Psychiatry Billing Services

Psychiatric Medical Billing Built For Accuracy & Compliance

Psychiatric claims have a 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 billing services.

98%

from ~~85%~~
Clean Claim Rate
↑ +13 pts

15%

from ~~35%~~
Denial Rate
↓ −57.14%

96%

from ~~84%~~
Net Collection Rate
↑+14.29%

28 Days

from ~~52 Days~~
AR Days
↓ -46.15% Reduced

Source: Vital Behavioral Care LLC case study — results from Feb 2026 to Apr 2026 (last 3 months of performance data). Read the full case study →

CMS Updated

Telepsychiatry Billing Services: Aligned with CMS Latest Updates & Payer Oversight

Protect your practice from billing penalties with Dastify Solutions. We ensure every claim, including group therapy (90849) to crisis sessions (90839–90840), is accurate, compliant, and fully reimbursed. Our team stays up to date on CMS updated rules, including new safety-planning codes, so you can focus on patient care, not billing risk.

AHIMA, AAPC, CPC, CCS Certified Coders
APA Coding Guidelines Compliant
Latest CMS Updates Applied
MHPAEA Parity Appeals
Telehealth & RPM Billing
PHP / IOP Revenue Optimization
No Long-Term Contracts

End-to-End

HIPAA-Compliant Psychiatry Billing Services in the USA

Our psychiatry medical billing services provide a wide range of end-to-end 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 based on 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 the latest 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.

Telehealth Psychiatric Billing

Post-PHE telehealth billing with correct place-of-service codes (02 for telehealth, 10 for home), modifiers 95 and GT, and payer-specific originating site requirements.

Our Process

Dastify's Proven Psychiatric Billing Work Process

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

Patient Intake & Eligibility

Prior Authorization

Accurate Coding

Clean Claim Submission

Claim Tracking

Denial Management & Appeals

Payment Posting

Patient Billing & Collections

Parity Compliance

We Manage MHPAEA Parity Violation Appeals

We manage MHPAEA parity compliance end-to-end, ensuring your psychiatric claims are treated fairly compared to medical/surgical services. Our process identifies violations, documents disparities, files evidence-backed appeals, and escalates to regulators when necessary, helping your practice recover lost coverage and revenue. Our MHPAEA services include:

NQTL Pattern Identification

Comparative Benefit Analysis

Parity-Based Appeal Filing

Regulatory Escalation

Challenges

What Makes Psychiatric Medication Management Billing Most Challenging?

Challenges in Psychiatry Billing	How We Fix Them
Combined E/M + Psychotherapy	E/M + psychotherapy billed with separate time documentation to capture full reimbursement.
Safety Planning Codes	Correctly submits and documents CMS latest safety planning codes.
APCM + CoCM G-Codes	Files GPCM1–GPCM3 to capture ongoing care revenue.
Telehealth Claims	Applies correct modifiers, POS, and payer-specific telehealth rules.
Psychotherapy Time-Based Coding	Tracks session lengths accurately and applies proper CPT codes.
Inpatient Psychiatry Billing	Assigns correct inpatient CPT codes (99221–99233) with proper complexity and status.
Documentation & Medical Necessity	Ensures complete session notes and documented medical necessity.
MHPAEA Parity Violations	Identifies parity violations, documents NQTL patterns, and files appeals.

— Choose Your Plan

Transparent Pricing With No Hidden Fees

Starter

For Solo & Small Practices

Starting @ 3.99%

*Based on collections

Benefits of Working with Our Psychiatry Billing Company in the USA

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.

Psychiatry-Focused Billing

Built around therapy, medical management, and real workflows

Parity Law Compliance

Prevent underpayments, protect your revenue

42 CFR Part 2 Ready

Strict behavioral health data protection

CoCM Billing Experts

Capture missed monthly care revenue

DSM-5 & HBAI Coders

Fewer denials, accurate reimbursements

Credentialing Support

Faster in-network approvals

Denial Prevention

Fix issues before they cost you

More Patient Time

Less admin, better cash flow

Documentation Adequacy Review

Ensure claims are accurate before submission

Practice Types

Built for Every Psychiatric Practice

Common Questions

Frequently Asked Questions

What psychiatric services does Medicare or Medicaid usually cover?

Most outpatient mental health services are covered under Medicare Part B. That includes psychiatric evaluations, therapy sessions (individual, family, or group), medication management, and even partial hospitalization if it’s medically necessary. Patients are typically responsible for the Part B deductible and about 20% of the cost. Medicaid also covers mental health care, but the details can vary depending on the state some plans may offer broader coverage with lower out-of-pocket expenses.

What codes are typically used for psychiatry billing?

Psychiatry billing relies on a set of commonly used CPT codes. For example, 90791 and 90792 are used for initial evaluations. Individual therapy sessions usually fall between 90832 and 90837, while 90846 and 90847 are used for family therapy. Group therapy is billed with 90853, and crisis sessions use 90839 or 90840. Depending on the situation, modifiers like 25, 59, or 95 may be added to show that a service was separate, distinct, or provided via telehealth.

Why do psychiatric claims get denied and what helps avoid that?

Denials usually come down to a few common issues: incomplete documentation, coding errors, missing prior authorization, or not clearly showing medical necessity. The best way to avoid this is by staying consistent with your documentation, double-checking payer requirements, and reviewing claims carefully before sending them out. Clear notes and accurate coding go a long way in keeping payments on track.

How is psychiatric billing different from general medical billing?

Psychiatric billing focuses on time-based therapy sessions and detailed documentation. Providers must record session length, treatment goals, interventions, and patient responses. Because insurers review medical necessity closely, psychiatry billing is more detailed and often more prone to denials than standard medical billing.

How do you bill for therapy and medication management in the same session?

When a psychiatrist provides both therapy and medication management, bill each separately—therapy (90834/90837) and medication management (90863). Use Modifier 25 to indicate both services were distinct, and clearly document what was done for each service in the patient’s record.

What documentation does CMS require for psychiatric medical necessity in 2026?

CMS expects documentation that proves care is medically necessary, including: the diagnosis, treatment plan with clear goals, session start and end times, methods used, patient response, and why ongoing care is required based on symptoms and functional status.

Partner with Dastify Solutions for Excellence.

Ready to Transform Your Psychiatric Billing?

Don’t let billing complexities drain your time and resources.

Written by

Stephanie Jason,CPC

Reviewed by

Anum Naveed,CHC

Last Updated

July 13, 2026