New-patient intakes carry some of the richest reimbursement in psychiatry, and also some of the easiest revenue to surrender. We code diagnostic evaluations precisely distinguishing 90791 from 90792 when medical services are involved, capturing add-ons wherever the documentation supports them, and pairing each encounter with the right ICD-10 F-code so the claim tells a clean, defensible story from the first read.
Med checks are the backbone of most prescribing practices, which makes accurate evaluation-and-management coding non-negotiable. We level your E/M visits correctly under current guidelines, append the psychotherapy add-on codes (90833, 90836, 90838) when a session is delivered alongside the medical visit, and make sure complexity is documented rather than assumed after the fact.
Thirty, forty-five, or sixty minutes the threshold matters, and so does the modality. We bill individual, family (90846/90847), group (90853), and crisis psychotherapy (90839/90840) at the correct level, apply interactive complexity where it genuinely belongs, and verify session caps before a payer can turn a routine visit into a preventable denial.
Virtual care reimburses well when it is coded right and vanishes when it is not. We track the place-of-service rules, apply modifier 95 and the correct POS codes, and stay current with each carrier's shifting telehealth policy — so your remote sessions get paid like the legitimate clinical work they are.
Before the first session, we confirm active coverage, behavioral health benefits, deductible and co-insurance status, visit limits, and whether a carve-out plan is hiding behind the medical card. Surprises after the fact are expensive; we move them to before the appointment, where they are cheap to resolve.
TMS, ECT, esketamine, certain psychotropics these come wrapped in authorization paperwork that can swallow a front desk whole. Our team manages the initial requests, the concurrent reviews, and the peer-to-peer support with clinical documentation attached, so medically necessary care never stalls in an approval queue.
Nothing leaves our system unchecked. We scrub every claim for coding conflicts, missing modifiers, mismatched diagnoses, and payer-specific edits, then file electronically to commercial plans, Medicare, Medicaid, TRICARE, and managed behavioral health organizations such as Optum, Carelon, and Magellan pushing your first-pass acceptance rate up and your payment timeline down.
A denial is not a dead end; it is a problem with a root cause. We diagnose why each claim bounced a missing authorization, soft medical-necessity language, the wrong benefit bucket and build appeals backed by the clinical record, then resubmit and pursue them until the money that belongs to you finds its way back.
Every ERA, every EOB, every patient payment is posted accurately and reconciled against what the contract actually owed. We flag underpayments, catch contractual discrepancies, and keep your books audit-ready so revenue stops leaking through posting errors nobody happened to notice.
We gather and verify complete demographics, insurance details, referral information, and authorization requirements at the very start laying a clean foundation before a single service is rendered and heading off the front-end errors that quietly doom claims weeks later.
For every patient, every time, we confirm coverage, mental health parity benefits, deductibles, co-insurance, session limits, and authorization rules so the care your providers deliver is care you can actually bill and reliably collect on.
Our certified psychiatric coders read the clinical note, not just the superbill, translating each encounter into precise CPT, ICD-10-CM, and HCPCS codes with the appropriate modifiers and confirming the documentation genuinely supports everything that gets billed.
We transmit scrubbed, compliant claims to every payer, monitor their status in real time, and stay on top of anything pending, delayed, or denied chasing the fastest reimbursement your contracts allow instead of waiting for checks to wander in on their own schedule.
We post all insurance and patient payments accurately, reconcile ERAs and EOBs, resolve underpayments and discrepancies, and deliver clear financial reporting that keeps your accounts balanced and current month after month, without the guesswork.
Every billable encounter, evaluation, procedure, and add-on is documented and captured from a standard medication-management visit to a full TMS series so no legitimate revenue slips silently off the ledger.
We file clean claims fast, then refuse to let them sit. Pending, delayed, denied across Medicare, Medicaid, commercial carriers, and behavioral health carve-outs, our team keeps steady pressure on each one until it resolves.
We read the denial patterns specific to your payer mix, assemble appeals with the clinical evidence attached, and claw back dollars that would otherwise be written off while repairing the upstream process so the same denial stops repeating itself.
Prior authorizations, continued-stay reviews, real-time eligibility checks, benefit confirmations we own all of it, removing the unwelcome denials that tend to surface only after care has already been given.
Our certified psychiatric billing specialists track CMS rules, state Medicaid behavioral health policy, and commercial payer requirements as they shift keeping your practice compliant, protected, and ready for an audit on any given day.
Transparent performance reports, real-time AR dashboards, denial-trend breakdowns, collection-rate tracking we hand practice owners the numbers they need to make confident calls and grow revenue with intention rather than guesswork.
