E/M plus psychotherapy denials
Add-on psychotherapy denied because time was not separately documented. We provide a note structure that separates the two.
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Psychiatry medical billing services
Psychiatric billing combines E/M with psychotherapy add-ons, medication management, evaluations and sometimes interventional services like TMS and esketamine. The rules on combining E/M with psychotherapy, and on documenting each separately, decide whether claims are paid in full.
What makes psychiatry billing different
General billers treat every specialty the same. These are the rules, code families and payer habits that decide whether psychiatry claims pay the first time.
- E/M with psychotherapy uses add-on codes (90833, 90836, 90838) that require the psychotherapy time to be documented separately from the E/M work.
- Psychiatric diagnostic evaluation with medical services (90792) versus without (90791) depends on who performs it and what is done.
- Interventional services — TMS (90867–90869), esketamine administration — have strict prior authorization and documentation requirements.
- Medication management visits are E/M services leveled by medical decision-making, and the MDM must be documented, not just the prescription.
Denials we see most in psychiatry
Every denial gets a root cause, a fix and a feedback loop, so the same denial stops coming back.
Prior authorization for interventional services
TMS or esketamine denied for authorization gaps. We obtain and track authorizations before treatment starts.
Medication management leveling
E/M downcoded for thin MDM documentation. We give feedback on what supports the level.
How Core MB bills for psychiatry
A dedicated team that already knows your payers' rules, plus the reporting to prove it is working. Credentialing for new psychiatry providers runs in the same system, tracked live in your client portal.
- Documentation templates that separate E/M from psychotherapy time.
- Authorization management for TMS, esketamine and other interventional services.
- Credentialing for psychiatrists and nurse practitioners across all payers, tracked in the portal.
Everything in the service
The full revenue cycle as standard for psychiatry practices, priced on what we collect for you. Take all of it, or start with one piece such as AR recovery or credentialing.
- Insurance verification and eligibility checks
- Charge entry and specialty-specific coding review
- Claim scrubbing and electronic submission
- Payer follow-up on every open claim
- Denial management and appeals
- Payment posting and reconciliation
- Accounts receivable recovery
- Patient statements and balance support
- Monthly reporting you can read in five minutes
- Provider credentialing and payer enrollment
Psychiatry billing questions
Can we bill an E/M and psychotherapy in the same visit?
Yes, with psychotherapy add-on codes, provided the psychotherapy time is documented separately from the E/M work. That separation is what payers check.
Do you handle TMS billing?
Yes, including the prior authorization that nearly every payer requires and the documentation of treatment parameters.
Do you credential psychiatric nurse practitioners?
Yes. NP enrollment and supervision or collaboration rules vary by payer and state; we handle both the credentialing and the billing that follows.
How do we get started with Core MB for psychiatry billing?
Send us your specialty, provider count and monthly claim volume through the quote form and we will come back with a written proposal. Transitions run alongside your current billing so nothing is dropped, and credentialing for new psychiatry providers can start at the same time.
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Find out what your psychiatry billing is leaving on the table
Send us a snapshot of your current billing and we will come back with a quote and a realistic view of recoverable revenue.