Psychiatry Medical Billing Services in New York, NY
- Handle CPT 90791 – 90838 Psychiatry Codes with Accuracy
- Navigate NY Medicaid & Managed Mental Health Plans
- Support for LCSWs, Psychiatrists, and Psych NPs
- Reduce Rejections for Behavioral & Substance Use Claims
- Telepsychiatry Billing with HIPAA & Audio-Visual Parity Rules
- Access Real-Time KPIs: Reimbursements, Denials, & A/R
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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 Is Psychiatry Billing in New York So Difficult in 2025?
Psychiatry billing in New York is becoming increasingly difficult due to complex parity laws, frequent changes in prior authorization rules from managed care plans such as Fidelis and Healthfirst, and confusion surrounding CPT coding for psychotherapy, medication management, and diagnostic evaluations. These challenges have led to 74% of psychiatric claims in New York facing delays caused by missing documentation or authorization errors. Many practices experience denials due to missing time-based notes, incorrect telehealth modifiers, or the use of the wrong add-on codes, such as combining 90833 with 99213 without proper documentation.
How Does Transcure Solve Psychiatry Billing Challenges in New York in 2025?
Transcure solves psychiatry billing challenges in New York in 2025 by accurately coding 90791, 90834, 90837, and 90833 with E/M visits. Transcure medical billing services ensure that telepsychiatry claims utilize the correct GT and 95 modifiers with parity-aligned documentation. We automate prior authorizations for therapy, medications, MAT, and testing. Our team is familiar with the rules of Fidelis, Healthfirst, MetroPlus, and EmblemHealth. We apply behavioral health modifiers, such as H2019 and H0031, with HCPCS compliance. Smart claim scrubbers flag missing time, notes, and signatures in the claim submission process. A secure dashboard shows real-time claim status and reimbursements.
What Psychiatry Billing Services Does Transcure Offer in New York?
Transcure provides full-cycle psychiatry billing services for New York mental health providers.
- Patient Intake and Demographic Capture
- Insurance Eligibility Verification
- Behavioral Health Benefits Check
- Session Documentation Review
- ICD-10 & CPT Coding for Psychiatry
- Modifier Application (95, GT, 90833)
- Electronic Claim Submission
- Denial Management
- Accounts Receivable Follow-Up
- Patient Statement Generation
- Payment Posting
- Charge Entry
Cities Served by Transcure Psychiatry Billing Services in New York
New York City
Buffalo
Rochester
View All Cities
Yonkers
Syracuse
Albany
New Rochelle
Mount Vernon
Schenectady
Psychiatry Billing Results That Matter in New York
- Achieved 97.6% Clean Claim Rate on psychiatry claims
- Reduced A/R Days to 22 (vs. NY average of 39)
- Cut Denials by 38% in 90 Days using specialty scrubbers
- Supported Multi-Provider Behavioral Clinics across the NY metro
- Maintained 93% Client Satisfaction from practices in MCO networks
Partner with a billing team trusted by New York mental health providers to increase collections, meet payer rules, and eliminate costly rework.
Cities Served by Transcure Psychiatry Billing Services in New York
Kings County (Brooklyn)
Queens County
New York County (Manhattan)
Suffolk County
Bronx County
Nassau County
Westchester County
Erie County
Monroe County
Psychiatry Billing Services with Nationwide Reach and Local Precision
Along with supporting Psychiatry practices in New York, Transcure also delivers expert billing services to other states nationwide. Our team understands the unique documentation and reimbursement challenges Psychiatry providers face all across the country.
Key Attributes of a Psychiatry Billing Company in New York
Psychiatry EHR Integration Across New York
We integrate with systems like Valant, TherapyNotes, and ICANotes to sync E/M codes, therapy notes, and time-based service logs.
Modifier & Time-Based Code Accuracy
We handle complex scenarios, such as 90833 + 99214 combinations, and ensure accurate tracking for 45, 60, and 75-minute therapy sessions.
OMH and State Medicaid Billing Knowledge
We comply with NYS Office of Mental Health billing formats, including 837I/P submissions and service location tags.
Documentation Alignment for Mental Health Services
We ensure that patient consent for psychotherapy, minor treatment, and psychological testing is documented per NY Mental Hygiene Law.
Supporting a Full Spectrum of Specialties Alongside Psychiatry Billing in New York
Our Success in Numbers
Value of claims processed
Accounts Receivable Days
Turn Around Time (TAT)
Customer Retention
Number of Claims Processed
First Pass Clean Claims Rate
Revenue Improvement
Reduction in A/R
Why Choose Transcure Psychiatry Billing Company in New York?
Outsourcing your billing to a psychiatry-specialized partner helps reduce errors, improve payer response times, and strengthen cash flow in a heavily audited environment.
- Integrated Behavioral Health Billing Support
We support practices participating in CCBHCs, ACOs, or school-linked care models requiring coordinated billing.
- Medication Management and Therapy Billing Expertise
We streamline workflows for psychiatrists who provide both medication management and psychotherapy in a single visit.
- Mental Health Parity & Audit Readiness
We ensure documentation matches payer-specific criteria to defend claims during parity audits and utilization reviews.
- Multilingual Billing Communication
We provide parent/patient-facing communication in Spanish, Bengali, and Russian for NY’s diverse mental health populations.
- Out-of-Network & Sliding Scale Billing
We support hybrid practices with a mix of OON/self-pay models, including accurate documentation for Good Faith Estimates.
Avoid In-House Psychiatry Billing Pitfalls, Partner with Transcure in New York
In-house billing often results in incorrect time-based coding, missed modifiers for teletherapy services, and inadequate documentation of medical necessity. In New York’s audit-heavy mental health space, these errors threaten financial stability. Transcure protects psychiatry practices through:
- Expert Billing for E/M and Therapy Combinations
- Full Compliance with NY OMH, CMS & Parity Laws
- Reduced Administrative Overload for Mental Health Clinicians
- Accelerated Reimbursements with AI-Scrubbed Claims
We are adept at using these EHRs
The experts at Transcure are well-versed with the features
and workflows of your EHR system.
75% of Behavioral Health Claims Are Flagged, NY Psychiatry Practices Must Be Prepared
Industry data shows 3 in 4 behavioral health claims are flagged for additional review due to documentation gaps or incorrect coding. Psychiatry providers in New York face additional scrutiny under OMH and parity enforcement laws. Without experienced billing support, practices risk slowdowns, clawbacks, or lost reimbursements, making psychiatry-specific RCM support essential.
Need a Psychiatry Billing Services Provider with an Understanding of New York Billing?
Frequently Asked Questions (FAQs)
How is psychiatry billing different from other medical specialties?
Psychiatry billing relies heavily on time-based CPT codes, therapy modifiers, and dual coding for medication and talk therapy services.fic codes, adhering to vaccine schedules, and conducting screenings that require precise documentation and accurate modifier usage.
What modifiers are required for telepsychiatry billing in New York?
Modifiers GT or 95 are often required, depending on the payer, along with POS codes 02 or 10 for synchronous sessions.
Can you bill both psychotherapy and evaluation and management (E/M) services in the same visit?
Yes, using codes like 99214 + 90833 with proper documentation and modifier usage (e.g., modifier 25).
What documentation is required for psychiatric services in NY?
NY law requires documented consent for treatment of minors, diagnosis-based notes, and time-stamped therapy duration details for audit compliance.
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