Psychiatry
AI-Powered Psychiatry Medical Coding and Billing Solutions
Accelerate psychiatry billing, coding, and RCM with AI agents that master complex psychiatric E/M codes, psychotherapy add-ons, medication management, payer-specific prior authorizations, and mental health parity compliance.
What Is Psychiatry Billing and Coding?
Psychiatry billing and coding involves converting psychiatric evaluations, psychotherapy sessions, medication management, and crisis interventions into accurate, payable claims.
Coders assign precise CPT codes for psychiatric E/M (99202-99215), diagnostic evaluations (90791/90792), psychotherapy (90832/90834/90837), and add-on codes for medication management (90833/90836/90838). ICD-10 codes must capture the specific disorder (F32 depression, F41 anxiety, F31 bipolar) with episode and severity.
Billers verify behavioral health benefits, obtain prior authorizations for intensive services and high-cost medications, track session limits, submit clean claims, and appeal denials for medical necessity and parity violations.
Time-Based Psychotherapy Coding
Psychotherapy CPT codes (90832/90834/90837) are time-based; documentation must clearly reflect face-to-face therapy time to support the correct code.
Impact: Downcoding and denials for undocumented time
Add-On Code Complexity
Psychotherapy add-on codes (90833/90836/90838) are billed with E/M services; pairing rules and time documentation must be precise.
Impact: Bundling denials and missed reimbursement
Prior Authorization for Medications and Intensive Services
High-cost psychiatric medications (antipsychotics, mood stabilizers) and intensive outpatient programs often require PA with clinical justification.
Impact: Claim delays and patient care disruptions
Our Expertise in Psychiatry Billing and Coding
Amy: AI Medical Coding Agent for Psychiatry Care
- Codes psychiatric encounters with precise CPT, ICD-10, and modifier combinations for evaluations, psychotherapy, and medication management
- Applies time-based psychotherapy rules (90832/90834/90837) and add-on code pairing (90833/90836/90838)
- Flags missing therapy time, diagnosis specificity, and medical necessity documentation
- Audits charts for NCCI bundling, session limits, and parity compliance
- Provides line-by-line rationale for each code ensuring compliance and audit transparency
Mark: AI Medical Billing Agent for Psychiatry Care
- Verifies behavioral health benefits, session limits, and carve-out payers across commercial and government plans
- Validates psychiatry-specific codes, add-on pairings, and medical necessity before submission
- Submits claims and handles charge entry directly in your EHR/billing system
- Reads ERAs and scans paper EOBs to post payments and catch underpayments for behavioral health services
- Continuously learns from psychiatry denial patterns like CO-16 (missing info), CO-50 (medical necessity), and parity violations
Adam: AI Denial Management Agent for Psychiatry Care
- Checks claim status in real-time across payers for psychotherapy, evaluations, and high-cost medications
- Makes AI-driven calls navigating IVRs and agents for prior auth disputes and appeals
- Uses customizable scripts tailored to psychiatry workflows, including parity appeals, session limit disputes, and medication PA
- Manages outbound/inbound calls with full call tracking
- Provides recordings, summaries, and recommendations to resolve aging psychiatry claims faster
What are the common reasons for psychiatry claim denials?
How do psychotherapy time-based codes work?
What are the add-on codes in psychiatry billing?
What ICD-10 codes are most used in psychiatry?
How can AI improve psychiatry coding accuracy?
What is mental health parity compliance?
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