Psychiatry Billing Services – AI-Powered RCM for Mental Health Practices
At Sirius Solutions Global, we are aware that mental health providers encounter special challenges needing specialist expertise and technology-driven solutions ranging from telepsychiatry billing compliance to time-based CPT codes. Our AI-powered psychiatry billing systems help psychiatrists, psychiatric nurse practitioners, and behavioral health facilities to maximize reimbursements, reduce denials, and improve cash flow, so freeing them to focus on patient care rather than administration.
Our Comprehensive Psychiatry Billing Services
1. Administration of complete revenue cycle
From insurance verification to payment posting, we actually handle every stage of your mental health billing procedure.
2. Better AI-enhanced coding will increase precision.
Our artificial intelligence and trained coders ensured the correct selection of CPT, ICD-10, and HCPCS codes for:
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one-on-one treatment sessions spanning 30, 45, 60+ minutes
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sessions in group psychotherapy
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Initial mental health assessments start
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Handling of medications
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Methods for crisis control
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Sessions in telemedicine
3. Telepsychiatric billing brilliance
We keep current on CMS and commercial payer telehealth regulations to ensure your virtual meetings are correctly billed with the right place of service codes and modifiers.
4. Denial's avoidance and control
Real-time claim scrubbing and predictive analytics enable us to avoid rejections before they occur and recover funds from unpaid claims.
5. Observance of HIPAA recommendations
We safeguard hidden mental health data, HIPAA-compliant workflows, and audit-ready documentation.
Benefits of Partnering with Sirius Solutions Global
✅ 98% Clean Claim Rate – Fewer denials, faster payments
✅ 30% Faster Turnaround Time – Accelerated claims processing
✅ Higher Collections Rate – Minimized revenue leakage
✅ Psychiatry Coding Experts – Knowledgeable in time-based and telehealth rules
✅ Dedicated Account Manager – Personalized support for your practice
Psychiatry Billing Services
Specialized outsourcing solutions, such as psychiatry billing services, manage the administrative tasks of medical billing and coding for psychiatrists, psychologists, and other mental health practitioners; therefore, clinicians can give patients their top priority. Using conventional CPT and ICD-10 codes, typical support comprises patient eligibility checks, claim filing and follow-up, rejection management, A/R management, and financial reporting. Companies such To maximize revenue and maintain practices compliant with payer and regulatory requirements, Psychiatric Billing Associates, Medisys, and TheraThink handle the particulars of mental health billing.
Services Offered by Psychiatry Billing Companies
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Check patient coverage and advantages to make claims payable through insurance verification and eligibility.
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For every visit, accurately allocate the proper CPT (services) and ICD-10 (diagnoses) codes.
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Claim Submit electronic claims to Medicare and Medicaid as well as all other payers.
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Denial Management: Look into denials and find solutions to ensure prompt payment.
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Accounts receivable (A/R): Open balances and unpaid claims will help to boost cash flow.
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Manage statements for copays, deductibles, and out-of-network balances; patient billing.
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Financial Reporting: Give routine, unambiguous reports on key KPIs, revenue, and collections.
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RCM: Overseeing the whole financial path from scheduling to payment
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Keep abreast of CMS and other payer policies as they evolve. Regulatory Compliance
Benefits for Psychiatrists and Mental Health Providers
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Rising Revenue: Experts assist to maximize collections and minimize lost income.
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Less Overhead: Outsourcing could be less expensive than employing and training in-house personnel.
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More Time for Patients: Clinicians spend less time on administrative tasks and more on treatment.
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Peace of Mind: Specialists managing billing helps toward a better practice.
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Faster payments result from simplified operations, therefore increasing efficiency.
Common Fee Structures
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Most often between 4 and 10% of funds received, the percentage of net collections is
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A fixed fee for every claim handled is known as a flat fee per claim.
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Hourly Rate: Less prevalent, but used by a few services.
Psychiatry & behavioral-health billing essentials
Psychiatry billing is specialized — it’s not “E/M + meds.” From diagnostic psychiatric evaluations (90791/90792) and time-based psychotherapy (90832/90834/90837) to medication management, group therapy, PHP/IOP billing, and Collaborative Care (CoCM) programs, every line has documentation and payer nuances. At Sirius Solutions Global we combine psychiatry-trained coders, payer-specific rule sets, and workflows for prior-auths and telehealth so your claims clear faster and denials fall. We don’t just file appeals — we fix the root cause so the same error never returns.
Top denial types for psychiatry
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Medical necessity / incomplete
documentation — fix: templated MDM and progress note examples tied to timed psychotherapy minutes. -
Prior-auth / formulary failures for LAIs & controlled substances — fix: standardized prior-auth packet + prior-authorization workflow.
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Unit/time mismatch for psychotherapy (timed codes vs rounding) — fix: automatic session timers + chart audit before submission.
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Billing provider credential/pos errors (LMSW vs LPC vs MD differences) — fix: credential mapping & payer-specific provider taxonomy table.
Our Impact
in Numbers
30%
Increase in revenue
50+
Specialities
35+
States Served
95%
Reduction in Denials
Regulatory & telehealth watch
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Telehealth remains central to psychiatry. Medicare permanently permits behavioral health telehealth in the home and supports audio-only delivery for many mental-health services but policy windows and originating-site rules are evolving. Stay current: CMS telehealth guidance & HHS telehealth pages are authoritative. If rules change (for example policy updates around Oct 1, 2025), update your telepsychiatry billing guidance immediately.
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Behavioral Health Integration (CoCM / BHI) rules require initiating visits and consents these are frequent audit points; explain the required initiating visit and the monthly documentation elements clearly on your page.
Advanced Technology for Psychiatry Practices
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AI-Powered Claim Scrubbing – Reduces coding errors and claim rejections
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Cloud-Based RCM Dashboard – Access your billing and payment data anywhere
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EHR/EMR Integration – Works with SimplePractice, TherapyNotes, Athenahealth, and more
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Automated Eligibility Checks – Verify coverage before sessions
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Predictive Revenue Analytics – Anticipate cash flow trends
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Secure Patient Portals – For online statements and payments
Why Psychiatry Billing is Complex
Billing in psychiatry is complex on many different levels:
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Coding based on time for counseling sessions
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When combined with therapy, E/M (Evaluation & Management) coding is
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Rules governing virtual mental healthcare billing
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Prior clearances for particular drugs or treatment methods
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Accord of mental health equality with insurance payers
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Handling guidelines for commercial payers as well as Medicare and Medicaid
Mistakes in psychiatric billing frequently cause denied claims, delayed payments, and compliance concerns. That is the reason cooperating with a billing staff specifically dedicated to psychiatry is absolutely necessary.
Let’s Improve Your Psychiatry Practice’s Financial Health
Sirius Solutions Your goal is to help patients reach mental health globally; our mission is to ensure you are paid for every minute you work. Knowing that our AI-powered psychiatry billing solutions can help you to gain from quicker reimbursements, fewer denials, and general peace of mind by knowing your revenue cycle is in expert hands.
📞 Contact us right away for a complimentary psychology billing evaluation to see how we might help your mental health company flourish financially.