Psychiatry

Specialties We Support

We assist a wide range of psychiatric professionals, including:

✅Psychiatrists (MD, DO) – Specializing in diagnosing and treating mental health disorders.
✅Child & Adolescent Psychiatrists – Experts in pediatric mental health.
✅Geriatric Psychiatrists – Specializing in mental health care for older adults.
✅Forensic Psychiatrists – Working in legal and correctional settings.
✅Addiction Psychiatrists – Treating substance use disorders.
✅Consultation-Liaison Psychiatrists – Providing psychiatric care in hospital settings.
✅Telepsychiatry Providers – Offering remote psychiatric evaluations and treatments.

All-in-One Psychiatry Practice Services

1. Credentialing & Payer Enrollment

Psychiatrists must be enrolled with Medicare, Medicaid, and private insurers to receive reimbursements for evaluations and treatment services. Our team ensures a smooth and efficient credentialing process with minimal delays.

✅Medicare & Medicaid Enrollment
✅Commercial Insurance Credentialing
✅EDI, ERA, EFT Setup for Electronic Transactions
✅Re-Credentialing & Contract Renewals

2. Medical Billing & Coding for Psychiatry

Psychiatric billing requires accurate coding for evaluations, psychotherapy sessions, and medication management. We ensure correct coding, documentation, and claim submission to prevent denials.

✅Psychiatric Evaluation Coding (CPT 90791, 90792)
✅Individual & Family Psychotherapy Billing (CPT 90832, 90834, 90837, 90846, 90847)
✅Medication Management & E/M Coding (CPT 99202-99215)
✅Crisis Intervention Services (CPT 90839, 90840)
✅Telepsychiatry Billing & Compliance Support
✅Claims Submission, Denial Management & Appeals

3. EHR/EMR Setup & Integration

Psychiatry practices require HIPAA-compliant electronic health records (EHR) systems that support mental health documentation and medication tracking. We assist in EHR selection, setup, and optimization.

✅Behavioral Health-Specific EHR Customization
✅Telehealth & e-Prescription Integration
✅Psychiatric Progress Notes & Treatment Plan Documentation
✅HIPAA-Compliant Patient Data Management

4. Compliance & Regulatory Support

Psychiatric billing must align with HIPAA, CMS, and payer-specific policies to prevent audits and claim denials. We ensure compliance with:

✅Medicare & Medicaid Mental Health Billing Guidelines
✅HIPAA & Telehealth Privacy Regulations
✅MIPS & MACRA Reporting for Value-Based Reimbursement
✅Audit Protection & Risk Management

5. Revenue Cycle Management & Practice Growth

Our end-to-end revenue cycle management (RCM) solutions ensure accurate claims processing, reduced denials, and improved cash flow for psychiatry providers.

✅Financial Performance Analysis & Revenue Optimization
✅Payer Contract Negotiation & Rate Adjustments
✅Practice Expansion & Growth Consulting
✅Marketing & Referral Network Support

Types of Psychiatry Services Billed

✅Psychiatric Evaluations (CPT 90791, 90792)
✅Medication Management Visits (CPT 99212-99215)
✅Psychotherapy Sessions (CPT 90832, 90834, 90837)
✅Crisis Intervention & Emergency Psychiatry (CPT 90839, 90840)
✅Group Therapy (CPT 90853)
✅Addiction & Substance Use Disorder Treatment (CPT H0001, H0004, H0015)
✅Telepsychiatry Sessions (CPT 90833, 90836, 90838)
✅Neuropsychological Testing & Assessments (CPT 96130, 96131, 96136, 96137)

Required Knowledge for Successful Psychiatry Billing

1. Understanding E/M and Psychotherapy Billing

Psychiatrists often bill for both evaluation & management (E/M) services and psychotherapy during the same session. Using correct CPT codes and add-on codes prevents revenue loss.

2. Telepsychiatry Compliance & Billing

Many insurance companies cover telepsychiatry services, but proper place-of-service codes and modifier usage (e.g., GT, 95) are required for reimbursement.

3. Prior Authorization & Medical Necessity Documentation

Some psychiatric services require prior authorization, especially for longer therapy sessions, inpatient stays, and certain medications. Ensuring proper documentation prevents denials.

4. Behavioral Health Parity Act Compliance

Insurance companies must cover mental health services at the same level as medical care, but some payers may still impose limitations. Knowing how to appeal unfair denials is essential.

5. Medicare & Medicaid Psychiatry Billing Guidelines

Medicare has specific rules for psychiatric services, including time-based billing, documentation standards, and coverage limits. Medicaid policies vary by state, requiring specialized knowledge.

Why Choose Solubillix for Psychiatry Practice Management?

✔ Hassle-Free Credentialing & Insurance Enrollment to get paid faster.
✔ Expert Psychiatry Billing & Coding Support for Maximum Reimbursement.
✔ Custom EHR & Practice Management Software Integration for Efficiency.
✔ End-to-End Revenue Cycle Management for Sustainable Cash Flow.
✔ Regulatory Compliance & Audit Protection to Minimize Risk.
✔ Tailored Solutions for Solo Practitioners, Group Clinics, and Hospitals.

Start with Solubillix Today!

Let us handle the complexities of billing, credentialing, compliance, and revenue management, so you can focus on delivering quality psychiatric care. Contact us today to learn how we can support your psychiatry practice!