules for audio-only vs. video visits are followed to prevent denials.

Yes—we bill for extended evaluations (90792), psychological testing (96130–96137), and care coordination (99490) for complex behavioral health cases with proper documentation linkage.

Yes—we integrate with all major behavioral health EMRs like TherapyNotes, SimplePractice, and Cerner Behavioral Health via HL7 or secure file exchange.

Yes. Our team includes certified CPC, CCS, and AHIMA professionals, all based in the U.S., with 5+ years of psychiatry coding experience.

Insights for Psychiatry Billing

Common Mistakes in Psychiatry Medical Billing

Learn how time-based coding errors, missing modifiers, and documentation gaps cost psychiatry practices thousands monthly.

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Maximizing Reimbursement for Telehealth Psychiatry

Discover how to bill for video and audio-only sessions with full compliance and zero denials.

Read Guide →

Stop Losing Psychiatry Revenue to Billing Errors

The average psychiatry practice loses 20–30% of revenue to preventable denials and coding errors.

98%
Clean Claim Rate
35%
Fewer Denials

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