Psychiatry Billing Services | Reduce Your Psychiatry Claim Denials to 1%
Transcure delivers HIPAA-compliant psychiatry billing services for psychiatric practices, PMHNP groups, and hospital behavioral health departments. Our clients hold 99% clean claim rates and 21-day reimbursement cycles. We offer:
- Carve-out routing to Optum Behavioral Health, Carelon, Magellan, and Evernorth before submission
- Time-based coding accuracy across 90832, 90834, and 90837, with documented start and stop times
- Combined-visit billing for E/M 99213 through 99215 plus psychotherapy add-ons 90833, 90836, and 90838
- Full compliance with 42 CFR Part 2 consent rules, MHPAEA parity standards, and CMS tele-mental health requirements
- End-to-end psychiatry RCM, from carve-out eligibility verification through prior authorization, denial appeals, A/R follow-up, and patient collections
Our Success in Numbers
Trusted by
500+ Physicians
Catering to
40+ Specialties
1100+ Certified
Medical Billers & Coders
End-to-End
RPA Billing Solutions
Up to 98% First Pass
Clean Claim Rate
Why Psychiatry Claims Get Denied More Often Than Any Other Specialty
Psychiatry billing runs on time-based codes, session-by-session medical necessity, and fragmented carve-out networks. Behavioral health claims are denied roughly 85% more often than medical claims, with initial denial rates between 15% and 25% against 5% to 10% for medical and surgical care. Most of those denials start before the claim leaves the practice.
Our psychiatry billing services close those front-end gaps instead of chasing them on appeal. Coders verify time thresholds against documentation, eligibility checks account for carve-out routing, and authorizations are tracked against session counts. Within the first month of outsourcing to Transcure, practices see a 30% reduction in A/R, a 99% first-pass claim rate, a 5% to 10% revenue increase, and 48-hour turnaround.
Psychiatry Practices That Have Put Trust in the Transcure Billing Team
Many psychiatry practices trust Transcure for psychiatry billing service support and revenue cycle management. Our experience covers therapy sessions, medication management, TMS, Spravato, and behavioral health integration billing. We work with solo psychiatrists as well as large multi-location behavioral health groups, including
How Do Transcure Psychiatry Billing Services Improve Reimbursement and Billing Accuracy?
Transcure runs a six-agent AI workflow built for medical billing services for psychiatry, supported by AAPC-certified behavioral health coders.
How Does Transcure Handle Different Laws and Challenges Affecting Psychiatry Billing?
Transcure assigns psychiatry-trained billing specialists who track federal rule changes and apply them at charge entry. Four rule sets move psychiatry reimbursement these days.
CY 2026 Medicare Physician Fee Schedule (CMS-1832-F)
CMS-1832-F set two conversion factors for CY 2026: $33.58 for qualifying APM participants and $33.40 for everyone else. The 2.5% work RVU efficiency adjustment applies to non-time-based services, which leaves psychotherapy codes outside its reach. Transcure loads provider-level rates by APM status so combined visits post at the correct amount.
Consolidated Appropriations Act, 2026 (H.R. 7148)
H.R. 7148 was signed on February 3, 2026, extending Medicare telehealth flexibilities through December 31, 2027. The in-person visit requirement for tele-mental health is delayed until January 1, 2028. Transcure bills tele-psychiatry with POS 10, modifier 95 or 93, and documented justification when audio-only is clinically appropriate.
42 CFR Part 2 Confidentiality of SUD Patient Records
The Part 2 final rule reached its compliance date on February 16, 2026, with OCR now holding enforcement authority. A single written consent covers treatment, payment, and health care operations disclosures. Transcure confirms active consent before releasing any SUD claim, so dual-diagnosis charges never leave the queue unprotected.
Mental Health Parity and Addiction Equity Act (MHPAEA)
The 2024 MHPAEA final rule sits under a non-enforcement policy while the Departments rewrite it. Statutory parity and the CAA 2021 comparative analysis obligations still apply, and DOL named MHPAEA a 2026 enforcement priority. Transcure builds parity arguments into appeals when a payer applies stricter limits to behavioral health than to medical benefits.
How Transcure Helped North Point Psychiatry Transform Psychiatry Billing with AR Control and High-Cost Service Tracking?
North Point Psychiatry in Texas carried a growing accounts receivable balance and inconsistent patient collections. Its highest-value services, TMS and Spravato, aged without dedicated oversight, so payment accuracy slipped on exactly the claims that carried the most monthly revenue.
Transcure rebuilt the follow-up cycle around rigorous AR working and introduced advance eligibility reports ahead of visits. A patient balance report gave providers visibility into outstanding responsibility. A dedicated TMS and Spravato tracker brought aging on high-cost mental health services under active control.
Monthly collections increased from $200K to $325K, a 62% lift. AR stays controlled through structured follow-up, and the tracker keeps costly TMS and Spravato claims accurate. Your psychiatry practice can see similar improvements with the same structured billing approach.
How Transcure Handles Psychiatry Billing and Coding For Different Psychiatric Services
Transcure’s psychiatry billing services cover the service lines where coding accuracy and payer policy collide. Our psychiatry medical billing expertise spans six areas.
Medication Management and Combined E/M Visits
We code prescriber visits as E/M 99213 to 99215 with the correct psychotherapy add-on attached. Modifier 25 goes on the E/M line, and psychotherapy minutes are documented separately from medical decision-making. Add-on codes never leave our queue without a paired primary, which removes the most common auto-denial in psychiatry.
Psychotherapy and Time-Based Session Billing
Our coders check documented session length against the billed code before submission. A 90837 requires a note stating 53 minutes or more, not an appointment slot that ran an hour. We also apply 90785 for interactive complexity when the note names the specific qualifying factor, such as interpreter use or guardian involvement.
TMS Billing
We bill the full TMS course across 90867 for initial mapping, 90868 for delivery sessions, and 90869 for motor threshold redetermination. Diagnosis coding is checked against MAC coverage policy, since anxiety-spectrum F40 and F41 codes do not support medical necessity. Authorization is tracked session by session across the treatment series.
Esketamine and Spravato Billing
Roughly a third of Spravato claims are denied on first submission. We manage the full buy-and-bill lifecycle: REMS enrollment, prior authorization, J0013 unit reporting in milligrams rather than devices, and NDC matching. Monitoring is billed under G2082 or G2083 based on documented observation time.
Psychological and Neuropsychological Testing
We bill testing evaluation and administration services across the 96130 to 96139 range with correct time-unit reporting. Base and add-on units are separated by professional and technician time. Same-day conflicts with major behavioral health services are scheduled apart or defended with documentation.
Collaborative Care and Behavioral Health Integration
We bill psychiatric Collaborative Care under 99492, 99493, and 99494, plus G2214 when time falls below CPT thresholds. General BHI is billed under 99484. We track the initiating visit, patient consent, cumulative monthly minutes, and registry requirements that payers audit first.
Psychiatry Billing Services Serving Nationwide
As one of the leading psychiatry billing companies in the U.S., Transcure supports practices across every major state. Behavioral health carve-out rules, Medicaid managed care networks, and telehealth parity laws differ state by state. We bill to the rules that apply where your patients sit.
Which Psychiatry CPT and ICD-10 Codes Can Our Billing Experts Handle
Transcure’s psychiatry billing team codes diagnostic evaluations, therapy, medication management, and interventional treatment. Our psychiatry billing and coding expertise spans:
90791, 90792
- Psychiatric diagnostic evaluation, without and with medical services
90832, 90834, 90837
- Individual psychotherapy at 16-37, 38-52, and 53-plus minutes
90833, 90836, 90838
- Psychotherapy add-ons billed with E/M 99213 to 99215
90867, 90868, 90869
- TMS mapping, delivery, and motor threshold redetermination
90870
- Electroconvulsive therapy, single seizure
G2082, G2083, J0013
- Esketamine monitoring tiers and drug supply
F31
- Bipolar disorder
F41
- Anxiety disorders
F20
- Schizophrenia
How We Protect Psychiatry Revenue From Downcoding, Parity Denials, and Timely-Filing Loss
A 90837 billed on a note that never states 53 minutes gets downcoded or clawed back on audit. Reworking a behavioral health denial costs $25 to $62 per claim, and 60% of denials are never resubmitted at all. OIG review found roughly 61% of Medicare mental health claims contain some form of regulatory error.
Carve-out claims are the quiet killer. They pend 30 to 45 days with the wrong payer, then deny once the 90-day filing window is nearly closed. Our audit reads your last 90 days of psychiatry claims and shows exactly where time documentation, parity grounds, and payer routing are
Why You Should Outsource Psychiatry Billing Services to Transcure?
Outsourcing psychiatry billing lets prescribers spend their session time on patients instead of authorization portals. Prior authorization hits behavioral health at roughly five times the rate of physical medicine. Here is what you get.
Dedicated Psychiatry Manager
A named manager owns your carve-out relationships, authorization pipeline, and denial queue. Escalations go to someone who already knows your payer mix.
Psychiatry and PMHNP Credentialing
We enroll psychiatrists, PMHNPs, psychologists, and licensed clinicians with both medical plans and behavioral health carve-out networks. Taxonomy and supervision setups are validated before the first claim.
Transparent Revenue Reporting
Weekly and monthly reporting tracks A/R aging, denial reason codes, and collections against behavioral health benchmarks. You see which payer and which code is leaking revenue.
Compliance Risk Reduction
Billing follows CMS coverage policy, MAC guidance, and APA coding standards on high-scrutiny psychiatry codes. Audit exposure on time-based claims drops accordingly.
Scales With Practice Growth
Our psychiatry billing supports expansion into TMS, esketamine, IOP, and Collaborative Care without adding internal billing headcount.
EHR Connectivity Support
Transcure works with Epic, athenahealth, eClinicalWorks, SimplePractice, TherapyNotes, and 40-plus behavioral health platforms.
Our Certifications
Transcure’s psychiatry billing team holds industry-recognized certifications covering CMS compliance standards, behavioral health coding guidelines, and payer-specific psychiatry billing requirements.
Which EHR Systems Does Transcure Support for Psychiatry Billing?
Transcure connects with major EHR and practice management systems used in psychiatry, keeping session times, diagnosis codes, and authorization data flowing accurately into TMS, esketamine, therapy, and medication management claims.
What Practices Say About Our Psychiatry Medical Billing Services?
Read how psychiatric practices, PMHNP groups, and behavioral health organizations used our outsourced psychiatry billing services to cut denials and stabilize collections.
Jackie Judd
Practice Manager
Wilson Creek Internal Medicine
As a practice manager, I was looking to streamline the medical billing process. I tried other companies, but they were all complicated and took too much of my time. Fortunately, I found Transcure. They excel in tailoring solutions to fit my requirements.
Amber Vaughan
Office Manager
Idaho Kidney & Hypertension Institute
We are a large practice with 15 providers. Transcure has been working with us for the last 5 years. This billing company has been a great asset to us. I work with Transcure and they provide everything I ask for. The team is friendly and very pleasant to work with.
Ashlee Rose
Practice Manager
Harding Memorial Healthcare
We’ve been working with Transcure for 8 years now and I just wanted to say how happy we are with their services. They always get back to us quickly and are very easy to work with. They get my bills paid in record time and help us to generate millions in revenue.
Frequently Asked Questions About Psychiatry Medical Billing
Answers to the questions psychiatry practices ask most often about coding, carve-outs, Medicare rules, and denial recovery.
What are psychiatry billing services?
Psychiatry billing services handle coding, claim submission, authorization, and collections for psychiatric care. That covers diagnostic evaluations, medication management, psychotherapy, and interventional treatments such as TMS and esketamine.
How is psychiatry coding and billing different from general medical billing?
Psychiatry codes are time-based rather than procedure-based, so documented minutes decide payment. Behavioral health benefits are often carved out to a separate payer, and every session needs its own medical necessity justification.
How does Medicare psychiatry billing work?
Medicare pays psychiatry under the Physician Fee Schedule using CPT and HCPCS codes with MAC-level coverage policy. Tele-mental health is covered in the patient’s home, with the in-person requirement delayed until January 1, 2028.
What are common psychiatry CPT codes?
Common codes include 90791 and 90792 for diagnostic evaluation, 90832 through 90837 for psychotherapy, 90833 through 90838 as E/M add-ons, and 90867 through 90869 for TMS.
How do you manage psychiatry claim denials?
We prevent them at intake through carve-out verification and time-documentation checks. Remaining denials are appealed with clinical evidence and parity arguments, since external review overturns behavioral health denials at high rates.
Psychiatry Billing Knowledge Center
Explore the latest Psychiatry billing insights to enhance practice performance and profitability.
06/22/2026
Learn the latest psychiatry CPT codes for 2026, including 90791, 90792, 90834, 90837, E/M coding, telehealth modifiers, and documentation.
08/24/2026
EHR-related stress affects 70% of providers. Discover top psychiatry EMRs to streamline documentation, reduce errors, and improve revenue.
08/20/2026
Complete 2026 guide to psychiatry ICD-10 codes (F01–F99). Common F-code families, FY2026 updates, CPT pairing, HCC mapping, and denial prevention.