Psychiatric Billing Services
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What We Do:
Resolve denials due to time-based coding or diagnosis-related issues
Verify behavioral health benefits and prior authorization requirements
Submit accurate claims for psychiatric evaluations, medication management, and therapy
Handle CPT code combinations for E/M with psychotherapy sessions
Maintain HIPAA compliance across all data handling and systems
Expert Billing Support for Complex Psychiatric Services
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Billing for psychiatric diagnostic evaluations with or without medical services
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Managing split E/M and psychotherapy sessions with proper code linkage
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Handling claims for pharmacologic management and med check follow-ups
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Ensuring accurate documentation for prolonged services and crisis interventions
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Working with multiple provider types—MDs, NPs, and residents—under supervision rules
Psychiatric billing involves a unique intersection of medical and behavioral health services, requiring precision in coding and compliance. At Horizon Healthcare Solutions, we understand the intricacies of billing for psychiatric evaluations, medication management, and therapy combinations.
Our billing professionals ensure the correct usage of CPT codes, especially when combining E/M services with psychotherapy, crisis services, or prolonged visits. We focus on timely submissions, accurate modifier application, and thorough documentation to avoid unnecessary denials.
Whether you’re a solo psychiatrist, a group practice, or a behavioral health clinic, we tailor our billing solutions to your workflow, platform, and patient volume—ensuring streamlined revenue cycles and complete HIPAA compliance at every step.
Common Challenges in Psychiatric Billing
01
Incorrect E/M and Psychotherapy Combinations
02
Missed Prior Authorization for Psychiatric Evaluations
Payers frequently require pre-auth for new patient psychiatric evaluations, and missing this step leads to full denial.
03
Denied Claims for Pharmacologic Management Codes
Improper use or confusion around outdated codes can lead to non-reimbursement for medication management visits.
04
Time-Based Coding Errors
Psychiatrists often bill sessions based on incorrect time intervals or lack documentation to justify longer visit codes.
05
Supervisory Billing Issues for Residents or NPs
Improper supervision documentation or misunderstanding of billing rules for residents can create compliance risk.
06
Bundled Services Across Same Day Appointments
When a patient receives multiple services (e.g., med check and therapy) on the same day, failure to separate claims correctly causes bundling or rejection.
Simplify the Billing, Amplify the Care
Horizon Healthcare Solutions brings specialized knowledge in psychiatric billing to ensure accuracy, faster reimbursement, and fewer denials. We handle complexities like code combinations, session lengths, and documentation compliance with ease.
By working within your existing EHR and PMS, our team streamlines claim workflows while maintaining complete HIPAA compliance. We reduce administrative overhead so you can dedicate more time to patient outcomes and less to billing tasks.
Whether you’re billing for medication checks, therapy add-ons, or crisis interventions, we offer end-to-end psychiatric billing services that help stabilize your practice’s cash flow and safeguard against audits or payer rejections.
How We Add Value to Your Practice
Redefining Industry Excellence
HIPAA Compliant
Our commitment to HIPAA compliance ensures the highest standards of data security and patient confidentiality. We implement robust safeguards to protect sensitive information, allowing healthcare providers to focus on delivering exceptional patient care.
Proven Results and Cost Efficiency
Customized, Client-Centric Approach
Committed to Your Success
Comprehensive Claims Reviews
Regularly conducted assessments of denied claims to pinpoint submission errors and enhance future claim accuracy.
Ease and Simplicity
Our services integrate with your existing software and in-house team to ensure efficient and profit-focused processes.
Reliable Support, When You Need It
Our dedicated team is available to assist you during convenient hours and ensures prompt responses to your inquiries by phone, email or chat.
Get started with Horizon Healthcare Solutions today
Elevate your revenue cycle management to new heights.
Connect with us today and see how our expertise can drive growth and efficiency for your practice!
