Med Management · E/M · Interventional
Psychiatry & PMHNP Billing Services
Billing for medication management, psychotherapy add-ons, diagnostic evaluations, telehealth, Spravato, and TMS—with claims, denials, and A/R worked as one revenue-cycle process.
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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.
- Prior authorization requests tracked to expiration.
- Denial follow-up bucketed by payer, code, and provider.
- Payment posting and accounts-receivable reconciliation.
Engagements are scoped in writing — credentialing from $2,500, billing at 6–8% of collections (full pricing). Solo therapist or counselor? Use our self-serve path instead.
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 Load
A disproportionate auth burden tracked so covered visits get paid.
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
Billing infrastructure that grows with the clinical side.
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.
Tier 1 · Improve the systems your team already uses
Revenue-cycle work queues that show the next corrective action
The responsible team can separate payer behavior from controllable workflow problems, work the next action, and see aging, repeat causes, and overdue items.
What AdvanceAPractice changes or builds
- Trace representative transactions through the included eligibility, claim, remittance, posting, and follow-up stages.
- Configure supported queues, categories, assignments, deadlines, reports, and management checks.
- Document which correction belongs to staff, the biller, a system administrator, or the payer.
What will be in your hands
- Denial and payment-resolution tracker
- Defined cause and next-action categories
- Management dashboard for aging and recurring issues
- Ownership, escalation, and weekly-review instructions
Systems we work in
- Tebra/Kareo billing and revenue-cycle workflows
- Customer-authorized clearinghouse and payer portals
- Microsoft 365 — Excel, SharePoint, and Power Automate
- Command Suite revenue-cycle trackers and dashboards
Platforms we can evaluate or connect
- Office Ally, Availity, Change Healthcare / Optum, Waystar, TriZetto Provider Solutions, Claim.MD, Apex EDI, Inovalon, ABILITY Network, and Zelis
- Billing and report capabilities in AdvancedMD, athenahealth, Epic, Valant, TherapyNotes, SimplePractice, and ICANotes
- Google Sheets, BigQuery, and Cloud Storage for approved reporting or reconciliation designs
- Supported X12 837, 835, 270/271, 276/277, 277CA, 999, and 834 transaction paths
Supported methods
- Native reports, work queues, remittance files, and clearinghouse exports
- Supported APIs, SFTP, webhooks, and structured export or import
- Controlled reconciliation when a supported automated path is unavailable
Access dependencies
We need authorized access to the included EHR or PM system, clearinghouse, payer response files, current billing workflow, representative transactions, and the person who can approve corrections.