E/M support
Check the recorded evaluation and management work and query missing information. Select the level only from the supported service under current requirements.
Psychiatry & PMHNPs BILLING SUPPORT
Keep medication management and psychotherapy distinct.
Psychiatry billing connects evaluation and management, psychotherapy when performed, medication related authorization work and provider enrollment. Each service needs its own supporting record.
WHERE THE WORK GETS STUCK
The claim starts before submission.
A combined appointment can create an E/M service and a psychotherapy service, but the documentation and time cannot simply be reused for both. Payer participation also depends on the rendering professional.
SPECIFIC OPERATIONAL CHECKS
What we connect in the workflow.
Psychotherapy add ons
Record psychotherapy time separately from E/M work. Confirm the required primary service and payer rules before submitting an add on.
Provider and coverage details
Track prescriber participation, location and telehealth requirements. Keep medication authorization tasks separate from claim adjudication.
ILLUSTRATIVE CODE REFERENCES
Small details.
Different claim questions.
Examples for understanding the workflow.
Code selection follows the actual service.
| Code | Example service | Operational check |
|---|---|---|
| 99214 | Established patient office E/M example | The actual service and supporting record determine the level. |
| 90833 / 90836 / 90838 | Psychotherapy add on examples | Require the appropriate E/M service; psychotherapy time is distinct. |
| 90792 | Diagnostic evaluation with medical services | The service performed determines whether this evaluation code applies. |
Illustrative CPT, HCPCS or other billing references, not coding instructions or coverage promises. Current code sets, documentation, payer policy and date of service control the correct claim. Review the relevant billing reference
WHAT YOUR PRACTICE RECEIVES
Clear exceptions.
A visible next action.
A provider enrollment view, a combined-service documentation checklist and separate queues for claim and authorization work.
- A named owner and agreed communication plan
- Enrollment and payment setup gaps included in the review
- Written scope before access or service begins
CLAIM VOLUME AND SCOPE
Use your workload, not an industry guess.
Review follow up appointments, diagnostic evaluations, psychotherapy add ons and authorization requests as separate workload drivers.
Billing is quoted as a percentage of monthly collections. Provider count, workflows and historical outstanding work help define the responsibilities included in your agreement.
See Billing & RCMBEFORE WE BEGIN
Agree on the details that affect delivery.
We map your payer mix, systems and the three workflow checks above, then agree on the records and scope needed. No practice information is required before the mutual agreement is signed.
No. We identify gaps and possible next actions. Coverage, records, filing windows and payer decisions determine whether a claim can be corrected or paid.
After the agreement and a BAA, we arrange a secure handover with approved access. Please do not send patient information through public website forms or regular email.
CONNECT THE DETAILS
Start with your practice, not a generic proposal.
A Free Practice Review connects billing, credentialing, enrollment and payment setup. We agree on scope first, with a signed agreement and BAA before practice data moves.