Psychiatry Billing & Revenue Cycle Management
Clean claims, worked denials, and AR that actually gets chased.
Dedicated psychiatry billing specialists. We code time-based psychotherapy 90832, 90834, and 90837, diagnostic evaluations 90791 and 90792, and telehealth claims, scrub and submit clean claims, work denials at the root, and chase aging AR and underpayments, inside AdvancedMD, SimplePractice, or PsykDesk. Flat fee per specialist, not a percentage of collections. Live in 2 weeks.
Clean claims out, denials worked, AR chased.
Time-based psychotherapy and diagnostic eval coding, accurate telehealth claims, end-to-end revenue cycle.
Tell us about your practice. We’ll project your savings in 24 hours.
Solo psychiatrist or multi-site group? Tell us your payers and volume. We scope the right billing support and project your savings.
What Is Psychiatry Billing & RCM?
Psychiatry billing and revenue cycle management is coding and collecting for the services you deliver: time-based psychotherapy codes 90832, 90834, and 90837, diagnostic evaluations 90791 and 90792, add-on 90838, telehealth claims, clean claim submission, denial work, AR follow-up, and underpayment recovery, from the claim all the way to the deposit.
Outsourcing your psychiatric billing and coding gives you dedicated, remote specialists who match the time-based code to documented session time, apply the right diagnostic evaluation and telehealth rules, scrub and submit claims, work denials at the root, and chase aging AR and underpayments, working inside AdvancedMD, SimplePractice, PsykDesk, or your EHR.
The model is flat fee per specialist, not a percentage of collections, so your billing cost stops scaling with revenue. AI handles claim scrubbing and denial-pattern detection, while trained people work appeals, underpayments, and multi-payer mental health billing nuance.
Staffingly’s psychiatry billing specialists combine trained people with AI-powered claim scrubbing and denial-pattern detection to keep your revenue cycle clean. We code 90791, 90792, 90832, 90834, and 90837, submit clean claims, work denials at the root, and chase AR and underpayments, all inside your own EHR.
All Staffingly psychiatry services are HIPAA, SOC 2 Type II, ISO 27001, and HITRUST CSF aligned. We are a dedicated healthcare outsourcing partner, a HIPAA-compliant BPO with named, remote specialists rather than a shared offshore pool, billed at a flat fee per specialist, not a percentage of collections. Available across all 50 states. Pricing starts at $399 per week ($349 at volume) with a 2-Week Risk-Free Pilot.
Revenue Is Leaking Across Your Billing
You delivered the sessions, but the money is leaking on the way to the bank: time-based codes deny because documented time does not match, telehealth claims deny for the wrong modifier and place of service, denials get resubmitted without a fix, AR ages past timely filing, and underpayments go unnoticed. Psychiatry carries one of the highest claim denial rates of any specialty, around 16 percent against an industry average near 5 to 10 percent, so a denial rate that nobody works is real money walking out the door.
The daily reality your practice lives in
A 90837 denied because the note did not document 60 minutes of face-to-face time. A telehealth session denied for modifier 95 paired with the wrong place of service. Your old biller resubmitted denials without ever fixing the cause. AR aged past the timely-filing window and became unrecoverable. Underpayments piled up because nobody was checking the contracted rate against what actually paid.
We engaged Staffingly for prior authorization support, and the performance met operational standards. Their staff demonstrated attention to detail, handled follow-ups responsibly, and responded quickly to our team’s requests.
clean claim rate reached on a behavioral health revenue cycle engagement . Staffingly case study
AR days cut on that same engagement after the pilot . Staffingly case study
psychiatry claim denial rate, one of the highest of any specialty, versus a 5 to 10% industry average . industry estimate
We engaged Staffingly for prior authorization support, and the performance met operational standards. Their staff demonstrated attention to detail, handled follow-ups responsibly, and responded quickly to our team’s requests.
What Psychiatry Billing & RCM Covers
The full revenue cycle, from coding the session to recovering the underpayment, inside AdvancedMD, SimplePractice, or PsykDesk.
Psychotherapy Coding
Time-based 90832, 90834, and 90837 coded to documented session time.
Diagnostic Evaluations
90791 without a medical component and 90792 with one, billed per rendering provider.
Add-On Coding
90838 psychotherapy add-on paired with the right evaluation and management service.
Telehealth Claims
Modifier 95 with place of service 02 or 10 applied per payer to prevent denials.
Claim Scrubbing & Submission
Pre-submission edits against payer rules for clean claims.
Denial Management
Root-cause denial work and appeals, not blind resubmission.
AR Follow-Up
Aging AR worked by payer and age bucket before timely filing closes.
Underpayment Recovery
Paid amounts checked against contracted rates and shortfalls chased.
The flat-fee psychiatry back-office partner with psychiatry-trained specialists AND the full HIPAA + SOC 2 + ISO + HITRUST CSF aligned stack.
Many mental health billing companies charge a percentage of collections and show one or two attestations. Software vendors sell you a tool and leave the staffing to you. We are the operator layer that runs your coding, claims, and denials at a flat weekly fee, on all four certifications.
The Compliance Gap Nobody Talks About
Most mental health billing vendors lean on a single attestation, usually HIPAA. That is not the same as having an audited control environment. The gap shows up the day a payer auditor asks for evidence of safeguards across your entire back-office operation.
HIPAA alone is the floor
HIPAA is a federal law, not an audit. Anyone can claim HIPAA-compliant. SOC 2 and HITRUST CSF require a third-party auditor.
BAA is necessary, not sufficient
A signed BAA does not guarantee the offshore vendor has the operational controls to back it up.
ISO 27001 is the cross-border floor
If your specialists work outside the US, ISO 27001 is the international information security baseline.
HITRUST CSF is what hospitals demand
Health systems and IDNs increasingly require HITRUST CSF certification before signing.
What a Psychiatry Back-Office Specialist Actually Costs
Per-specialist weekly pricing that scales with your headcount. No percentage of collections. No setup fees. No long-term contracts. 2-Week Risk-Free Pilot.
One dedicated specialist, with team-lead overlap and coverage-pool backup, single-location practice
5+ specialists, mid-size practice or health system region
10+ specialists, multi-location health system or PE-backed group
Percentage-of-collections comparison: many mental health billing vendors charge a percentage of collections, which rises every time your revenue does. A flat weekly rate per specialist stays predictable as you scale.
Enterprise & Multi-Site: 20+ specialists at $299/week
Custom workflows, dedicated account teams, and volume terms for multi-state psychiatry groups, MSOs, and PE-backed mental health platforms.
How We Bring AI Into Your Psychiatry Practice. Safely
AI does the repetitive throughput. Trained people own the exceptions. Eligibility checks, telehealth claim edits, and claim scrubbing run with automation, while time-based code audits, peer-to-peer reviews, appeals, and multi-payer mental health nuance stay with specialists. You get an audit trail of both.
Time-Based Code Audit
Documented session time checked against 90832, 90834, and 90837 before claims go out, so the code matches the minutes.
Real-Time Eligibility
Automated eligibility and benefit checks so coverage is confirmed before the first session.
Claim Scrubbing
Claims checked against payer rules, diagnosis-to-code match, and telehealth modifier and place of service before they go out.
Denial-Pattern Detection
Recurring denial reasons surfaced so the root cause gets fixed, not just resubmitted.
Exception Flagging
Edge cases like complex medical-necessity criteria are flagged for a psychiatrist or specialist to handle.
Assisted Documentation QA
AI drafts and checks session-note completeness; a human reviews before anything is finalized.
Scheduling Optimization
Schedules matched to authorized units and availability, with cancellation and recall nudges.
Compliance Checks
Automated HIPAA, payer-rule, and CMS-0057-F window checks before submission.
How We Bring AI In Safely. Three Layers
- 1. BAA + Private StackAI runs inside a HIPAA-compliant environment. No PHI leaves into public LLMs.
- 2. Human-in-the-LoopAI drafts and pre-fills. A trained specialist reviews and signs off before action.
- 3. Full Audit TrailEvery AI action logged: model, input, output, reviewer, timestamp.
How Your Psychiatry Specialist Joins Your Practice
Discovery, integration, and go-live in two weeks. No training required on your end.
Days 1-2: Discovery
We learn your psychiatry software, payers, telehealth rules, and where revenue is leaking. Your specialist is matched accordingly.
Days 3-7: Integration
Access to AdvancedMD, SimplePractice, or PsykDesk configured. Practice-specific training. Workflows and payer rules documented.
Days 8-14: Go Live
Your specialist begins handling authorizations, billing, and denials. Quality monitoring in place.
Day 15+: Pilot Wrap
Two-week pilot review. If it is a fit, month-to-month continues. If not, walk away clean.
Trained on Every Psychiatry Platform + Payer
Our specialists work coding, eligibility, telehealth claims, and claim follow-ups across commercial plans and Medicaid managed care, inside the psychiatry software you already use.
Psychiatry Software Platforms
Major Payers
Portals + Clearinghouses
Psychiatry Billing & RCM Questions
Real questions from psychiatrists, billing managers, and practice directors. No fluff answers.
How much does outsourced psychiatry billing cost?
Is psychiatry billing better at a flat fee or a percentage of collections?
What are the time-based psychotherapy codes you bill?
What is the difference between 90791 and 90792?
How do you reduce our psychiatry denial rate?
Do you bill telehealth psychiatry claims correctly?
What psychiatry software do you bill inside?
Do you work old and aging accounts receivable?
Build a Custom Psychiatry Pod
These service lines are a starting point, not a limit. If it touches your front office, billing, prior authorizations, or clinical admin, we staff a custom pod around your EMR, payers, and SOPs. Tell us the workflow and we will scope it.
Stop leaving psychiatry revenue on the table. Start the pilot.
30-minute strategy call. We review your denial rate, AR aging, and payer mix, then scope the right billing support. No pressure. Pilot in 2 weeks.
Written + Reviewed By
Dan Nandan is the President and CEO of Staffingly, Inc. With 25+ years in IT consulting and healthcare BPO operations, he was one of the earliest U.S. operators to set up an RPO/BPO delivery network in India over 20 years ago. Today his work centers on AI-driven healthcare workflows and helping practices across North America cut administrative costs without compromising care.
Bincy Shiiju Kuriakose is a Clinical Content Reviewer at Staffingly and a U.S. Licensed Registered Nurse (MSN, RN). NCLEX-RN certified with expertise in hospital nursing, telehealth, and nursing education. PhD scholar in Nursing at Peoples’ College of Nursing, Bhopal. Reviews every service page for medical accuracy, compliance, and evidence-based best practices.
Connect on LinkedInAuthoritative Sources & Standards (Psychiatry)
Authoritative references for the psychiatry coding, telehealth, compliance, and market figures cited on this page:
- – AMA CPT: Psychotherapy and psychiatric diagnostic evaluation codes
- – American Psychiatric Association: Coding and reimbursement
- – CMS: Telehealth, modifier 95 and place of service guidance
- – HHS-OIG: Behavioral health improper-payment audits
- – CMS-0057-F: Interoperability and Prior Authorization Final Rule
- – HHS.gov: HIPAA Privacy Rule
