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Stellix Billing

Specialty billing

Psychiatry billing for practices that combine medicine and therapy

Psychiatry sits between medical and behavioral billing. E/M levels, psychotherapy add-ons, medication-related prior authorizations and telepsychiatry rules all affect what you're paid. We bill psychiatry the way payers expect to see it.

Where psychiatry practices lose revenue

  • Under-coded E/M visits (99213 when documentation supports 99214)
  • Psychotherapy add-ons (90833, 90836, 90838) missing or not supported by separate time
  • 90792 versus 90791 confusion on initial evaluations
  • PMHNP and physician assistant billing rules, including incident-to
  • Telepsychiatry place-of-service and state licensure issues

What's included

  • Coding review for E/M and add-on combinations
  • Claims, posting, denials and A/R follow-up
  • Medication prior authorization support
  • Provider credentialing for psychiatrists and PMHNPs
  • Revenue dashboard by provider and visit type

Frequently asked questions

Do you bill for psychiatric nurse practitioners?+

Yes. We bill for PMHNPs, including their credentialing and payer-specific rules.

Can you audit our E/M coding?+

Yes. A coding audit of a sample of recent visits is part of our free revenue audit when you share de-identified data securely.

Find out where your practice is losing revenue

Send us a de-identified A/R and denial export. Within 48 hours you get a one-page report showing your biggest revenue leaks and how to fix them. Free, with no obligation.

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