Med Management · E/M · Interventional
Psychiatry & PMHNP Billing Services
Psychiatry and PMHNP billing services for medication management, psychotherapy add ons, diagnostic evaluations, telehealth, Spravato, and TMS. We manage claims, denials, payment posting, and A/R within the agreed scope.
Ask Practice Concierge See PricingWhat’s Included
Exactly What You Get.
- E/M visits paired with psychotherapy add-on codes (99214 + 90833).
- Diagnostic evaluations (90792) and new-patient intakes coded to documentation.
- Medication-management visit levels tied to medical decision-making or time.
- Interventional and procedure billing, including Spravato and TMS.
- Telehealth modifiers and place-of-service applied per payer.
- Separate written scope: prior authorization requests and expiration tracking.
- Denial follow-up bucketed by payer, code, and provider.
- Payment posting and accounts-receivable reconciliation.
Credentialing is calculated from the selected provider and payer paths in the pricing builder. Core RCM is 7% of collections, with a $500 monthly minimum per provider. It includes claim scrubbing and submission, rejection and denial follow-up, payment posting and adjustments, A/R follow-up, reconciliation, and reporting. Eligibility and benefits verification and prior authorization require a separate written scope.
The Complexity
Coding General Billers Get Wrong.
Psychiatry combines evaluation, therapy, medication, and procedure codes that must match the note.
E/M + Psychotherapy Add-Ons
99214 with 90833, time thresholds and notes that match, a top denial source.
Diagnostic Evaluations
90792 intakes coded to what the documentation actually supports.
Medication Management
Med-check E/M levels tied to medical decision-making or time.
Interventional & Procedures
Spravato, TMS, and procedure coding with their own payer rules.
Telehealth Billing
Modifiers, place-of-service, and originating-site rules that shift by payer and year.
Prior Authorization By Written Scope
Authorization requests and expiration tracking can be added when they are listed in the signed scope.
Revenue Visibility
Know What’s Billed, Collected, And Denied.
Collections lag and AR drifts when no one has a clear view. We surface what is billed, collected, and sitting in the queue, by provider, code, and payer so leadership decides on real numbers.
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How It Works
Three Steps To Cleaner Claims.
Review
We audit coding, denial patterns, credentialing status, and your AR picture.
Align Notes And Codes
We close the gaps where documentation and codes do not match the payer’s rules.
Run Clean Claims
Claims go out correctly coded, denials get worked, and you see the numbers monthly.
Connected Services
Billing Rarely Lives Alone.
Who This Is For
Psychiatry And PMHNP Practices.
Psychiatrists
E/M, add-ons, med management, and an in-person plus telehealth mix.
PMHNPs
Supervision billing, telehealth-heavy schedules, and enrollment timelines.
Outpatient Practices
Consistent coding across providers and payer types.
Groups Scaling Up
Psychiatry billing support as you add providers and services.
FAQ
Psychiatry Billing FAQs
Do You Support PMHNP Practices?
Yes. We support psychiatry and PMHNP practices with billing, payer enrollment, documentation fit, denials, and revenue cycle follow-through.
Can You Bill E/M With Psychotherapy Add-Ons?
Yes. We code E/M with add-on codes like 99214 + 90833 for the payer and service mix, and review denials tied to that combination.
How Does Telehealth Affect Psychiatry Billing?
Place-of-service and modifier rules vary by payer and change over time. We keep that logic current so telehealth visits are not denied on technicalities.
Do You Coordinate Billing With Credentialing?
Yes. We connect provider enrollment and payer-readiness status to billing so claims are not submitted before a provider is active.
Practice Systems · Improve The Systems Your Practice Already Uses
Revenue Cycle Work Queues That Show The Next Action
The team can separate payer responses from correctable practice issues, work the next action, and see aging and repeat causes.
What AdvanceAPractice Changes Or Builds
- Trace representative eligibility, claim, remittance, posting, and follow-up records.
- Configure cause categories, assignments, deadlines, reports, and management checks.
- Document whether the next correction belongs to practice staff, the biller, the system administrator, or the payer.
What Your Team Receives
- Denial and payment resolution tracker
- Cause and next action categories
- Aging and repeat issue report
- Weekly review and escalation instructions
Systems We Configure
- Valant, Tebra/Kareo, Office Ally, AdvancedMD, and other outpatient billing systems
- Availity and insurance portals for claim status, eligibility, authorizations, and payment details
- Office Ally, Change Healthcare/Optum, Waystar, TriZetto, and Claim.MD clearinghouse reports
- Excel, Google Sheets, SharePoint, and the Command Suite for A/R worklists and owner reporting
Systems We Assess For This Work
- The practice’s clearinghouse and insurance portals for the transaction and payer in scope
- Valant, Tebra, or another EHR report for charge, claim, payment, or aging detail
- Electronic claim, eligibility, claim status, and remittance files when the supported workflow requires them
Implementation Methods
- Native reports and work queues
- Clearinghouse exports and electronic remittance files
- Controlled reconciliation when no supported automated path exists
Access Needed
We need authorized EHR, clearinghouse, and payer access, representative transactions, the current billing workflow, and an owner who can approve corrections.
Next Step
Know What This Would Cost For Your Practice.
Every service has a published price and a written scope. If you are not sure which one fits, ask and you will be pointed at the right one.