Psychiatrist Billing Services
Psychiatrist Billing Services for Mental Health Practices
Psychiatrist billing & RCM services from The Ashez Group help psychiatrists, psychiatric nurse practitioners (PMHNPs), and mental health practices manage complex insurance billing and revenue cycle workflows.
Our psychiatry revenue cycle management support includes eligibility, authorization, claims, denials, A/R and credentialing.
Unlike general mental health billing services, psychiatric billing may involve medication management, psychiatric diagnostic evaluations, E/M services, psychotherapy add-on codes, telepsychiatry, and payer-specific requirements.
Why Psychiatry Medical Billing Requires Specialized Knowledge
Psychiatric RCM Support combines elements of medical and behavioral health billing. Psychiatrists and PMHNPs may provide diagnostic evaluations, medication management, psychotherapy, telehealth, and other psychiatric services within the same practice.
Common billing considerations include:
Selecting appropriate billing workflows for diagnostic psychiatric services.
E/M coding and documentation considerations for psychiatric medication-management visits.
Psychiatric encounters may involve an E/M service with an applicable psychotherapy add-on code.
Psychotherapy code selection can depend on documented service time and applicable coding requirements.
POS, modifiers and coverage requirements can differ by payer and service.
Certain psychiatric treatments and services may require payer authorization.
Mental health benefits may sometimes involve different networks or administrative workflows from a patient's general medical benefits.
Complete Psychiatry Billing & RCM Support
Together, these services provide comprehensive psychiatric billing services & revenue cycle management from front-end insurance verification through final payer resolution.
Verify available insurance coverage, behavioral health benefits, patient responsibility and applicable payer requirements before services are provided.
Identify applicable authorization requirements and help track approvals, visits, units, expiration dates and payer requirements.
Review claim information for applicable coding, modifiers, provider information and payer requirements before electronic submission.
Post insurance payments, adjustments and patient responsibility from available ERA and EOB information.
Identify denial reasons, correct applicable claim issues, manage resubmissions or appeals, and track recurring denial patterns.
Track aging psychiatric claims and follow unresolved insurance balances through appropriate payer workflows.
Support CAQH management, Medicare and Medicaid enrollment, commercial insurance applications, recredentialing and payer follow-up.
As a psychiatric billing company, The Ashez Group analyzes A/R, denials, collections, and payer trends to uncover revenue gaps and improve financial performance.
Support your practice with virtual assistance for scheduling, patient communication, insurance verification, authorizations, referrals, and other administrative tasks.
Psychiatric Medical Billing Company
Common Psychiatry Billing Codes
| CPT Code | Common Use |
|---|---|
| 90791 | Psychiatric diagnostic evaluation |
| 90792 | Psychiatric diagnostic evaluation with medical services |
| 90832 | Psychotherapy, 30 minutes |
| 90834 | Psychotherapy, 45 minutes |
| 90837 | Psychotherapy, 60 minutes |
| 90833 | Psychotherapy add-on with E/M, 30 minutes |
| 90836 | Psychotherapy add-on with E/M, 45 minutes |
| 90838 | Psychotherapy add-on with E/M, 60 minutes |
| 90853 | Group psychotherapy |
| 90785 | Interactive complexity add-on |
Code selection should be based on the service performed, documentation, current coding guidance, and applicable payer requirements.
Code selection should reflect the service performed, documentation, current coding guidance, and applicable payer requirements.
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Psychiatry practices can reference CMS mental health guidance for current Medicare information related to mental health services and coverage.
Mental Health Billing Services for Psychiatry Practices
Our mental health billing support for psychiatric practices combine medical billing and behavioral health revenue cycle support. We work with psychiatrists, PMHNPs, and multi-provider mental health practices to manage insurance claims from eligibility verification through payment and A/R follow-up.
Our Mental Health Medical Billing support can include psychiatric claims, medication-management billing workflows, psychotherapy services, telehealth, denial management, credentialing, and payer enrollment.
Telehealth deserves more than the small mention it currently gets. Our telepsychiatry billing support helps psychiatric practices manage applicable payer requirements for virtual services, including eligibility, authorization, place of service, modifiers and claim submission requirements. Common telehealth considerations may include POS 02, POS 10 and Modifier 95, depending on the payer, service, patient location and applicable billing policy.
Eligibility or Coverage Issues
Missing Prior Authorization
Incorrect CPT or Modifier
E/M and Psychotherapy Coding Issues
Documentation Issues
Provider Credentialing or Enrollment Issues
Telehealth Billing Issues
Timely Filing
Psychiatry Billing and Coding
Effective psychiatry denial management should address both the individual denied claim and recurring issues that may originate in eligibility, authorization, coding, credentialing, documentation, or claim submission workflows.
Mental Health Revenue Cycle Management
Psychiatry Billing for Psychiatrists & PMHNPs
The Ashez Group provides billing services for psychiatrists and psychiatric nurse practitioners working independently or within group mental health practices.
Our PMHNP medical billing services can support:
Psychiatric evaluations
Medication-management visits
E/M services
Psychotherapy add-on services
Telepsychiatry
Eligibility and benefits
Prior authorizations
Credentialing and payer enrollment
Denials and A/R follow-up
Billing and credentialing requirements may vary according to provider type, payer, state, participation status, and practice structure.
Why Psychiatry Practices Choose The Ashez Group
Psychiatry-Focused Billing Support
Revenue cycle workflows designed around psychiatrists, PMHNPs, and mental health practices.
Complete RCM Support
Eligibility, authorization, claims, payment posting, denials, A/R, credentialing, and reporting.
Credentialing & Enrollment
Coordinate psychiatry credentialing services with ongoing billing and payer workflows.
Telepsychiatry Support
Support for applicable payer-specific telehealth billing requirements.
Denial & A/R Management
Structured follow-up for denied, unpaid, and aging psychiatric claims.
Nationwide Support
Remote psychiatry billing support for practices throughout the United States.
10+ Years of Experience
Psychiatrist billing services help psychiatric practices manage insurance claims, eligibility, prior authorizations, payment posting, denials, A/R follow-up, credentialing, and other revenue cycle functions.
Common psychiatry codes include 90791, 90792, 90832, 90834, 90837, 90833, 90836, and 90838. The appropriate code depends on the service performed, documentation, and payer requirements.
Yes, when applicable requirements are met. Psychiatrists may report an appropriate E/M code with a psychotherapy add-on code such as 90833, 90836, or 90838, based on the services performed and documentation.
Yes. We provide PMHNP billing services for psychiatric nurse practitioners, including support for psychiatric evaluations, medication management, E/M services, psychotherapy, telepsychiatry, denials, and A/R.
Yes. Our mental health billing services support psychiatrists, PMHNPs, therapists, psychologists, counselors, and mental health practices with insurance billing and revenue cycle workflows.
Yes. We support telepsychiatry billing while considering applicable payer requirements for eligibility, authorization, place of service, modifiers, and claim submission.
Yes. Our psychiatry credentialing services can include CAQH management, Medicare and Medicaid enrollment, commercial payer applications, recredentialing, and payer follow-up.
The cost of psychiatry billing services varies based on claim volume, provider count, payer mix, services required, and the scope of revenue cycle support.
The cost of mental health billing services varies based on provider count, claim volume, payer mix, specialty, and the level of support needed. Pricing may be percentage-based, flat-fee, or customized depending on services such as billing, A/R follow-up, denial management, credentialing, eligibility verification, and prior authorization.