Choosing a billing partner for a psychiatric practice requires looking beyond general mental health billing. While therapy practices rely primarily on basic time-based psychotherapy codes, psychiatric practices handle complex medical evaluations, Evaluation and Management (E/M) services, medication management, and mid-level provider billing.
Quick answer: The top mental health billing companies providing dedicated psychiatry medical billing services are GreenSense Billing, Practolytics, MedCare MSO, OmniMD, and PGM Billing. The best billing company for psychiatrists depends on your requirements and whether the company is enabled to fulfill your practice's specific needs.
| Company | Best For | Psychiatry Scope | Services Included | EHR/PM Compatibility | Pricing Model |
|---|---|---|---|---|---|
| GreenSense Billing | Best Overall | Med-management E/M, add-ons (90833–90838), 90792, telehealth psychiatry billing, PMHNP/PA billing | Eligibility, prior auth, coding, denial management, AR recovery, credentialing | Web-based EHR/PM integration | Percentage of collections |
| Practolytics | Best for AdvancedMD & Groups | E/M + add-on codes, 90792, PMHNP billing, specialized meds (Spravato/Ketamine) | Eligibility, prior auth, coding, claims, denial management, AR follow-up, credentialing | Deep integration with AdvancedMD and major PM systems | Percentage of collections |
| MedCare MSO | Best for Multi-Provider Clinics | E/M + psychotherapy, 90792, PMHNP/PA, social worker billing | Credentialing, pre-authorizations, audits, claims management, A/R follow-up | Works with existing practice systems | Custom percentage of collections |
| OmniMD | Best for Integrated Software & RCM | Med-management, E/M coding, behavioral health billing | AI claim scrubbing, prior auth, claims processing, denial recovery | Proprietary cloud platform + external EHR connections | Percentage of collections / platform fee |
| PGM Billing | Best for Comprehensive Behavioral Health | Psychiatric evaluations, medication management billing, add-on codes, IOP billing | Verification, charge entry, claim submission, denial management, payment posting | Broad PM system compatibility | Percentage of collections |
Why psychiatry billing needs a specialist billing team
Psychiatry claims face high denial rates when handled by general billers accustomed solely to standalone psychotherapy.
Diagnostic evaluation coding split
| Code | Use |
|---|---|
| CPT 90791 (Without Medical Services) | Used by Therapists / LCSWs. CANNOT pair with add-on codes. |
| CPT 90792 (With Medical Services) | Used by Psychiatrists / PMHNPs. CANNOT pair with add-on codes. |
E/M plus add-on coding structure
When providing medication management alongside psychotherapy during a single visit, prescribers bill an Evaluation and Management (E/M) code paired with a time-based psychotherapy add-on code:
- CPT 90833: Psychotherapy, 16–37 minutes with E/M
- CPT 90836: Psychotherapy, 38–52 minutes with E/M
- CPT 90838: Psychotherapy, 53+ minutes with E/M
Per CMS Billing and Coding Article A57520, psychotherapy services lasting under 16 minutes cannot be reported with an add-on code.
Diagnostic coding & therapists' codes
A common coding error involves diagnostic evaluations. Prescribers who perform physical health assessments or manage medications must bill CPT 90792 rather than CPT 90791. Understanding how to bill CPT 90791 is vital for therapy staff, but prescribers who incorrectly submit 90791 face lower reimbursement and documentation audits.
Similarly, general practices often default to billing CPT 90837 / 90834 for standalone therapy sessions. However, prescribers conducting med-management visits need specialized psychiatry billing services to properly combine E/M codes with add-ons. Proper mapping of mental health ICD-10 coding alongside these procedural codes is required to establish medical necessity. See our wider ICD-10 codes for mental health disorders guide.
Modern practice models
Specialized teams also manage advanced billing structures, such as collaborative care model billing (CPT 99492–99494) for primary care integration and telehealth psychiatry billing using correct place of service (POS) codes and telehealth modifiers (e.g., Modifier 95 or GT).
Top 5 medical billing companies for psychiatry
1. GreenSense Billing
- Best for: Best Overall for private practices and group psychiatric clinics seeking comprehensive outsourced psychiatry billing
- Psychiatry billing scope: Full med-management E/M coding, time-based psychotherapy add-ons (90833, 90836, 90838), diagnostic evaluations (90792), collaborative care model billing, and mid-level PMHNP/PA billing
- EHR/PM compatibility: Integrates with major web-based EHRs without forcing system migration
- Services included: Insurance eligibility verification, medication prior authorization tracking, charge entry, proactive denial management, A/R recovery, and credentialing
- Pricing model: Percentage of monthly net collections
- HIPAA / BAA: Delivers HIPAA compliant billing with a signed Business Associate Agreement (BAA)
Why it made the list: GreenSense Billing provides specialized revenue cycle management designed explicitly for psychiatric practices, handling complex prescriber billing across all psychiatric specialties.
2. Practolytics
- Best for: Practices using AdvancedMD or those offering specialized interventional treatments
- Psychiatry billing scope: E/M with psychotherapy add-on codes, 90792 evaluations, PMHNP billing, and specialty drug billing like Spravato and Ketamine
- EHR/PM compatibility: Deep integration with AdvancedMD alongside support for other prominent systems
- Services included: Insurance verification, prior authorizations, coding, claim submission, denial management, and credentialing
- Pricing model: Percentage of collections
- HIPAA / BAA: Fully HIPAA compliant with standard BAA execution
Why it made the list: Practolytics brings over 20 years of RCM experience and offers dedicated psychiatry medical billing services for behavioral health practices.
3. MedCare MSO
- Best for: Multi-provider group practices employing psychiatrists, nurse practitioners, and therapists under one roof
- Psychiatry billing scope: Billed E/M services, psychotherapy add-on codes, medication management billing, and multi-specialty behavioral health claims
- EHR/PM compatibility: Compatible with most industry-standard practice management platforms
- Services included: Payer credentialing, prior authorizations, claim scrubbing, audits, and A/R recovery
- Pricing model: Customized percentage of collections
- HIPAA / BAA: Maintains strict HIPAA compliance standards and executes BAAs
Why it made the list: MedCare MSO offers tailored medical billing and credentialing services designed for psychiatric providers and group practices.
4. OmniMD
- Best for: Practices seeking an all-in-one software and billing service combination
- Psychiatry billing scope: Med-management E/M codes, psychiatric diagnostic evaluations, precise mental health ICD-10 coding, and telehealth psychiatry billing
- EHR/PM compatibility: Fully integrated with OmniMD EHR/PM, with interface options for external systems
- Services included: AI claim scrubbing, prior authorization management, denial tracking, and collections
- Pricing model: Percentage of collections or tiered software plus RCM fees
- HIPAA / BAA: Full HIPAA compliance with standard BAAs provided
Why it made the list: OmniMD combines cloud-based billing software with RCM services to streamline psychiatric practice revenue.
5. PGM Billing
- Best for: Behavioral health practices needing robust payer negotiation and compliance oversight
- Psychiatry billing scope: Diagnostic evaluations, medication management billing, add-on codes, and higher levels of care (IOP/PHP)
- EHR/PM compatibility: Integrates with a wide array of commercial PM systems
- Services included: Eligibility verification, charge entry, claim submission, denial management, and payment posting
- Pricing model: Percentage of monthly collections
- HIPAA / BAA: Fully compliant with HIPAA requirements and BAA execution
Why it made the list: PGM Billing is an established psychiatric billing company offering tailored solutions for behavioral health providers.
How to choose a billing partner for your practice
- Verify E/M + Add-On Expertise: Confirm that the billing team routinely handles combinations like 99214 + 90833 and understands distinct time documentation requirements.
- Ensure Prescriber Credentialing Support: Make sure the billing company for psychiatrists understands how to credential PMHNPs and PAs across commercial payers and MBHOs.
- Evaluate Medication Prior Authorization Handling: Ask if the company manages prior authorizations for psychiatric medications or if that burden falls on clinical staff.
- Confirm EHR Integration: Determine whether the billing company can work directly inside your existing PM system to prevent data migration issues.
- Demand Fee Transparency & BAA Execution: Compare percentage rates alongside included services, and ensure the vendor provides HIPAA compliant billing with a signed Business Associate Agreement.
Also read
Billing support
For practices that need help beyond this guide, GreenSense Billing covers medical billing services, medical coding services, and revenue cycle management.
Conclusion: Partnering with a specialized billing provider helps maintain accurate coding, reduces denied claims, and protects practice revenue. Explore our specialized mental health billing services to see how GreenSense Billing can support your psychiatric practice.