What we handle for psychiatry practices
Billers are assigned by specialty, so the person working your claims already knows your codes and your payers.
Diagnostic evaluation
90791 and 90792 billed correctly depending on whether medical services were provided.
Psychotherapy
90832, 90834 and 90837 billed to the documented time, with add-on 90833, 90836 and 90838 when therapy accompanies an E/M.
Telehealth
Correct place of service and modifiers so telehealth sessions are not rejected as duplicate in-person claims.
Authorisation tracking
Session counts monitored against the approved authorisation so you never deliver unpaid care.
Where psychiatry claims usually go wrong
These are the four issues we see most often when we take over a psychiatry practice.
Running out of authorised sessions
The most common cause of unpaid behavioural health care. We track remaining units per patient and flag renewals early.
Time-based coding disputes
90837 requires documented time. Payers audit it. We check the note supports the code before it goes out.
Carve-out confusion
Many plans carve behavioural health out to a separate administrator. Billing the medical plan is an automatic denial.
Telehealth modifier drift
Payer rules on telehealth modifiers keep changing. We update per payer rather than using one setting for all.
How we work
Eligibility, every day
Every next-day scheduled patient is verified for active coverage before the visit.
Charges validated
Codes and documentation are checked after the note is signed, before the claim is submitted.
Denials appealed
Every denial is reviewed, corrected and resubmitted. Nothing is written off by default.
Monthly reporting
Paid claims and AR aging reports so you can see exactly where your money is.
Psychiatry billing questions
Something not covered here? Call (833) 305-5528.
Do you handle prior authorisations?
We track authorisations and flag renewals. Obtaining them stays with your clinical team, but you will not be caught out by an expired one.
Can you bill for group therapy?
Yes, including 90853 and intensive outpatient programmes where applicable.
Do you work with carve-out plans?
Yes. We verify which entity administers behavioural health benefits during eligibility checks.