Choose Smart Psychiatric Medical Billing

Compassion Is Your Job, Compliance Is Ours

Psychiatric claims have a 15-20% higher denial rate than other specialties. It’s hard to keep your eye on the ball when billing headaches are constantly pulling your attention away. As a dedicated psychiatry billing company, we eliminate billing chaos: no missed charges, no incomplete documentation, no credentialing setbacks. Just streamlined, smarter psychiatry medical billing.

Psychiatry RCM Solutions That Outperform, Outpace, & Outlast

Is your therapy practice vulnerable to billing penalties? Changing psychiatric billing rules and strict payer oversight mean there’s zero room for mistakes. Our team ensures that every claim is clean, compliant, and protected, allowing your clinic to grow without financial roadblocks.

Dastify Solutions masters every psychiatry code from group therapy (90849) to crisis sessions (90839–90840), while ensuring compliance with payer limits to protect your practice from legal and financial risks.

That’s why our psychiatry medical billing services never put compliance second. We continuously train our psychiatric billing and coding experts on CMS 2025 updates, including the new safety planning codes, to ensure every Medicare claim and reimbursement is accurate and compliant.

Our certifications and standards in managing psychiatric billing and coding services:

KPIs that Make a Real Difference in Your Revenue Cycle Management

No stories, just benchmarks to boost your therapy center's revenue.

Collection Ratio
93 %+
Reduction in AR
40 %
First Pass Clean Claims Rate
95 %+
Revenue Increase
Up to 20 %
Lowest Denial Rate
4 %
Turnaround Time
7- 14 Days

HIPAA-Compliant Psychiatry Billing Services in USA

Our psychiatry medical billing services provide a wide range of end-to-end psychiatry billing solutions for clinics and hospitals.


We partner with Psychiatrists, Psychologists, Licensed Clinical Social Workers (LCSWs), Mental Health Counselors, Psychiatric Nurse Practitioners, and Addiction Specialists, according to their needs.

Psychiatry & Psychology Billing

We manage CPT codes such as 90791, 90792, 99213–99215, 90832, 90838, and 90837 for psychiatric evaluations, medication management, and psychotherapy.

Psychiatric CoCM Billing

We handle CoCM codes 99492, 99493, 99494. Our experts ensure accurate documentation and time tracking to ensure your practice runs smoothly and remains compliant.

Behavioral Specialist Billing

We provide behavioral health billing services for LCSWs, LMFTs, and LPCs. We navigate payer-specific coverage rules, particularly those for Medicaid and commercial plans.

Partial Hospitalization & IOP Billing

Accurate use of CPT/HCPCS codes H0015, H0012, H0010, S9480, S9484 for PHP and IOP. We capture daily and bundled services to ensure compliance with Medicare/Medicaid rules.

Psychotherapy & Time-Based Coding

We handle 90832, 90834, 90833, 90837, 90839/90840 codes with precision. Our team ensures that session times match the documentation and supports interactive, complex coding.

Mental Health Billing

With CMS’s 2025 telehealth expansion, telepsychiatry billing has become more complex. Our outsourced psychiatry billing solutions cover all aspects, including outpatient, inpatient, and telehealth services. We master the use of accurate codes and modifier -95 usage.

What Makes Psychiatric Billing Most Challenging?

Every psychiatric diagnosis tells a story, but translating that story into billable codes is where all complexities start. Our outsourced psychiatry billing experts are trained to master all kinds of billing and coding roadblocks.

 

We safeguard your large-scale psychiatric health practice from regulatory and compliance pitfalls while helping you expand payer networks and secure timely pre-authorizations.

Common challenges in psychiatry medical billing that we resolve are:

DSM-5-TR vs. ICD-10:

Complex mapping between psychiatric diagnoses and payer-accepted codes often leads to denials.

Interventional Treatment Complexity:

Advanced therapies require nuanced coding and payer-specific documentation.

Multi-Axial Considerations:

Coding psychiatric conditions alongside medical comorbidities adds layers of difficulty.

Severity Specifiers:

These additional descriptors are crucial to add in claims but are often missed, which leads to compliance risks.

Time-Based Coding Errors:

Mistakes in tracking psychotherapy session lengths and selecting CPT codes result in revenue loss.

Prior Authorizations Hurdles:

Strict payer requirements slow approvals and increase denial rates.

Telepsychiatry Billing Confusions:

Modifiers, POS codes, and payer-specific telehealth policies complicate compliance.

Inadequate Documentation:

Incomplete session-specific details and a lack of medical necessity lead to higher rejection rates.

Credentialing Complexities:

Enrolling psychiatrists and healthcare providers with multiple payers is a time-intensive and error-prone process

Struggling with Telehealth Billing?

Don’t let CMS updates and payer rules hold back your reimbursements.

Dastify’s Proven Psychiatric Billing Work Process

Whether you need a single service or full RCM support, our psychiatry billing expertise has you covered. We are tailored to meet the unique challenges of every psychiatry practice, including hospitals and group psychiatry practices.

Patient Registration and Verification

We begin by accurately capturing patient demographics, insurance details, and eligibility checks. This prevents psychiatric claim denials and ensures that services are billable before care begins, thereby avoiding last-minute confusion.

Prior Authorization Management

Psychiatric services often require pre-approvals. Our team manages the entire prior authorization process. They submit requests, follow up with payers, and secure approvals, ensuring treatments aren’t delayed for a smooth patient experience.

Our psychiatry medical billing experts prepare and submit clean claims electronically, ensuring compliance with payer requirements. Every claim is monitored by our end until it is accepted. We increase your practice's first-pass acceptance rate.

Dastify solutions reduce denials in psychiatry claims processing. If a claim is denied, we act quickly. Our denial management specialists analyze the root cause, correct errors, appeal where necessary, and recover lost revenue to maximize reimbursements.

Accurate payment posting ensures that every reimbursement is appropriately applied. We reconcile payments with explanations of benefits (EOBs) and electronic remittance advice (ERAs), providing you with complete visibility of your practice’s income.

Patient Collections

Our best psychiatry billing company handles patient billing with clarity and professionalism, sending timely statements. We send reminders to recover outstanding balances and offer flexible collection options to enhance cash flow and provide added convenience for patients. 

Financial Reports

Our software gives you complete insights into your practice. We prepare detailed financial reports to enable you to review your practice’s performance. From aging reports to revenue trends, we provide transparency and actionable data to help you make informed decisions.

Psychiatrists trust us because we don’t just provide psychiatry billing services; we optimize every step of the revenue cycle with precision, ensuring compliance and helping them achieve their significant revenue goals. We provide technology-driven, end-to-end psychiatry billing solutions for clinics, enabling them to stay ahead of the competition.

Why Dastify Stands Out As the Best Psychiatry Billing Company?

EHR/EMR Integration: Smooth integration with your existing EHR/EMR. From patient records to billing workflows, everything stays connected and efficient.

Compliance with Psychiatry Health Parity Laws: We make sure your reimbursements reflect parity requirements, so you’re never underpaid for the services you provide.

Support for Multi-Location & Group Practices: Running multiple sites or a group practice? We centralize your billing so everything scales smoothly as you grow.

24/7Support Team: No more waiting days for answers. Our team is available 24/7 to resolve claim issues and expedite time-sensitive submissions.

Denial Prevention Strategy: We don’t just fix denials, we prevent them. Our proactive strategies eliminate revenue leaks and drive a noticeable boost in your net collection rate.

Transparent Patient Statements: Dastify provides patient-centric services, including easy-to-understand bills and payment options, to maintain clarity.

Credentialing Support: From payer enrollment to setup, we get you credentialed and ready to see patients without unnecessary delays.

Confidentiality & HIPAA Security: We protect sensitive psychiatric records with full HIPAA compliance and 42 CFR Part 2 safeguards for substance abuse treatment data.

Scalable Solutions for Growth: Thinking of expanding your practice or adding telepsychiatry services? Our billing solutions grow with you, without disruption.

Regular Audit Protocols: To avoid penalties and denials, we ensure that our medical necessity documentation is accurate and complete. And secure pre-authorizations in accordance with the payer’s requirements.

Specialty-Specific Coders: Our certified coders specialize in psychiatry, mastering CPT codes, HCPCS, DSM-5, and HBAI codes to ensure maximum compliance.

Value-Based Care in Psychiatry: Achieve full integration with MIPS/MACRA and quality reporting to excel in value-based care.

FAQs.

What psychiatric health services does Medicare (and/or Medicaid) cover, and what are the patients’ cost responsibilities?

Medicare Part B typically covers outpatient psychotherapeutic services, including psychiatric evaluations, psychotherapy (both individual & group), medication management, partial hospitalization, and some crisis sessions. However, Medicaid also covers many of these services, though coverage and cost-sharing (copayments or coinsurance) vary by state. Out-of-pocket patient costs can include deductibles, coinsurance, or copays.

Most commonly used CPTC codes for psychiatry billing are:

  • 90791 / 90792 for initial psychiatric diagnostic evaluations
  • 90834 / 90837 for individual psychotherapy of different durations
  • 90839 / 90840 for crisis psychotherapy

Common causes of psychiatric denials include:

  • Lack of proper documentation (e.g., missing treatment plan, missing signature, incorrect diagnosis).
  • Failing to meet payer-specific rules regarding session length, frequency, or location (inpatient vs outpatient).
  • Failure to obtain required prior authorizations or overusing services without coverage or limit validation.

To avoid these errors and achieve a higher reimbursement rate, consider outsourcing to a psychiatry billing company like Dastify Solutions. We focus on:

  • Robust documentation protocols.
  • Verifying payer rules up front (authorization, limitations, frequency).
  • Using coded billing reviews and audit protocols to catch errors before submission.
  • Accurate modifiers like Modifier 25, 95, 59, etc.
    Keeping strict compliance with insurance companies and CMS rules.

Psychiatric medical billing services are more complex than general medical billing because:

 

Time-Based & Therapy Codes: Psychiatry uses CPT codes for therapy sessions (30, 45, 60 minutes), group therapy, and crisis sessions. It differs from standard medical billing because it is more procedure-driven.

 

Session Limits & Authorizations: Insurers often cap the number of covered therapy sessions and require strict prior authorization.


Detailed Documentation: Progress notes must include treatment goals, methods, start/end times, and patient responses.


Higher Denial Risk: Strict payer rules, parity laws, and medical necessity reviews increase the frequency of denials in psychiatry billing

Ready to Transform Your Psychiatric Billing?

Partner with Dastify Solutions for Excellence.