Transform Your Psychiatry Practice with Specialized Psychiatry Billing Services
Whether you are a psychiatrist, psychiatric nurse practitioner, or run a private practice, behavior health clinic or telepsychiatry service, we offer specialist psychiatry billing services to ensure you get the most out of your practice. Our team understand the complexities of psychiatry coding, insurance and how to ensure your claims are correct, reducing your admin and keeping your revenue cycle on track.
Why Psychiatry Practices Need Specialized Billing Support
Psychiatric billing includes specific coding, documentation and payer requirements that could not be satisfactorily addressed by standard medical billing practices. Reporting of services and processing of claims are critical to psychiatric evaluations, medication management, psychotherapy and continued treatment.
And you need billing people that understand behavioral health reimbursement with CPT codes like 90791, 90792, 90832, 90834 and 90837 and ICD-10-CM diagnosis categories for psychiatric diseases. At Minnesota Billing, we provide psychiatry-focused billing support to help providers manage these requirements and maintain a more consistent payment process.
Common RCM and Billing Challenges in Psychiatry Practices
1. High Claim Denial Rates
Psychiatry claims can often be denied due to incorrect coding, lack of information, eligibility issues or incorrect billing for the payer. If these claims are not reviewed correctly, this can cause delays and extra admin.
2. Psychiatric Coding Errors
Psychiatry services use a range of CPT codes for diagnostic assessment, psychotherapy and medication management. If you use the wrong code or do not have the correct information to back up your service, this can result in rejected claims.
3. Inadequate Clinical Documentation
Psychiatry claims require notes to back up your claims. If there is not enough information on the assessment, treatment or medication management, this can cause issues.
4. Prior Authorization Delays
Some insurance companies will require prior authorization for certain services. This can cause delays and extra admin.
5. Patient Payment Issues
These can be tricky due to copays, deductibles, coinsurance, and behavioral health restrictions. This can increase confusion and slow payment down due to unclear documentation.
6. Telepsychiatry Billing and System Challenges
Need to be aware of each payers’ telehealth policies, place of service, modifiers and documentation. Disjointed workflow between EHR and billing can cause missing information and time delays.
How We Can Help Improve Your Psychiatry Reimbursements
Expert Psychiatric Coders and Billers
Our billing team understand how to code for a range of psychiatry services including assessments, medication management and psychotherapy. We will review the services provided and notes to ensure you code correctly.
Advanced Billing Software and PMS
We will use electronic billing systems and practice management software to keep your patient information organized. This allows us to code charges, submit claims and track payments to ensure your practice has an efficient billing process.
Regulatory Compliance
Our billing takes into account the relevant HIPAA requirements, CMS guidelines and insurance payer requirements. We will review your claims information and billing notes to ensure you overcome any common issues.
Timely Claims Submission
We will quickly code and submit your claims. We will also track any outstanding claims to ensure you get paid on time.
Comprehensive Psychiatry RCM Services
1. Insurance Verification
Our team will check patients are eligible for their appointments. We will review their coverage, co-payments, deductible, co-insurance and other requirements to help you identify any issues early.
2. Prior Authorization
If the insurance payer requires prior authorizations for psychiatry services, we can help. We will track any requests and review the information to help identify any missing information.
3. Coding & Documentation Review
Our experts will review your psych assessments, medication, and psychotherapy. We will ensure correct CPT and ICD-10-CM coding is applied based off of provider documentation to reduce errors.
4. Credentialing Services
We can help with credentialling psychiatrists and qualified psychiatric nurse practitioners with insurance. This helps reduce the admin for your practice.
5. Claims Submission & Follow-Up
We will code and submit your claims electronically. We will also track claims and follow up on any outstanding payments.
6. Denial Management
We will review any denied claims for psychiatry. We will identify any issues with coding, notes, eligibility, authorizations or payer requirements. We can help you fix claims, resubmit and appeal where necessary to ensure you get paid for eligible claims.
7. Payment Posting and A/R Management
We can help you post insurance payments. We will review any adjustments and track what is still outstanding from patients and payers. Our A/R will help identify any outstanding claims.
Common Psychiatry Billing CPT Codes
There are a range of CPT codes used for psychiatry including assessments, psychotherapy, medication management and other behavioral health services. It is important to use the correct code by ensuring you have the correct documentation.
| CPT Code | Description |
|---|---|
| 90791 | Psychiatric diagnostic evaluation without medical services |
| 90792 | Psychiatric diagnostic evaluation with medical services |
| 90832 | Individual psychotherapy, 30 minutes |
| 90833 | Psychotherapy add-on code, 30 minutes, with an evaluation and management service |
| 90834 | Individual psychotherapy, 45 minutes |
| 90836 | Psychotherapy add-on code, 45 minutes, with an evaluation and management service |
| 90837 | Individual psychotherapy, 60 minutes |
| 90838 | Psychotherapy add-on code, 60 minutes, with an evaluation and management service |
| 90785 | Interactive complexity add-on code |
| 90839 | Psychotherapy for crisis, first 60 minutes |
| 90840 | Psychotherapy for crisis, each additional 30 minutes |
| 90853 | Group psychotherapy |
This is a list of commonly used psychiatry related codes. There are add on codes such as 90833, 90836, 90838, 90785. These have specific requirements and should be used with eligible primary services. Always check the latest CPT descriptions, provider eligibility, documentation and payer guidelines.
Benefits of Outsourcing Psychiatry Billing
- Improved Revenue Cycle Management: By using accurate coding, organized claims and consistent follow up, you can manage your reimbursements.
- Reduced Administrative Burden: Outsourcing will reduce the time psychiatrists and admin spend on insurance admin allowing them to focus on patients.
- Fewer Avoidable Claim Denials: Our team will review your claims information, coding and notes to identify common issues.
- Better Compliance Support: We will take into account any relevant payer guidelines, HIPAA guidelines and current guidelines.
- More Time for Patient Care: Using our professional billing will help reduce the time spent on the revenue cycle so you can focus on providing psychiatric assessments, treatment planning and patients.
Seamless EHR/PMS Integration
We can offer psychiatry billing using major EHR and PMS systems. This means you can have organized communication between your documentation and billing. Whether you use a behavior health system or general medical system, we can help manage the information.
Key integration benefits include:
- Organized transfer of patient and billing information
- Eligibility and insurance verification support
- Accurate charge entry and claim preparation
- Electronic remittance advice and payment posting
- Reporting for claim status and revenue cycle monitoring
- Telepsychiatry billing workflow support
Ready to Transform Your Psychiatry Practice's Revenue Cycle?
Maximize your revenue with professional medical billing in Minnesota. We can help with specialist billing for your psychiatry providers.