Psychiatry & Behavioral Health Billing That Pays What You Earn
Behavioral health billing is uniquely complex: E&M vs. psychotherapy time thresholds, interactive complexity add-ons, telehealth parity rules, and CMMI/CMS requirements for collaborative care all create coding pitfalls that cost practices thousands per month. 360Solutions provides billers who specialise in psychiatric coding — handling 90791 diagnostic interviews, 90832–90838 psychotherapy, medication management splits, and collaborative care model codes accurately and compliantly.
Where Psychiatry & Behavioral Health Practices Lose Revenue
These are the coding and billing pitfalls that cost psychiatry & behavioral health practices the most — and where our specialised billers add the most value.
Psychotherapy Time Thresholds
Psychotherapy codes (90832/90834/90837) are billed in time bands of 16–37, 38–52, and 53+ minutes. One minute below the threshold means the wrong code — and either underpayment or a compliance violation.
Telehealth Parity Rules
Almost every commercial payer now has a telehealth parity law, but coverage rules vary by state and plan. We track state-level parity, apply correct POS codes (02/10), and manage audio-only restrictions.
E&M + Psychotherapy Split
When a psychiatrist bills both medication management (E&M) and psychotherapy on the same day, the add-on codes (90833/90836/90838) must be paired with the correct E&M level. Mistakes trigger automatic bundling denials.
Collaborative Care Model
CoCM codes (99492, 99493, 99494) require documented monthly registry minutes, case review, and PCP coordination. We track qualifying time and ensure documentation meets the threshold before billing.
High-Risk CPT Groups
Code ranges payers audit most aggressively in Psychiatry & Behavioral Health.
Common Denial Patterns
Knowing these before submission is the difference between a 60% and a 96% first-pass rate.
Psychotherapy time below the documented threshold for billed code
Missing POS 02 or 10 for telehealth sessions
E&M billed without add-on psychotherapy code (or vice versa)
CoCM codes billed without meeting documented monthly time requirement
Scope-of-practice denials for LPC/LCSW vs. MD billing
Send us your last 90 days of remittance data — we'll identify your top 3 fixable denial sources at no cost.
Request Free Audit →How 360Solutions Works for Psychiatry & Behavioral Health Practices
Free 2-Week Billing Audit
We review your last 90 days: denial breakdown by category, AR aging by payer, charge lag, collection rate, and any recurring coding issues specific to your specialty. No commitment required.
Specialty Coder Assignment
You are paired with a coder trained specifically in psychiatry & behavioral health coding. They learn your providers, your documentation patterns, and your payer mix before touching a claim.
Parallel Billing Transition
We run alongside your current billing for 10–14 days with zero cash flow disruption. Claims keep moving during the transition. Your account manager provides daily status updates.
Live KPI Dashboard
Real-time visibility into billed, paid, denied, AR aging, and collection rate — segmented by provider and payer. No black box, no month-end surprises.
Weekly Account Manager Call
Every week your dedicated account manager walks through last week's KPIs, denial trends, and any action items. Critical issues are escalated the same day — not at the next scheduled call.
Questions From Psychiatry & Behavioral Health Practices
Start With a Free,
No-Obligation Audit
Two weeks, no contract. A certified psychiatry & behavioral health billing specialist reviews your claims, denial patterns, and AR — and shows you exactly what is recoverable.